0 Nitrolingual® (nitroglycerin)

One of my pain doctors have this theory that I don't have esophagus spasms, but neurological spasms, that my body keeps sending the wrong signal to the brain.
I don't really care what me diagnosis is, if it means getting better.
Anyway, my boyfriend asked last time if we could try some of the old medicine i have tried before, at the beginning my esophagus spasms was out of control, and everything we tried just made it worse.agreed as he couldn't counter act that everything should be tried several times, and if there are some changes then that means that maybe some of them will work now !!!
So I went to the pharmacy and got Nitrolingual 0.4 mg/dosage Pumpspray.

And hold on to you're hats:::: It did, it really did.. It doesn't take the big ones, but it helps will the smaller ones and when I can feel the build up.
Nitroglycerin is a vasodilation. The mechanism of nitrates are unknown, but may be related to decreasing vasospasm in the brain-stem.
What my doctor said it is like when you get the lactic acid in the muscles after a hard workout, the muscles need more oxygen when they have fo little, and some of the same Nitroglycerin  think they are doing with esophageal spasms.

The Negative:

• you must always sit or lie down when taking it, the blood pressure gets higher and you will likely pass out if you are standing.
• Never ever inhale it
• The first weeks you will most likely get a mild to severe headache, but it will get better.
• When it is warm, it seems like it doesn't work that well, maybe because the arteries are more extended from the heat, and the  headache gets worse when it is warm, but I think that comes from dehydration on my part. Not easy getting enough fluid when you have esophagus spasms. 
• If you have migraine to begin with, never use this.. Migraine causes blood vessels to dilate, so the nitro will just dilate them even more.
• Can develop tolerance to nitrates,  and reduced the efficiency.

For me this has been a small step in the right direction. I actually had my first day with no Ketogan last week. That was the first time in 9 months.. Thats amazing in my book..
And I have been able only a new refill every 9-11 days, and before 6- days..
I know this is not the final answer,but it is a step in the right direction, and  I will take every victory I can get.
And if I only have nerve esophagus spasms, how can Nitroglycerin  work at all?? because they are not connected, and with some other damaging symptoms I now can slam on the table next time, maybe they finally have to do something, because now the proof is right up in their faces, and that they cant keep ignoring it...
1-0 to Alex.. What a way to start the summer folks :)