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

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Posted on Thu, 29 Feb 2024
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...
doctor
Answered by 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
doctor
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Follow up: 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..
doctor
Answered by 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
doctor
Answered by
Dr.
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 4927 Questions

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

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,