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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35783
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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It feels like I have a bad cramp from the top of my

Customer Question

It feels like I have a bad cramp from the top of my esophagus down about 4-5 in it's worse when I lay down. Been most of the day, BP staying around 142/100 on lisinapril norvasc kolinpin . It's lie if I ate bread and it's stuck but I have no acid reflux and it hurts! Any ideas?
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: 6-7hr worse laying down better sitting still
JA: Anything else in your medical history you think the doctor should know?
Customer: 2 open heart surgeries 2008 for 2 ASD's and now have high BP and it hurts to take a deep breath. No anxiety just lots of stress lately
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 2 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 2 months ago.

I would consider following for your symptoms;

1) Esophageal spasm
2) Esophageal motility disorder

Following treatment may help you;

a) Calcium channel blockers (diltiazem, nifedipine) decreases the spasm and improves the movements of the esophagus.
b) Relaxation techniques.
c) Esophageal spasm and esophageal movement disorder (dysmotility) often shows good response to antireflux therapy, even in the absence of typical gastroesophageal reflux symptoms.
d) Reassurance and control of anxiety is extremely important.

Anti reflux therapy is;

1) antacids; Maalox

2) acid blocker; Prilosec

3) loosing weight, if overweight.

4) avoiding alcohol, citrus fruits and juices, chocolate, and tomato based products

5) avoiding large meals. Eat 5 small meals in a day.

6) wait three hours after the meal before you sleep.

7) elevate head end of the bed by 8 inches.

Helpful investigations to establish and confirm the diagnosis are;

1) Esophageal manometry; evaluates esophageal motor pattern.
2) Esophagram / Barium swallow
3) Ambulatory esophageal manometry
4) CT scan of the chest.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Was this information helpful to you? I would be glad to answer any further questions.

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