Re: Re: A Question about Spasms

[Guest guest]

Dear Arthur,

Perhaps you may want to hazard a guess as to why you have been so fortunate as

to not ever having experienced an esophageal cardiospasm over many years?

To respond to your question, speaking personally only, I do not have problems

with nausea and my appetite is very good (at times, too good).

My spasms will often come with an " early warning sign " perhaps feeling a little

quesy.  If so, then a quick sip of soda will stop it before it starts. As the

previous poster said, I find placing a nifedipine capsule under my tongue and

allowing it to dissolve another easy way of stopping spasms before they become

" established. "

Going longer periods without food will often bring on a spasm, plus experiencing

stressful situations (as if the stress itself was not bad enough).

 

________________________________

From: osburnruth <ruthleerlo@...>

achalasia

Sent: Sunday, December 7, 2008 4:53:52 PM

Subject: Re: A Question about Spasms

Why this spasms occurs, I really don't know, but it is also called

esophageal cardiospasm. It is relieved by nitroglycerin or nifedipene -

at least for me. I did find a lot of info about this problem on the

internet under esoph. spasm or cardiospasm. As for myself, if I try to

overdo & have eaten a little more than I should take down at a sitting,

I may get a spasm. At other times, it just comes on & is relieved as I

have indicated. The Heller Myo. & Fundlop. did seem to lessen the

occurrences.

>

> Hello to the Achalasia Community:

>

> I have a question regarding the problem of spasms in association with

> Achalasia. In my readings of individual posts on this website

> throughout the years I have come across many achalasians who complain

> about the problem of spasms as a byproduct of Achalasia. There appears

> to be a significant amount of the Achalasia population who suffer this

> particular problem among others associated with Achalasia.

>

> I myself have had Achalasia for many years but I have never suffered

> these spasms that so many achalasians speak about.

>

> Could any of you give me more insight as to what this particular

> symptom is and all that it entails? Do any of you who suffer this

> symptom have problems with nausea and loss of appetite? Please advise.

> Thank you.

>

> Arthur

>

[Guest guest]

osburnruth wrote:

> Why this spasms occurs, I really don't know, but it is also called

> esophageal cardiospasm. It is relieved by nitroglycerin or nifedipene -

> at least for me. ...

I believe esophageal cardiospasm, or simply cardiospasm, is just a

synonym for achalasia. It comes from the idea of the LES (the cardiac

sphincter) being in constant contraction, " spasm " , and not relaxing. In

the passed that was considered the main symptom of primary achalasia.

Today the main symptom is considered to be aperistalsis of the lower

esophagus and the LES can even be able to completely relax and it may

still be achalasia, even though " achalasia " means " not relaxed. " The

pain from spasms that people with achalasia feel may or may not be from

the spasms in the LES. They could, and sometimes are from spasms

elsewhere in the esophagus. Those with vigorous achalasia are more

likely to have spasm pain and they are also more likely to have spasms

in other parts of the esophagus. Also compare the pain and spasms in DES

which are from spasms throughout the esophagus.

notan

[Guest guest]

Of course I must agree that biting into the nifedipine gets the medication

delivered faster.  I just find that letting it dissolve for 30 seconds or so

makes it easier to make that " bite " more effective at opening the capsule.

________________________________

From: osburnruth <ruthleerlo@...>

achalasia

Sent: Sunday, December 14, 2008 4:07:22 PM

Subject: Re: A Question about Spasms

Hi - I find that biting into the nefidepine capsule brings

relief much faster than waiting for it to dissolve. It's worth a try!

Good luck.

> >

> > Hello to the Achalasia Community:

> >

> > I have a question regarding the problem of spasms in association

with

> > Achalasia. In my readings of individual posts on this website

> > throughout the years I have come across many achalasians who

complain

> > about the problem of spasms as a byproduct of Achalasia. There

appears

> > to be a significant amount of the Achalasia population who suffer

this

> > particular problem among others associated with Achalasia.

> >

> > I myself have had Achalasia for many years but I have never suffered

> > these spasms that so many achalasians speak about.

> >

> > Could any of you give me more insight as to what this particular

> > symptom is and all that it entails? Do any of you who suffer this

> > symptom have problems with nausea and loss of appetite? Please

advise.

> > Thank you.

> >

> > Arthur

> >

>

>

>

>

>

>

>