Snapshot A 55-year-old man presents to the emergency room for palpitations and shortness of breath. He never had this problem before but notes that this has been progressive since he started heavy weight lifting training. He also notes regurgitation and a feeling of food being stuck before passing. Introduction Overview login to view 2 more bullets Associated conditions login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet Demographics login to view 1 more bullet Location login to view 1 more bullet Risk factors login to view 4 more bullets ETIOLOGY Pathogenesis login to view 5 more bullets Presentation Symptoms login to view 8 more bullets Physical exam login to view 3 more bullets Imaging Barium upper gastrointestinal radiograph series login to view 8 more bullets Studies Invasive studies login to view 11 more bullets Differential Diffuse esophageal spasm login to view 3 more bullets Achalasia login to view 3 more bullets Gastroesophageal reflux disease login to view 2 more bullets Treatment Lifestyle login to view 6 more bullets Medical login to view 6 more bullets Surgical login to view 6 more bullets Complications Gastric strangulation Barrett esophagus Aspiration pneumonia Malnutrition Gastrointestinal bleed login to view 2 more bullets Prognosis Treatment relieves most symptoms