Yes, I do have adult onset asthma as a result of my Sjogren's. But it's well controlled with Symbicort and rescue inhaler (which I don't use often). However when taking the Mestinon, I was getting severe asthma attack within 30 minutes of taking a dose...every time.

There is very effective treatment for esophageal spasms...nitrates and calcium channel blockers just to start with. I take both for my vasospasms (which have same symptoms) and have nitro for emergency.

Did you have manometry to confirm Dx? If so, why didn't they opt to treat you with medications?...even just to have nitro, should it flare up.