Esophageal Spasm, Chest Pain, Diarrhea. Can I Take Benadryl? Is It An Allergic Response?
 
                                    
                                    
                                                
                                                Tue, 18 Oct 2011
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Mon, 1 Oct 2012
                                                
                                                
                                                Last reviewed on
                                             
                                            Please advise? Thank you
Thanks for the query.
Esophageal motility disorders are of two types - Hypo & Hyper (spastic).
Further spastic esophgeal diseases are of different types like -
Diffuse esophageal spasm,
Nutcracker esophagus and
Nonspecific motility disorders.
Differentiation is done through motility studies.
Nitroglycerin and calcium channel blokers like nifidepine help, but some times you may have to get botox injections.
Motility problems are often precipitated by emoyional stresses, cold food or an hurried meal. Hence avoiding these may help.
Severe reflux disease itself may cause motility problems and treating it helps.
Diarrhoea doesnot occur with esophageal motility disorder and needs a work up to define it's cause.
Consult your GI so that he could help you find the type of spastic disease and suggest you an appropriate treatment.
Hope I have answered all your queries. Please write back if you have further queries.
Regards.
Dr. XXXXXXX
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