Esophageal spasm

Posted by jadillow @jadillow, Aug 26, 2019

Has anyone had this and what does it feel like exactly? Ibelieve I have these and almost feels like palpitations. I feel this when I have reflux or a lot of burping for a long period. Help please

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Profile picture for laurieann2025 @laurieann2025

I recently had a endoscopy, with a 48hr bravo ph monitoring test completed a few weeks ago,
the results showed a I have a sliding esophageal hiatal herina with non acid reflux, I have been taking 20mg of Famotidine 1x a day for approximately almost a year, with tums, rolaids when needed to calm the heartburn with seems to help, due to the fact that I was having heartburn pretty much everyday before I started the Famotidine.
My question is,
I've been having esophageal spasms pretty much every day throughout the day since the endoscopy, along with chest pain, heaviness in my chest, shortness of breath, which is creating alot of anxiety, which I'm sure isn't helping the spasms.
When I have the spasms, I don't feel acid coming back into my esophagus, but I do have shortness of breath, difficulty swallowing, it feels like something caught in my throat.
Also on two separate occasions
I couldn't swallow or breath for what seemed like a few seconds or so, once I drank some warm water, that seem to relaxe my throat enough to swallow and catch my breath again.
My question has anyone else experienced the same non acid esophageal spasms with shortness of breath, if so is there a medication maybe you take that helps without a ton of crazy side effects that will calm the spasms down?
Thank you for taking the time to respond.

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Ugh, that sounds horrible. And I thought I had it bad. I haven't pursued any other diagnostics since this all started. It sounds like I might have 1 of your dysfunctions...where food gets stuck on the way down at the esophagus and yes...it feels like a heart attack. Super painful. I suspect that, after a plethora of tests, they either won't find anything or, like you, won't be able to do anything about it. Do you take any meds for any of this? Thank you for reaching out

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Profile picture for laurieann2025 @laurieann2025

I recently had a endoscopy, with a 48hr bravo ph monitoring test completed a few weeks ago,
the results showed a I have a sliding esophageal hiatal herina with non acid reflux, I have been taking 20mg of Famotidine 1x a day for approximately almost a year, with tums, rolaids when needed to calm the heartburn with seems to help, due to the fact that I was having heartburn pretty much everyday before I started the Famotidine.
My question is,
I've been having esophageal spasms pretty much every day throughout the day since the endoscopy, along with chest pain, heaviness in my chest, shortness of breath, which is creating alot of anxiety, which I'm sure isn't helping the spasms.
When I have the spasms, I don't feel acid coming back into my esophagus, but I do have shortness of breath, difficulty swallowing, it feels like something caught in my throat.
Also on two separate occasions
I couldn't swallow or breath for what seemed like a few seconds or so, once I drank some warm water, that seem to relaxe my throat enough to swallow and catch my breath again.
My question has anyone else experienced the same non acid esophageal spasms with shortness of breath, if so is there a medication maybe you take that helps without a ton of crazy side effects that will calm the spasms down?
Thank you for taking the time to respond.

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Have you had your magnesium levels checked. These meds can cause muscle spasms due to low Mag. along with heart palpitations.

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Profile picture for peg2025 @peg2025

Ugh, that sounds horrible. And I thought I had it bad. I haven't pursued any other diagnostics since this all started. It sounds like I might have 1 of your dysfunctions...where food gets stuck on the way down at the esophagus and yes...it feels like a heart attack. Super painful. I suspect that, after a plethora of tests, they either won't find anything or, like you, won't be able to do anything about it. Do you take any meds for any of this? Thank you for reaching out

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I have no reflux thank goodness, however the one surgery that can fix lower esophagus (cutting the muscle) will then cause severe reflux.
The only thing that helps with chest pain is Clonazepam (I have tried nitro, calcium channel blockers but no relief.
I absolutely cannot take any NSAIDS due to it causing tremendous pain.

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Profile picture for difrnt1 @difrnt1

Have you had your magnesium levels checked. These meds can cause muscle spasms due to low Mag. along with heart palpitations.

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Yes, unfortunately it's not about my body lacking something, more like it's gone haywire.
I see a neuro gastrointestinal doctor to rule out any neurological autoimmune issues.

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Profile picture for oldgerman @oldgerman

I had a Heller myotomy and Nissen fundoplication done 8 years ago and also several upper endoscopies with esophageal dilation, but still have esophageal spasms that can get quite painful. Feels like food does not want to go down, chest pain and pressure that feel like heart attack. I had cardiac evaluation which was normal. My gastroenterologist said that there is a medication that can help, but it causes constipation which means I cannot take it, suffering from severe constipation also. At this point, I guess I just need to eat slowly and keep anxiety down and learn to live with it. It seems that after you reach 70 everything becomes chronic and incurable!

