What medicine should I take for esophageal spasm?
Esophageal spasm is a common digestive tract disease, which mainly manifests as chest pain, difficulty swallowing and other symptoms. For this disease, rational use of medication is key. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the drug treatment plan for esophageal spasm and provide structured data for reference.
1. Common symptoms of esophageal spasm

The main symptoms of esophageal spasm include:
| Symptoms | Description |
|---|---|
| chest pain | Severe pain similar to angina, often located behind the breastbone |
| difficulty swallowing | Difficulty passing food or liquid through the esophagus |
| acid reflux | Acid reflux into the esophagus |
| belching | Frequent hiccups |
2. Commonly used drugs for esophageal spasm
According to the hot medical topics on the Internet in the past 10 days, the following drugs are widely recommended for the treatment of esophageal spasm:
| drug type | Representative medicine | Mechanism of action |
|---|---|---|
| calcium channel blockers | nifedipine, diltiazem | Relax esophageal smooth muscle |
| nitrate drugs | Nitroglycerin | dilation of esophageal smooth muscle |
| anticholinergic drugs | Atropine | Inhibit vagus nerve excitation |
| proton pump inhibitor | Omeprazole, lansoprazole | Reduce gastric acid secretion |
3. Precautions for drug treatment
1.calcium channel blockers: Pay attention to the risk of hypotension and use with caution in the elderly.
2.nitrate drugs: May cause headache, it is recommended to start with a small dose.
3.anticholinergic drugs: Disabled for patients with glaucoma.
4.proton pump inhibitor: The risk of osteoporosis needs to be monitored for long-term use.
4. Adjuvant treatment methods
In addition to medication, the following methods can also help relieve esophageal spasm:
| method | Specific measures |
|---|---|
| diet modification | Avoid spicy, cold or hot foods |
| psychological adjustment | Reduce stress and avoid anxiety |
| Postural therapy | Stay upright after eating |
| physical therapy | esophageal dilation |
5. Latest research progress
According to recent popular medical information, the following studies are worthy of attention:
1. Research published in the Journal of Gastroenterology in 2023 shows that low-dose botulinum toxin injections are effective in refractory esophageal spasm.
2. Artificial intelligence-assisted technology for diagnosing esophageal spasm is under development and is expected to improve diagnostic accuracy.
6. Medical advice
It is recommended to seek medical attention immediately if:
1. Chest pain that persists, especially when accompanied by sweating and difficulty breathing
2. Difficulty swallowing leading to significant weight loss
3. Ineffective drug treatment
Although esophageal spasm is common, most patients can be well controlled through rational use of medication and lifestyle adjustments. It is recommended to develop a personalized treatment plan under the guidance of a doctor.
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