Suggest Treatment For H. Pylori And Episodes Of Esophageal Spasms For Over An Year

Posted on Sun, 20 May 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 20 May 2018 Answered on

Thu, 29 Feb 2024 Last reviewed on

Question : Hi, I am an 27 year female. I have been having episodes of esophageal spasms for over an year now. I recently consulted an gastroenterologist for this... My endoscopy, ultrasound, barium swallow all came out to be normal.. h-pylori bacteria was discovered in Endoscopy. I have been taking tryptomer 10 mg, mox 1g and clarithromycin for over an month now... I still keep having spasms...

Answered by Dr. Dr.Raju.A.T (2 hours later)

Brief Answer:
Antibiotics are for 10 days only

Detailed Answer:
Hi,

Thanks for your query.

Need some more details

Are you taking Mox and Clarithromycin continuously for 1 month ?
Have you tried antispaspmodics ?
Are you not taking Antacids ?

What exactly do you feel when you have the esophageal spasm ?

Waiting for your response,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.Raju.A.T (4 hours later)

Yes. I have been taking antibiotics for over an month. I was asked to take them for atleast 2 months. Esomac 40 and gaviscon are the antacids prescribed.

I get cramps in my esophageal, that starts from my upper stomach and radiates to my throat.
No antispasmodic was prescribed by the doctor. He said it could be sensitivity issue and prescribed tryptomer 10 mg for 2-3 months..

Answered by Dr. Dr.Raju.A.T (17 hours later)

Brief Answer:
Oesophageal manometry and antispaspmodic

Detailed Answer:
Hi,

Thanks for the information.

Sorry for the delay in my response.

I would recommend further evaluation into your condition. A esophageal manometry test which assesses the pressure inside the esophagus and determine the motility or contraction pattern the esophagus should be done. This will provide info into what and where exactly is the problem in esophagus.

Based on the report specific type of antispasmodic for symptomatic relief can be used.

Hope, I answered your query.

Please do ask if any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar