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Doctors' Answers to "Frequently Asked Questions" - Esophagel Problems

These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An indi vidual patient is always advised to consult their own physician.

[posted 01/27/2000]
Question: what is the acceptable treatment. does imipramine help? what role will nitrates help in controling this problem.

Answer: First ensure there is no acid reflux by taking prilosec/prevacid or otc zantac(or equivalent). Secondly, if this is not helpful, calcium channel blockers are the next avenue. Nitrates will usually help during the episodes to relax the muscle(but will usually cause a headache). Sometimes a nitro patch is useful in preventing these. Imipramine will decrease the stomach acid a little, but there are much better drugs available for this. It will slow gi motility so worth a try if the above doesn't work.

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