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.
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.