Nutcracker esophagus, also known as hypertensive peristalsis, is a rare condition that affects the muscular contractions of the esophagus, causing severe chest pain and difficulty swallowing. Synonyms for nutcracker esophagus include: hypercontractile esophagus, excessive esophageal contractions, spastic esophagus, jackhammer esophagus, and distal esophageal spasm. These terms describe the same condition, where the muscles in the esophagus contract too strongly, causing painful symptoms. While the exact causes of nutcracker esophagus are unknown, it can be managed with medications, lifestyle changes, and in severe cases, surgery. Understanding the various synonyms for nutcracker esophagus can help patients and healthcare professionals communicate effectively about this condition.