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Ive had pharyngeal spasms when vomiting so try hard to avoid things that might make me choke or vomit

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Surgery: In severe cases, surgery may be required to repair a bleeding ulcer or remove a cancerous tumor

12 Targeted exercises may help in cases with residual muscle weakness or dysfunction, and specialized eyelid surgeries, such as customized weighted implants and horizontal lid tightening, may be indicated in cases of persistent inability to fully close the eyelid
J Clin Neuromuscul Dis 2010
