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Fragmented peristalsis
Hi doctor I'm suffering from fragmented peristalsis of esophagus what ever I eat it stuck in esophagus for over than 2hrs and make me to burp and bloating after that I need to vomit to relieve the gas pain without digesting all food comes back ,I tried all prokinetics which does not helped but one doctor told me to take calcium channel blockers diltiazem 30mg because it works on esophagus motility but I'm afraid to take because my BP is 100/70 ,I want to know can I take calcium channel blockers with out affecting BP
Answers (15)
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Diltiazem can help esophageal motility, but it WILL lower blood pressure in most people.
Since your BP is already 100/70, taking diltiazem may drop it further and cause dizziness, fatigue, or fainting.
Safer approach:
Diltiazem is NOT recommended at your current BP unless your gastroenterologist and cardiologist agree and monitor you.
Very low doses (30 mg) still reduce BP in many patients.
Better options your doctor may consider instead:
Peppermint oil before meals (reduces esophageal spasm without lowering BP)
Buspirone 5–10 mg (improves esophageal motility and LES relaxation; minimal BP effect)
Low-dose nitrates only if supervised (also lower BP so usually avoided in low BP patients)
Important:
If food stays in your esophagus for hours and comes back undigested, you need evaluation for:
Achalasia variant
Esophagitis
Stricture
Severe motility disorder
You may need HRM (manometry), EGD, or barium swallow depending on what’s done already.
If you tell me exact prokinetics you tried, I can guide which alternatives are safer with low BP.
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Even calcium channel blockers will have the same effect on BP. wherever u read this, u must be knowing the answer what to do. Pls consult a doctor in person.
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Good day to you sir
I understand your concern and it's good to read the detailed account of your condition, it immensely helps us as physicians to get to the diagnosis efficiently. I am sure this must be distressing causing a hindrance in your day to day activities.I shall try to the best of my abilities to consult you
Oesophageal dysmotility can be due to a variety of causes such as neural, hormonal, muscular and many more
Yes Calcium channel blockers can affect both BP but works for esophageal dysmotility
Therefore it will require extensive workup (history, investigations) to diagnose the cause of motility problem followed by curating a treatment plan preferably using a single drug which does not affect BP or to make a system coupled with dietary and lifestyle changes
Next Steps
I kindly urge you to get in touch with your treating physician or any physician you are comfortable with for a one to one consultation.
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Hope this advice provides you the much needed insight
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Try using a wedge while sleeping and schedule an appointment to discuss details
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Calcium channel blockers are effective in esophageal disorders.while taking the medicine do monitor your BP,the hypotension side effects are seen usually in higher doses
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis
Avoid spicy foods
Avoid coffee and tea in empty stomach
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Can help
Contact on 9three28010077
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
None
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further information
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