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Jackhammer Esophagus

At GastroDoxs in Jersey Village, our specialized care for Jackhammer Esophagus combines advanced diagnostics and personalized treatment to relieve painful, high-pressure esophageal spasms, delivering expert, trusted gastroenterology services right in the heart of our local community and its surrounding neighborhoods.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Jackhammer Esophagus?

Jackhammer esophagus is a rare motility disorder in which the muscles of the esophagus contract with excessive strength during swallowing. Also known as hypercontractile esophagus, it can lead to severe chest pain and trouble passing food. Physicians diagnose it using high-resolution esophageal manometry, a test that measures the pressure and coordination of each swallow.

Common Symptoms

Symptoms often include:

  • Intense chest pain or pressure when swallowing
  • Sensation of food sticking in the throat or chest
  • Difficulty swallowing solids and liquids
  • Frequent heartburn or acid reflux
  • Regurgitation of food or acidic fluid

Causes

The exact cause of jackhammer esophagus isn't always clear, but contributing factors may include:

  • Dysfunction of the esophageal nerves that control muscle contractions
  • Chronic acid reflux damaging the esophageal lining
  • Autoimmune or connective tissue disorders
  • Possible genetic predisposition (under study)
  • Stress or anxiety triggering muscle spasms
Treatment

Treatment Options for Jackhammer Esophagus in Jersey Village

Treatment includes medications, endoscopic procedures, and lifestyle modifications:

  • Muscle relaxers: Calcium channel blockers help reduce hypercontractile spasms.
  • Botox injections: Temporarily ease esophageal muscle pressure for several months.
  • Reflux medications: Acid-suppressing drugs (PPIs or H2 blockers) to protect and heal the esophagus.
  • Endoscopic dilation: Gentle stretching of tight segments to improve swallowing.
  • POEM (Per Oral Endoscopic Myotomy): A minimally invasive procedure that releases excessive muscle tension.
  • Diet plan: Soft, small meals eaten slowly to minimize discomfort during swallowing.
  • Trigger avoidance: Limit caffeine, spicy foods, and alcohol that can worsen spasms.
  • Upright posture: Stay seated or standing for at least 30 minutes after eating to aid passage of food.
  • Hydration tips: Sip water slowly between bites to help clear the esophagus.
  • Follow-up care: Regular appointments and tests to monitor progress and adjust your treatment plan.

Why Choose GastroDoxs?

At GastroDoxs in Jersey Village, our expert team offers precise manometry testing and customized treatment plans-from muscle relaxers and Botox injections to advanced endoscopic therapies like POEM. We're committed to compassionate, patient-centered care that targets Jackhammer Esophagus symptoms and restores your comfort.

Don't wait to ease your swallowing pain. 832-632-4070 or book your appointment online today and take the first step toward long-term relief.

99

Patients Treated

We've successfully treated more than 99 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

Is Jackhammer Esophagus genetic?

Research is ongoing, but there may be a family link. Genetics alone haven't been confirmed as a direct cause.

Is Jackhammer Esophagus dangerous?

While it can cause significant pain and swallowing difficulty, it is generally not life-threatening and can be managed effectively with treatment.

What's the difference between Jackhammer Esophagus and Achalasia?

Jackhammer Esophagus involves excessively strong, coordinated muscle contractions. Achalasia features weak or absent peristalsis and failure of the lower esophageal sphincter to relax.

How does Jackhammer Esophagus differ from Diffuse Esophageal Spasm?

In Jackhammer Esophagus, contractions are extremely strong but coordinated. Diffuse Esophageal Spasm shows uncoordinated, irregular contractions.

What about Nutcracker Esophagus?

Nutcracker Esophagus causes high-pressure contractions that are shorter in duration and milder than those seen in Jackhammer Esophagus.

Which tests diagnose Jackhammer Esophagus?

High-resolution manometry is the gold standard. Your doctor may also recommend endoscopy or a barium swallow to rule out other conditions.

Can lifestyle changes help with Jackhammer Esophagus?

Yes. Eating smaller, softer meals, avoiding caffeine and spicy foods, sitting upright after eating, and reducing stress can all ease symptoms.

Is Botox injection safe for this condition?

Botox is considered safe and can relax esophageal muscles for several months, reducing spasm intensity and improving swallowing.

How long does it take to feel better?

Some patients notice relief within a few weeks of starting treatment. Full improvement may take several months, depending on severity and therapy.

When should I see a doctor?

If you experience frequent chest pain, food getting stuck, or persistent difficulty swallowing, schedule an evaluation to prevent complications and get timely relief.

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