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What Are The Home Remedies For Insomnia Caused Due To Continous Cough When Suffering From Achalasia Cardia?

Posted on Sat, 11 Jan 2014

Question: My mother am suffering from Achalasia Cardia. We are opting to go for a laproscopic surgery soon. In the meantime, experiencing sleepless nights and due to the same, increased blood pressure. She is using a sleep tablet (compose) but due to continous cough, she's unable to sleep. Can you suggest temporary or home remedies for this problem?

Answered by Dr. Amit Jain (28 minutes later)

Brief Answer: Please see the details Detailed Answer: Hello! Thanks for putting your query in XXXXXXX I am a Gastroenterologist (DM). Take isosorbide dinitrate or calcium channel blocker before meals and before sleep, I found them very useful in my patients. Also take a proton pump inhibitor like rabeprazole. keep head end elevated by 30 degree. may also take cough suppressants I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

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

Follow up: Dr. Amit Jain (43 minutes later)

Doctor, can you suggest some tablets' names so that I can purchase them here and use them in addition to already using tablets.

Answered by Dr. Amit Jain (34 hours later)

Brief Answer: Please see the details Detailed Answer: Hello! Sorry for delay. Isosorbide dinitrate comes by the name of ISMO of 10mg which I use frequently in my patients and found to be useful. Cough suppressant which contains dextromethorphan like syrup Tusq-dx. If you do not have any further query , you can close the discussion and rate the answer. Wish your mother a good health.

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

Follow up: Dr. Amit Jain (2 days later)

Okay. One last doubt. If you can clarify this, I'm closing the discussion. I'm sorry for perturbing you. I've known by far that Achalasia can be operated through 1. Endoscopy (Pneumatic Dilation) 2. Laproscopy 3. Heller's Myotomy (Open Surgery) Please tell me the chances or probabilities of success in every case and what would you prescribe or opine on which mode of surgery would be better? Thank you.

Answered by Dr. Amit Jain (5 hours later)

Brief Answer: Please see the details Detailed Answer: Hello! 1. Clinical efficacy of Pneumatic dilatation ranges from 40 to 95%. 2. Laproscopic Heller's Myotomy success rate is 85-95% 3. Heller' Myotomy success rate is around 90-95% Among these three laproscopic surgery or pneumatic dilatation are the best option. Among these you have to opt for one. Although laparoscopic Heller myotomy is invasive, its morbidity and mortality are low. On the other hand, pneumatic dilation has a reported perforation rate that averages 3%, however in experienced hands this complication rate is less than 1%. One drawback in Pneumatic dilatation is sometime more than once dilatation has to be done. So in my opinion, however it may differ from doctor to doctor Laproscopic Heller's Myotomy will be the best

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