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What Causes Continuous Oesaphagal Spasms?

Posted on Fri, 7 Nov 2014

Question: Hello I have been having continuous Oesaphagal spasms for some five to six weeks which are getting worse. Four weeks ago my voice became hoarse now and again then slowly turned into a little voice and now I have no voice at all. I do not have a cold, or a fever, or a bad cough. (A dry cough now and again.) I take Tildiem three times a day and have started to take Paracetamol. Ant suggestions?

Answered by Dr. Rakesh Madhyastha (15 minutes later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

In order to come to a better conclusion I need more information from you

1. do you have difficulty in swallowing
2. is your voice hoarse or squeaky?
3. Any history of swallowing new type of food for example sea food
4. Are you on any medications on a daily basis ?

Please get back to me, I am awaiting your reply

Regards

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

Follow up: Dr. Rakesh Madhyastha (2 hours later)

Hello Dr Madhyastha,
Thank you.
1. I have no difficulty in swallowing.
2. When I rest my voice for a short while I can manage a squeaky voice until it disappears again.
3. I have no history of eating any new food.
4. I take Omeprazole twice a day.
Tildiem three times a day.
Calcichew for Osteoporosis.
Warfarin 5mg Mon. to Sat. 4mg. Sunday.
I had breast cancer 7 years ago. I had Chemo and Radiotherapy, followed by discovery of Atrial Fibrillation with leaking Mitral and Tricuspid valves.
I hope that I have given enough information.
I am 5'2" tall and weigh 9.5 stone.

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
Inflammation of the vocal cords

Detailed Answer:
Hello

Thanks for getting back

It looks like you have inflammation of the vocal cords, the situation now has nothing to do with the oesopahus.
Here is how you should go about it

1. Most often the inflammation of the vocal cords is because of a viral infection which is self limiting
2. Gargle your throat with warm salt water three times daily, for about 2-3 minutes each time
3. Tab Levocetrizine is the ideal drug to be taken at night. This will help reduce the inflammation
4. If the situation worsens or does not improve in 3 days then please approach an ENT surgeon
5. Watch out for difficulty in swallowing, this means that the inflammation is progressing onto the nerves

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Rakesh Madhyastha (24 hours later)

Thank you for your help.

Answered by Dr. Rakesh Madhyastha (1 minute later)

Brief Answer:
Follow up

Detailed Answer:
If you have time you could write me a review, it makes me happy and I get to remember my online patients that I have helped

Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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