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They are wanting to do a Heller Myotomy with a Nissan as well but if the fundoplication is to tight then you just went through a worthless procedure.
Fun fact, not sure if it's a good or bad thing but I'm a retired GI nurse and witnessed complications with both the Heller and the Myotomy.
No easy answer 🤷‍♀️
However I am curious as to what medicine you referred to.
Constipation is not a problem for me, along with this issue I have EPI, yes post Covid, so I truly wouldn't know what to do if I had a solid BM, lol

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Profile picture for cheryl46 @cheryl46

They are wanting to do a Heller Myotomy with a Nissan as well but if the fundoplication is to tight then you just went through a worthless procedure.
Fun fact, not sure if it's a good or bad thing but I'm a retired GI nurse and witnessed complications with both the Heller and the Myotomy.
No easy answer 🤷‍♀️
However I am curious as to what medicine you referred to.
Constipation is not a problem for me, along with this issue I have EPI, yes post Covid, so I truly wouldn't know what to do if I had a solid BM, lol

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Before I had the myotomy and Nissen my gastroenterologist suggested Botox injections and calcium channel blockers to help with esophageal dysmobility. Nortryptiline is supposed to help and peppermint oil, but both cause other g.i. issues for me.

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Profile picture for laurieann2025 @laurieann2025

I recently had a endoscopy, with a 48hr bravo ph monitoring test completed a few weeks ago,
the results showed a I have a sliding esophageal hiatal herina with non acid reflux, I have been taking 20mg of Famotidine 1x a day for approximately almost a year, with tums, rolaids when needed to calm the heartburn with seems to help, due to the fact that I was having heartburn pretty much everyday before I started the Famotidine.
My question is,
I've been having esophageal spasms pretty much every day throughout the day since the endoscopy, along with chest pain, heaviness in my chest, shortness of breath, which is creating alot of anxiety, which I'm sure isn't helping the spasms.
When I have the spasms, I don't feel acid coming back into my esophagus, but I do have shortness of breath, difficulty swallowing, it feels like something caught in my throat.
Also on two separate occasions
I couldn't swallow or breath for what seemed like a few seconds or so, once I drank some warm water, that seem to relaxe my throat enough to swallow and catch my breath again.
My question has anyone else experienced the same non acid esophageal spasms with shortness of breath, if so is there a medication maybe you take that helps without a ton of crazy side effects that will calm the spasms down?
Thank you for taking the time to respond.

Jump to this post

I've had numerous Botox and dilations with no improvement.
As crazy as it sounds any thing peppermint, spearmint makes it worse.
Tried Nitroglycerin, channel blockers, nothing.
I am going to look into the nortryptiline. Thank you

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Profile picture for cheryl46 @cheryl46

I've had numerous Botox and dilations with no improvement.
As crazy as it sounds any thing peppermint, spearmint makes it worse.
Tried Nitroglycerin, channel blockers, nothing.
I am going to look into the nortryptiline. Thank you

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@cheryl46 I find sipping water helps with esophageal spasms. I always keep water by my bedside too for night time spasms.

REPLY
Profile picture for laurieann2025 @laurieann2025

I recently had a endoscopy, with a 48hr bravo ph monitoring test completed a few weeks ago,
the results showed a I have a sliding esophageal hiatal herina with non acid reflux, I have been taking 20mg of Famotidine 1x a day for approximately almost a year, with tums, rolaids when needed to calm the heartburn with seems to help, due to the fact that I was having heartburn pretty much everyday before I started the Famotidine.
My question is,
I've been having esophageal spasms pretty much every day throughout the day since the endoscopy, along with chest pain, heaviness in my chest, shortness of breath, which is creating alot of anxiety, which I'm sure isn't helping the spasms.
When I have the spasms, I don't feel acid coming back into my esophagus, but I do have shortness of breath, difficulty swallowing, it feels like something caught in my throat.
Also on two separate occasions
I couldn't swallow or breath for what seemed like a few seconds or so, once I drank some warm water, that seem to relaxe my throat enough to swallow and catch my breath again.
My question has anyone else experienced the same non acid esophageal spasms with shortness of breath, if so is there a medication maybe you take that helps without a ton of crazy side effects that will calm the spasms down?
Thank you for taking the time to respond.

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Anyone have a reversal of their Nissan fundoplication? Mine was wrapped too tight and I have issues with swallowing food. Stretching my esophagus and botox do not help.

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Profile picture for marquis113 @marquis113

Anyone have a reversal of their Nissan fundoplication? Mine was wrapped too tight and I have issues with swallowing food. Stretching my esophagus and botox do not help.

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Hi, @marquis113 - you might check out this conversation on the topic of reversal of a Nissen fundoplication on Mayo Clinic Connect:

- Reversal of Nissen Fundoplication https://connect.mayoclinic.org/discussion/nissen-fundoplication-reversal/

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