• Motor disorder

Manifestations:

• Dysphagia (Diff. swallowing)
• Odynophagia (Pain swallowing)

Assessment/Diagnostic:

• Esophageal Monometry- measures motility & pressure= simultaneous contractions occur irreg.
• X-ray=barium swallow show sep. areas of spasm

Management:

• Sedatives & Nitrates= pain
• CCB= diffuse spasm
• Small freq. feedings + Soft diet
• Bougienage= Dilation
• Surgery (Laparascpic Modified Hellery Myotomy)