Diffuse Esophageal Spasm (DES) is a complex esophageal motility disorder characterized by uncoordinated contractions in the esophagus. This often leads to significant discomfort and difficulties such as dysphagia (difficulty swallowing) and atypical chest pain, particularly concerning for residents seeking specialized treatment in the Long Island area. Understanding DES, which is marked by uncoordinated muscle contractions that can manifest as episodes of severe chest pain, and exploring treatment options is essential for individuals experiencing these distressing symptoms. Our team, including Dr. Mit Shah, a highly trained gastroenterology specialist with extensive background in esophageal disorders, is dedicated to helping patients navigate this condition.
I had a pleasant experience at this office. Dr. Shah was very professional, kind and knowledgeable. The office is very clean and welcoming. The staff is friendly and make you feel relaxed. Very easy to schedule procedures and the wait time is very short. I highly recommend them.
What is Diffuse Esophageal Spasm
Diffuse Esophageal Spasm is an esophageal motility disorder that manifests as irregular and uncoordinated contractions of the esophagus muscles. Patients may describe episodes of severe chest pain or discomfort, sometimes mimicking cardiac conditions, along with challenges in swallowing food or liquids, leading to significant anxiety. These uncoordinated contractions can affect any part of the esophagus, resulting in the characteristic “corkscrew” or “rosary bead” appearance visible during specialized imaging studies. Our practice utilizes advanced diagnostic methods to confirm this condition.
Recognizing Symptoms of Diffuse Esophageal Spasm
Symptoms of DES can be varied but often include:
- Dysphagia, or difficulty swallowing
- Chest pain, which can be atypical
- Nervous system disruption leading to spasms
These symptoms can significantly impact quality of life, making it crucial to seek an evaluation at a practice specializing in esophageal disorders. Lifestyle modifications, including avoiding extremely hot or cold foods and managing underlying conditions like GERD, are recommended to alleviate DES symptoms.

Diagnostic Methods for Esophageal Disorders
At our practice in Long Island and Queens, we utilize several diagnostic techniques to evaluate esophageal function such as manometry, which measures the muscle contractions in the esophagus. Imaging studies may also reveal changes associated with DES. An accurate diagnosis is essential to tailor the treatment strategy effectively. Our team, including Dr. Davinder Singh, who has supervised advanced diagnostic interventions, ensures that patients receive thorough and meticulous care.
Effective Treatment Options for DES
Treatment for Diffuse Esophageal Spasm focuses on alleviating symptoms and may include:
- Medications such as acid suppressing agents, antidepressants, and anti-epileptic medications
- Muscle relaxants to reduce spasms
- Endoscopic balloon dilation to relax the esophagus
- In more severe cases, botulinum toxin injections or surgical options may be considered
Each treatment plan is tailored to the individual based on their specific symptoms and response to therapies. Dr. Shah, who performs over 1000 upper endoscopies annually, applies evidence-based methods to ensure the best possible management.
Causes and Triggers of Diffuse Esophageal Spasm
The exact cause of DES remains unclear; however, potential triggers may include:
- Consumption of very hot or cold beverages
- Stress and anxiety
- Underlying nervous system effects impacting esophageal muscular contractions
Identifying these triggers is an important aspect of treatment and management, allowing patients to modify their behaviors and lifestyle for improved comfort.
Frequently Asked Questions about DES Treatments
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During your consultation, our gastroenterologists will review your medical history, discuss your symptoms, and perform relevant diagnostic tests to assess your condition.
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Yes, certain dietary modifications may help reduce symptoms of DES. Our team can guide you in identifying potential triggers in your diet.
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Treatment efficacy varies among individuals. Some may experience relief soon, while others may need a combination of therapies to find what works best.
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Surgery is considered a last resort for patients with severe symptoms that do not respond to medical therapy. Our team can discuss this option if necessary.

Why Choose Our Gastroenterology Practice
Choosing our practice for evaluating and treating Diffuse Esophageal Spasm means working with dedicated professionals who prioritize your health and well-being. Our team includes:
- Dr. Mit Shah, MD, a board-certified gastroenterologist with extensive training and experience in esophageal disorders.
- Dr. Davinder Singh, MD, known for his contributions to advanced gastrointestinal techniques and patient care.
- Both physicians are well-equipped to offer innovative treatments backed by research and individual patient plans.
We aim to provide compassionate care while utilizing advanced technologies, ensuring effective management of your esophageal health. Contact our award-winning team today to learn more about how we can assist you.
About UsStart Your Journey to Relief Today
If you or a loved one is experiencing symptoms of Diffuse Esophageal Spasm, don’t hesitate to reach out to our practice in Long Island or Queens. Our experienced team is ready to provide comprehensive evaluation and treatment tailored specifically for your needs. Schedule your appointment today to begin your path toward relief.