Achalasia is a condition that affects the oesophagus. The oesophagus is a tube that moves food from the mouth to the abdomen (figure). At the lower end of the oesophagus, where it connects to the tummy, there’s a muscle known as the lower esophageal sphincter (LES). Once the LES tightens, food cannot move from the oesophagus into the abdomen. once the LES relaxes, food will move from the oesophagus into the abdomen.
When individuals have achalasia:
- The lower part of the oesophagus doesn’t work normally
- The LES does not relax, therefore food cannot get into the stomach(abdomen)
The most common symptom of achalasia is difficulty in swallowing food and drinks. alternative symptoms will include:
- Chest pain
- Feeling such as you have a lump in your throat
- Losing weight while not even attempting
Yes. If your doctor suspects that you simply have achalasia, he or she’s going to do one or a lot of of the subsequent tests:
- Measuring the pressure in your oesophagus and LES – Your doctor can place a skinny tube into your mouth or nose and down into the oesophagus. The tube can measure the pressure there. This will tell your doctor if you have got achalasia or not.
- Barium swallow – Your doctor will provide you with a drink known as “barium.” Barium is swallowed in a small quantity & X-rays are taken to identify the problem with the food pipe.
- Endoscopy – Your doctor will place a thin tube with a camera on the tip into your mouth and down into your oesophagus(food pipe) and abdomen (figure). He or she will see inside your food pipe. He or she may additionally take a little sample of tissue from the food pipe to test in the laboratory.
- Manometry – It is a pressure study for the food pipe, it will define the type of achalasia. The treatment can be tailored to type of achalasia.
Doctors will treat achalasia in several ways. Treatments usually cannot cure achalasia; however, they’ll improve symptoms. the various treatments include:
- Medicines – this will relax the LES. Individuals will have to take these medicines before they eat, on a regular basis.
- An injection of medication into the LES – Botulinum Toxin, is a nerve paralysing agent, which can be injected in LES to relax it.
- Making the LES wider – The Doctor will pass the endoscope down your food pipe. A special balloon is used, which when expanded with air will widen the LES. This helps in mechanical dilatation of food pipe.
- Surgery – A doctor will cut open the LES to make it wider. this could be done by laparoscopic surgery or Endoscopy.
To choose the treatment that is right for you, speak along with your doctor. raise him or her regarding the advantages, risks, and aspect effects of every treatment. The gold standard treatment is laparoscopic Heller’s cardiomyotomy, where the doctor will cut open the LES. It has the best results compared to other modalities.
Yes. you may ought to follow up along with your doctor on an everyday basis. He or she’s going to make certain your treatment is functioning the way it is intended.
Your doctor will keep checking you for certain issues. Because the individuals with achalasia have a more than traditional likelihood of obtaining cancer or alternative issues of the oesophagus.