Your signature line lists esophageal motility problems. Have you considered the constipation may be from general GI dysmotility and not just the esophagus? Have you been tested for autonomic dysfunction? I see you list several things that could be autonomically related in your Dx line (tachy, spasms, SOB).

Some inhalers can cause shakiness, muscle cramps, etc, so it may be stimulating muscles in the GI tract when you use it....just a thought.

Thanks, yeah mostly I think part of it is somatic, cause i know i just convince myself, that i have these problems where in reality i don't. I take the Proventil brand of albuterol sulfate, it's not is nerve racking as the Proair kind. the Proair kind i could take and have nervousness shakiness for hours. or about an hour. Proventil does probably stimulate muscles in my GI. thanks for that tip.

I would compare Proair to the way I react to epinephrine or Primatene inhaler you can buy over the counter. Which in my opinion I really feel that they make epinephrine OTC is really dumb. I think they go with the factor that Epinephrine pens are widely available. Or seems like a run of the mill type of drug. I know that they keep it behind the pharmacy desk, like sudafed. But still, that thing is powerful in high amounts or when not used correctly. I just think, those should be prescription only, they have too much cardio side effects. I know The nervousness is way up there. when i take that.

I do know that some of the autonomic problems may have been brought on by drugs like seroquel and ssris like lexapro that i took for depression. But now that they are gone and I still only just take gabapentin and albuterol, alongwith energy drinks(which im now realizing is not a good idea.) maybe gabapentin contributes a bit, cause sometimes i get senselessly excited for no reason, and that drug may be contributing to that. I will take with my psychiatrist about this. How do u get tested for autonomic dysfunction?