Welcome to ankirin's page.
Contributor score: 2
I had narrowed it down to that and the correct answer. I think the difference is that esophageal spasm tends to present with pain and dysphagia. FA 2019 p. 371, right at the top of the page.
Relating the phrase "diffuse painful contraction" to esophageal spasm has helped me remember the associated descriptions they go to.
Why wouldn't it be T3? Thyroid hormones also ↑blood sugar and break down lipids
@ankirin his symptoms aren't really specific for T3. They don't mention tremors, exopthalmos etc. I think just in physiologic terms, you can bet cortisol is more increased. It's not a great question though imo