hello thank you for trusting HCM dear you may be suffering from post hiatal surgery stenosis??or diverticulum in the power end of esophagus. so take liquid diet , little head end elevation while sleeping to avoid sleep aspirations.avoid spicy food and alcohol. esophageal spasm may be secondary to nut cracker esophagus,or acid reflux disease. use tab.nexium before breakfast.if symptoms not improved please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask. take care