I have written in about all my situations that give me awake and asleep problems. I have seen a urologist and gastroenterologist and tried medications. I also had surgery by an ear-nose-throat doctor. I have hiatal hernaia, acid reflux, IBS, Hemerroids, urinary urgency, anxiety, osteoarthritis. Whenever I list all this stuff, I feel sorry for myself so I hate to say it. It makes me face my reality. Newer medications for IBS and urinary urgency are quite expensive. They didn't help that much so for a few days I am trying life without them. I have gotten meat stuck in my esphagus. I believe that was the nutracker esophagus you were describing. I have glaucoma too.