I have achalesia stage 3, with spasms. I had 10 times the normal pressure in my esophagus before POEM surgery. I since had fundopliacation a year ago . I have extreme gas and bloating as well as pain. They are trying a new medication on me, nortriptyline. And breatbing therapy. At night I must use ambien to sleep and usually wake up 4 or 5 hours later with what they call super gastric belching. I sound like something out of the exorcist. I find adding medical marijuana at night allows me to sleep about 7 hours. I use aciphex, which works better for me. Hope this helps