How a person develops Achalasia? .
had an EGD done recently and was told that I had achalasia, and a
hietal hernia, chronic gastritis, and H. Pylori.
for the test was my symptoms of nausea, vomiting, and my stomach contents
coming up when i bent over, sitting up on the bedside in the morning
upon waking, even when tying my shoe.
said that it was a combination of my hietal hernia and achalasia.
you please explain what achalasia is how a person develops it and
told me there was a surgical procedure that could fix the hietal hernia
and the achalasia both but it was not without risks.
you for your question.
is a disorder of the tube that carries food from the mouth to the
stomach (esophagus), which affects the ability of the esophagus to
move food toward the stomach.
ring at the point where the esophagus and stomach come together (lower
esophageal sphincter) normally relaxes during swallowing. In people
with achalasia, this muscle ring does not relax as well. The reason
for this problem is damage to the nerves of the esophagus.
of most cases of achalasia is unknown.
the similarity of symptoms, achalasia can be mistaken for more common
disorders such as gastroesophageal reflux disease (GERD), hiatus hernia,
and even psychosomatic disorders.
to treatment is to reduce the pressure at the lower esophageal sphincter.
Therapy may involve:
with botulinum toxin (Botox). This may help relax the sphincter muscles,
but any benefit wears off within a matter of weeks or months.
such as long-acting nitrates or calcium channel blockers, which can
be used to relax the lower esophagus sphincter
(called an esophagomyotomy), which may be needed to decrease the pressure
in the lower sphincter
(dilation) of the esophagus at the location of the narrowing (done
nifedipine significantly improves outcomes in 75% of people with mild
or moderate disease. Surgical myotomy provides greater benefit than
either botulinum toxin or dilation in those who fail medical management.
is a rare disorder.
can be difficult to diagnose because it has symptoms similar to other
technology to diagnose Achalasia include:
manometry. Using a catheter inserted down your esophagus, muscle contractions
in your esophagus are measured when you swallow water. High-resolution
manometry, used at Mayo Clinic, can assess the severity of your achalasia
and guide treatment decisions.
useful tests include:
(barium swallow). An X-ray visualizes movement of liquids through
the esophagus when you swallow.
A flexible, narrow tube (endoscope) with a camera is used to view
the inside of the esophagus and stomach.
you have any other questions? Enter
your health question