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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35775
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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My husband gets esphogial spasms and currently is dealing

Customer Question

My husband gets esphogial spasms and currently is dealing with the sensation. What home remedies are there to help?
JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?
Customer: While eating dinner he had chicken and now feels like it is in his esphogus and won't go down. Been going on for a few hours
JA: Anything else in your medical history you think the doctor should know?
Customer: No
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. David replied 2 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 2 months ago.

home remedies are not very good for esophageal spasms.

how old is your husband

there are much better prescription treatments that can help him

he needs to see a GI doctor to get an upper endoscopy scope procedure to look down his esophagus.

do you have maalox or mylanta or other liquid antacids at home.

Customer: replied 2 months ago.
He's already had an endoscopy and been to a gi doctor. They have said that there are no tumors, polyps, etc . It happens from time to time and generally goes away within an hour. This time it's not so I'm trying to find ways to relieve it.
Expert:  Dr. Arun Phophalia replied 2 months ago.

Following treatment may help your husband in esophageal spasm;

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.

Following also would be helpful;

A. Herbs;

1) Cranberry
2) Peppermint

B. Homeopathy

1) Nux Vomica
2) Pulsatilla

C. Nutrition and supplements;

1) Multivitamin; vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
2) Probiotic supplement
3) Omega 3 fatty acid
4) Avoid; cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.

5) Also avoid; white breads, pastas, and especially sugar, red meats,
6) Eat lean meats, cold water fish, tofu, beans, olive oil

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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