- 15 min15 minutes
- Depends on ConsultDepends on Consult
- Location 1
Achalasia is a disorder that affects the part of the body that moves food from your mouth to your stomach(esophagus).Thisdisordermakesitdifficultforyouresophagustomoveliquidsandfoodinto your stomach. This makes it harder for you to swallow. Achalasia affects the muscle between your esophagusandyourstomach(loweresophagealsphincter,LES).Normally,thismusclerelaxesafteryou swallow.Withachalasia,itdoesnotrelax,andthereisincreasedpressureinthisarea. What are the signs or symptoms? Symptoms of this condition include: Difficulty swallowing or pain withswallowing. • Foodmovingupfromyourstomach toyourmouth(regurgitation). • Weightloss. • Coughing orwheezing. • Heartburn. • Difficulty burping. • Vomiting. • Bad breath(halitosis). • Chestpain. How is this diagnosed? This condition may be diagnosed based on: • Your symptoms, your medical history, and a physicalexam. • Tests, suchas: X-rays. Barium swallow study. In this test, X-rays are taken of your esophagus after you swallow a white liquid (bnrium) that shows up well on X-rays. Endoscopy.Inthistest,yourhealthcareproviderlooksatyouresophagususingasmall, flexibletubethathasavideocamera attheend(endoscope). Esophageal manometry. This test checks to see if increased pressure is affecting your LES. How is this treated? There is no cure for this condition, but treatment can help to manage your symptoms. Treatment may include: • Medicines. • Stretchingorwidening(dilating)yourLES.Thisisdonewithanendoscopyprocedurethatinvolves using a balloon to stretch out the loweresophagus. • A novel endoscopic procedure – POEM( Per oral endoscopic myotomy) can reduce pressure in LES without need for skin incision • Laprocscopic SurgerytoreducepressureinyourLES. • Aninjection ofamuscle-relaxingmedicine(botulinumtoxin)intotheLES.