Had POEM procedure in August ‘17. Much better but the ‘sometime hoarseness’ has gotten so bad that I start with a voice and it goes in and out, with hoarseness and then nothing. Still some esophageal spasms. FYI had been diagnosed (prior to diagnosis of achalasia) with Barrett’s esophagus. But told three yrs ago that it was gone( after move to diff state) Should I be worried that this challenge is related to either condition or other options I’d rather not think about?!