Nutcracker esophagus is a disorder characterized by extremely forceful peristaltic contractions of the esophagus. This abnormality leads to episodes of chest pain and difficulty swallowing (dysphagia). Diagnostically, it is identified via esophageal manometry, which measures the pressure and pattern of muscle contractions. According to the given options, the correct statement about Nutcracker esophagus is: There is extremely forceful peristaltic activity leading to episodes of chest pain and dysphagia. This condition is distinct in its presentation and should not be confused with other esophageal issues or malignancies. Management typically involves addressing symptoms with pharmacological agents that reduce esophageal pressure and control pain, such as calcium channel blockers or nitrates.