medications that help to relax the lower esophageal sphincter include groups of drugs called nitrates, for example, isosorbide dinitrate
(Isordil) and calcium channel blockers, for example, nifedipine
(Procardia) and verapamil
(Calan). Although some patients with achalasia, particularly early in the disease, have improvement of symptoms with medications, most do not.The lower esophageal sphincter also may be treated directly by forceful dilation.The sphincter also can be cut surgically, a procedure called esophagomyotomy.
consult general surgeon