hello thank you for trusting HCM dear most cases of nutcracker esophagus can be treated with a combination of medication and home remedies. In rare cases, you may need additional treatment. Medications that may help treat nutcracker esophagus include: 1.calcium channel blockers 2.proton pump inhibitors 3.nitrates, such as sublingual nitroglycerin (Nitrostat) 4.hyoscyamine (Levsin) 5.anticholinergic drugs The following home remedies can also help to relax your esophagus: drinking warm water doing breathing exercises and behavioral techniques for relaxation avoiding foods and drinks that trigger your symptoms If medication and home remedies aren’t providing any relief, your doctor may suggest additional treatment, such as: 1.a botulinum toxin (Botox) injection to relax the muscles in your esophagus 2.surgery to cut one of the muscles in your esophagus to weaken contractions 3.a POEM procedure (peroral endoscopic myotomy), which uses an endoscope rather than traditional surgery to cut back a section of muscle within the esophagus. I think I answered to your question if you have more questions feel free to ask. take care