Hi Margo42. I also was diagnose with alcalasia last year. I don’ have any pain, just a lot of acid reflux. I am on protonic 40 mg twice a day. I also have esophageal spasm, my doctor put me on alodompine 20mg once a day. I cough a lot and cough up a lot of white clear mucus especially at night. It is like I wake up choking. Do anyone have these same system? I am sorry Margo42 you are having so much pain. Playfully you will be able to find a doctor that can help with your pain.