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Jackhammer Esophagus

Jackhammer esophagus is a rare motility disorder marked by excessively strong esophageal contractions causing chest pain and dysphagia. At GastroDoxs in Houston, Dr. Bharat Pothuri provides manometry, endoscopy, and imaging evaluation, with tailored treatments from lifestyle adjustments to advanced procedures.

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Harris County Medical Society
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Abnormal nerve signaling in the esophagus
  • Underlying acid reflux (GERD)
  • Hiatal hernia
  • Increased stress or anxiety
  • Possible genetic predisposition
  • Age (more common in adults 30-60)

Signs and Symptoms

  • Severe chest pain that may mimic cardiac pain
  • Difficulty swallowing (dysphagia)
  • Sensation of food sticking in the throat or chest
  • Frequent heartburn or acid regurgitation
  • Strong, repetitive esophageal spasms during or after meals

Expert Treatment for Jackhammer Esophagus by Dr. Bharat Pothuri

Medical History and Physical Exam

Dr. Pothuri begins by reviewing your symptoms-chest or epigastric pain, difficulty swallowing, heartburn-and any history of reflux, hiatal hernia or anxiety that may trigger spasms.

Esophageal Manometry

This test measures the strength, coordination and pattern of muscle contractions in your esophagus as you swallow. It's the gold standard for identifying the hypercontractile (jackhammer) waves.

Upper Endoscopy

An endoscope lets Dr. Pothuri inspect the esophageal lining for inflammation, strictures or other abnormalities that could mimic or worsen motility issues.

Barium Swallow X-Ray

  • You drink a barium solution that coats the esophagus.
  • X-rays track how the liquid moves and reveal areas of narrowing or uncoordinated movement.

pH Monitoring (if reflux is suspected)

Ambulatory pH testing gauges acid exposure in your esophagus over 24-48 hours to determine if reflux is contributing to spasms or pain.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for jackhammer esophagus.

1. Lifestyle and Diet Modifications

  • Smaller, more frequent meals and thorough chewing
  • Avoidance of trigger foods (spicy, acidic, or very hot/cold items)
  • Staying upright for at least 2-3 hours after eating
  • Stress management techniques (breathing exercises, mindfulness, or therapy)

2. Medications

  • Calcium channel blockers or nitrates to relax the esophageal muscles
  • Proton pump inhibitors if acid reflux is contributing to spasms
  • Low-dose antidepressants to modulate pain signals in the esophagus

3. Minimally Invasive or Advanced Procedures

  • Botox injections to temporarily reduce muscle hyperactivity
  • Pneumatic dilation to stretch and relax the esophageal wall
  • Peroral endoscopic myotomy (POEM) for long-lasting relief without open surgery
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is jackhammer esophagus?

Jackhammer esophagus is a rare condition that causes strong and repeated muscle spasms in the esophagus, leading to chest pain and difficulty swallowing.

What causes it?

The exact cause is not known. It may be related to abnormal nerve signals in the esophagus and is often linked to acid reflux, hiatal hernia, stress, or anxiety.

Will it go away on its own?

Most people need treatment. Symptoms usually do not resolve without medical intervention such as lifestyle changes or medication.

What is the ICD-10 code for this condition?

The code is K22.7, which covers other and unspecified diseases of the esophagus.

How do doctors find it?

Diagnosis is made using esophageal manometry to measure muscle pressure, upper endoscopy, barium swallow X-ray, and pH testing for reflux.

Are there advanced treatments in Houston?

Yes. Dr. Pothuri offers Botox injections, pneumatic dilation, and POEM (peroral endoscopic myotomy), all minimally invasive procedures with lasting relief.

When should I see a specialist?

If you experience unexplained chest pain or difficulty swallowing that doesn't improve, it's time to consult a gastroenterologist. Dr. Pothuri provides same-day scheduling for urgent symptoms.

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