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Coughing Question

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Hi guys,

Well, I just got the official diagnosis of achalasia last week. Everything is

fine for my eating, at least tolerable, but the coughing is pretty bad. I have

allayed it by sleeping propped up, not eating before bedtime, and doing all the

things you all have been so gracious to recommend to me. The question I have is,

if I am eating ok, but inhaling liquid, does that mean some sort of surgery is

really going to help? My sphincter muscles is tight but not extremely tight.

However it is tight all the time.

I cough when I eat, drink, wake up, go to sleep, walk around, and during the

night. The eating and drinking cough is prevalent even when the food is not

backed up. I don't understand why I cough so much in the morning, unless it is

because maybe the saliva has basically been sitting there all night. Is that

really because things are backed up, or is it more of a nerve issue with the

upper part of the esophagus?

I was going to send my test results to Dr. Rice and Dr. Luketich, but wanted to

check with other people first. I want to avoid surgery.

Basically, is it possible that the flap between the esophagus and trachea has

issues, and what can one do about that?

Also, what causes the sphincter muscle to be tight? I can understand that there

is no motility, but don't understand why that results in a tight sphincter.

Just curious if anyone else has this problem.

Also if anyone can recommend a place to get a wedge pillow I would appreciate

it.

Thanks,

Gunn

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