Diffuse Oesophageal Spasm: From 1 Different Sources
a disorder affecting the gullet (oesophagus) in which uncoordinated, sometimes simultaneous, oesophageal contractions precipitate difficulty in swallowing (*dysphagia), regurgitation of food, and chest pain. The cause is unclear. Diagnosis is suggested by characteristic appearances during a *barium swallow (corkscrew oesophagus) and confirmed by oesophageal manometry. Medical treatment comprises the use of calcium-channel blockers, nitrates, and sildenafil; endoscopic treatment may include infiltration of *botulinum toxin in specific oesophageal segments and, infrequently, endoscopic dilatation. Surgical myotomy is reserved for extreme cases.
Also known as salaam attacks, these are a rare but serious type of EPILEPSY, usually starting in the ?rst eight months of life. The spasms are short and occur as involuntary ?exing of the neck, arms, trunk and legs. They may occur several times a day. If the baby is sitting, it may collapse into a ‘salaam’ position; more usually there is a simple body jerk, sometimes accompanied by a sudden cry. An electroencephalogram (see ELECTROENCEPHALOGRAPHY (EEG)) shows a picture of totally disorganised electrical activity called hypsarrhythmia. The condition results from any one of many brain injuries, infections or metabolic insults that may have occurred before, during, or in the ?rst few months after birth. Its importance is that in most cases, the baby’s development is seriously affected such that they are likely to be left with a profound learning disability. Consequently, prompt diagnosis is important. Treatment is with CORTICOSTEROIDS or with certain anti-convulsants – the hope being that prompt and aggressive treatment might prevent further brain damage leading to learning disability.... infantile spasms
An involuntary, and, in severe cases, painful contraction of a muscle or of a hollow organ with a muscular wall. Spasm may be due to affections in the muscle where the spasm takes place, or it may originate in some disturbance of that part of the nervous system which controls the spasmodically acting muscles. Spasms of a general nature are usually spoken of as CONVULSIONS; spasms of a painful nature are known as cramp (see under MUSCLES, DISORDERS OF) when they affect the muscles of the limbs, and as COLIC when they are situated in the stomach, intestines, ureters or bile duct, or other organs of the abdomen. Spasm of the heart is called ANGINA PECTORIS, and is both a serious and an agonising condition. When the spasm is a prolonged ?rm contraction, it is spoken of as tonic spasm; when it consists of a series of twitches or quick alternate contractions and relaxations, it is known as clonic spasm. Spasm is a symptom of many diseases.... spasm
Helping to relieve cramps and other muscle contractions... spasmolytic
See: REFLUX. ... gastro-oesophageal reflux disease
A chronic condition in which the neck is rotated or deviated laterally, forwards, or backwards, often with additional jerking or tremor. It is a form of focal DYSTONIA, and should not be confused with the far commoner transient condition of acute painful wry-neck.... spasmodic torticollis
Agents for relief of muscular cramp, spasm or mild pain. To reduce spasm of smooth muscle. The key remedy is Cramp bark but all have their specific uses.
They may be general (Black Haw, Cramp bark), or those that exert their influence upon specific structures: Hyssop (lungs), Cloves (mucous membranes), Wild Thyme (bronchi), Figwort (anus).
Others in common use: Asafoetida, Balm, Betony, Black Haw (muscles generally, also womb), Black Cohosh, Blue Cohosh, Butterburr, Blood root (externally), Cayenne, German Chamomile (stomach), Dong Quai (ovaries), Eucalyptus, Hops (stomach), Ladyslipper, Liquorice, Lime Blossom, Lobelia, Mistletoe, Motherwort (heart), Nutmeg (angina), Passion Flower, Skullcap, Skunk Cabbage, Thyme, Valerian, Vervain, Wild Cherry (respiratory), Wild Carrot (kidneys and bladder), Wild Lettuce, Wild Yam. Devil’s Claw (muscles).
Anti-Spasmodic Drops (Heath and Heather). Cramp, neuralgia, etc. Tincture Myrrh 6 per cent; Tincture Capsic 15 per cent; with 45 per cent ethanol extractive from Scutellaria (Skullcap) 10 per cent; Lobelia 1.25 per cent; Fennel 2.5 per cent; American Valerian 5 per cent. Dose: 10-30 drops according to age.
John Christopher: 2oz crushed Lobelia seeds; half an ounce Lobelia herb; 1 teaspoon Cayenne; macerated in 1 pint cider 8 days. 1-2 teaspoon when necessary.
Combination: powders. Equal parts: Skullcap, Valerian, Lobelia, Black Cohosh. Myrrh quarter part. Mix. Sift. Quarter of a teaspoon in water, honey etc as necessary.
Formula. Powders. Cramp Bark 2; Skullcap 1; Cloves half; Cayenne Pepper quarter. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon thrice daily. (Indian Herbology of North America, Alma R. Hutchens) ... anti-spasmodics
An uncommon disorder in which there is frequent twitching of facial muscles, which are supplied by the facial nerve. Facial spasm affects predominantly middle-aged women and is of unknown cause.... facial spasm
Excessive tightening of the muscles that surround and support the lower region of the spine, causing back pain. Treatment of lumbosacral spasm may include analgesic drugs and muscle-relaxant drugs.... lumbosacral spasm
Sudden and involuntary contraction of a muscle. Muscle spasm is a normal reaction to pain and inflammation around a joint. Common causes are muscle strain, disc prolapse, and stress. Usually, the cause of the spasm is treated. Muscle-relaxant drugs may also be needed. (See also spasticity.)... muscle spasm
A rare birth defect in which the oesophagus forms into 2 separate, blind-ended sections during development. There is usually an abnormal channel (tracheoesophageal fistula) between one of the sections and the trachea. The condition may be suspected before birth if the mother had polyhydramnios. The infant cannot swallow, and drools and regurgitates milk continually. If there is an upper tracheoesophageal fistula, milk may be sucked into the lungs, provoking attacks of coughing and cyanosis. Immediate surgery is needed to join the blind ends of the oesophagus and close the fistula. If the operation is successful, the baby should develop normally. Some babies, however, do not survive.... oesophageal atresia
A procedure to stretch the oesophagus when it has been narrowed by disease (see oesophageal stricture) and swallowing is difficult. Endoscopy is used to locate the obstruction. The narrowed area is then stretched by passing bougies (cylindrical rods with olive-shaped tips) down the oesophagus, or by using balloon catheters.... oesophageal dilatation
A sac-like protrusion of part of the oesophagus wall in which food becomes trapped, causing irritation, difficulty swallowing, halitosis, and regurgitation. A diverticulum is usually removed surgically.... oesophageal diverticulum
see spasm.... carpopedal spasm
the process in which the stomach contents transiently reflux into the oesophagus. Reflux is a normal process but pathological reflux (see gastro-oesophageal reflux disease) gives rise to symptoms and complications.... gastro-oesophageal reflux
a type of *dystonia that results in irregular spasms affecting the facial muscles on one side. It is usually due to irritation of the facial nerve by an overlying artery within the skull base. Treatment is with injections of *botulinum toxin.... hemifacial spasm
see peptic ulcer; oesophagitis.... oesophageal ulcer
combining form denoting spasm.... spasmo
adj. occurring in spasms or resembling a spasm.... spasmodic
a combination of symptoms including a slow nodding movement of the head, *nystagmus (involuntary movements of the eyes), and spasm of the neck muscles. It affects infants and it normally disappears within a year or two.... spasmus nutans
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