What works to control the pain/spasms at the onset?

This can be soooooooo painful. My esophogus has a very narrow spot (food almost stops before passing), but occassionally I have these spasms that are so intense I think I'm having a heart attack. I fear going to the ER because it's obvious it's WRS related and my insurance won't cover that (I self payed for lap band and am 6 mos post op). After several visits to my surgeon and bewildered looks - I was finally prescribed diltiazem 120 mg 1/day, which seems to be helping. However, is there anything else I can do to help calm the onset or during an attack? I have not been able to find anything to give me relief during an attack except prayer and vomitting if I can - but that can make the spasming worse.

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