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This is Dr. David
I am sorry you are having this bad jackhammer esophagus.
you should ask your doctor to try imipramine which could help.
diltiazem can help
Nitrates also have been used with some success, like nitroglycerine or isosorbide dinitrate.
Sildenafil is a smooth muscle relaxant that can lower lower esophageal sphincter pressure and spastic contractions
it doesn't sound like you have tried these medications.
Zotrole is lansoprazole which is a proton pump acid blocker of the stomach
your stomach pH levels are ok, so acid is not causing the problems.
you should talk to your consultants about these medication treatments first
before any surgery.
you can read more about medication treatments here.
if you are narrowing of your esophagus or achalasia, balloon dilation could help
if there is an area where the muscles of the esophagus continue to cramp, botox injections directly into the wall of the esophagus could help for 3-6 months.
surgical options are only left for the most extreme cases.
which have failed all of the above treatment options.
Myotomy, where the esophageal muscle is cut out, is effective for treating diffuse esophageal spasm. The myotomy should extend the entire length of the involved segment
I would ask to try imipramine first
and also nitrates and Sildenafil
and a calcium channel blocker
like amlodipine before doing surgery.
these medications could help much more than your medications you have tried so far.
surgery is always the last resort.
once you do surgery, you can't go back.
best of luck to you.
let me know if you have other questions.
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