The conversation between human and AI assistant.
[|Human|] My wife has MS; diagnosed in 2006 - for the past 2 years she s been suffering from sudden choking when taking her first bite of a meal or a sip of water. Our EMT son suggested MS Hug; however, she experiences severe compression between her sternum and throat, and almost always vomits contents from her throat, not her stomach. Once had to call 911 due to her inability to breath. Suggestions, recommendations, or any pre-pre diagnosis thoughts?
[|AI|]  Severe compression between sternum and throat, and vomiting contents from throat, not her stomach may suggest some esophageal motility disorder (either primary or secondary). Few esophageal motility disorders are: 1. Achalasia2. Spastic esophageal motility disorders, including diffuse esophageal spasm (DES), nutcracker esophagus, and hypertensive LES3. Nonspecific esophageal motility disorder (inefficient esophageal motility disorder)4. Secondary esophageal motility disorders related to scleroderma, diabetes mellitus, alcohol consumption, psychiatric disorders, and presbyesophagus. Psychiatric manifestations are documented to be associated with MS (Multiple sclerosis), but such symptoms are not directly related to MS (multiple sclerosis)
