Achalasia Treatment in Ahmedabad

Achalasia - Causes, Symptoms, Diagnosis, Treatment, Risk Factor & Prevention

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What is Achalasia

Achalasia is a condition that affects the muscles of the lower esophageal sphincter (LES), causing them to not relax properly. This can result in difficulties with swallowing, regurgitation of food, and occasional chest pain. As time goes on, the esophagus may become dilated, leading to more severe problems with swallowing.

Symptoms of Achalasia

  • Difficulty swallowing (dysphagia) for both solids and liquids

    Affected individuals often report that both solids and liquids have difficulty passing from the esophagus into the stomach.

  • Regurgitation of Undigested Food

    Food that remains in the esophagus may come back up into the mouth, especially when lying down.

  • Chest Pain or Discomfort

    Often experienced as a pressure or burning sensation. Pain may increase after eating.

  • Heartburn

    A burning sensation in the chest, sometimes confused with gastroesophageal reflux disease (GERD).

  • Coughing or Aspiration

    Nighttime coughing or choking, which may result in aspiration (breathing in food or liquid into the lungs).

  • Lump in the Throat

    Feeling like there's something stuck in your throat or chest can be quite uncomfortable.

  • Difficulty Belching

    It can be challenging for certain individuals to release gas through belching or burping.

  • Increased Salivation

    When the esophagus starts to have trouble moving food efficiently, it can lead to a buildup of saliva and more drooling.

Causes of Achalasia

Autoimmune reactions

The body's immune system mistakenly attacks the nerves in the esophagus.

Genetic factors

Some cases of achalasia may have a genetic component

Infections

Certain infections, such as those caused by viruses, might trigger the condition

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Diagnosis of Achalasia

Esophageal Manometry

It assesses the rhythmic contractions of the esophagus muscles during swallowing, the coordination and strength of these muscles, and the functionality of the LES.

Barium Swallow (Esophagram)

A type of X-ray imaging that visualizes the esophagus. The patient swallows a barium solution, which coats the lining of the esophagus and shows up on X-rays.

Endoscopy (Esophagogastroduodenoscopy or EGD)

A thin, flexible tube with a camera (endoscope) is inserted through the mouth to examine the inside of the esophagus and stomach.

Endoscopic Ultrasound (EUS)

Endoscopic ultrasound combines endoscopy with ultrasound imaging to provide detailed images of the esophagus and surrounding structures.

Achalasia Treatment in Ahmedabad

Pneumatic Dilation

A balloon is inserted and inflated at the LES to stretch it open

Medications

Nitrates or calcium channel blockers can help relax the LES. Botox injections into the LES may also provide temporary relief.

Peroral Endoscopic Myotomy (POEM)

A minimally invasive endoscopic procedure to perform a myotomy.

Surgery (Heller Myotomy)

The muscles of the LES are cut to allow food to pass into the stomach more easily.

Lifestyle Changes

Eating smaller, more frequent meals, chewing food thoroughly, and avoiding foods that can trigger symptoms (e.g., alcohol, caffeine)

Expert Gastroenterologist In Ahmedabad

Dr. Ankit Patel

Dr. Ankit R. Patel, Consultant Medical Gastroenterology, Hepatology and Endoscopy at Kaizen Institute of Gastroenterology & research centre, has completed his graduation & post graduation from Pramukhswami Medical College, Karamsad, Gujarat and completed DNB Gastroenterology and Hepatology training at Apollo Hospital, Chennai. He was awarded degree of Diplomate of National Board (DNB – Medical Gastroenterology) by NBE.

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Read All The Frequently Asked Questions About Achalasia

FAQ’S

What is the main cause of achalasia?
1. Achalasia is usually caused by the loss of nerve cells that regulate the muscles used for swallowing in the esophagus. The reason for the loss of these nerve cells is still unknown to healthcare providers. However, in rare instances, achalasia can be caused by a tumor.
Is it GERD or achalasia?
Typically, achalasia and GERD are considered to be on different sides of the spectrum when it comes to LES dysfunction. In achalasia, the LES might be hypertensive and have trouble relaxing when swallowing. On the other hand, in GERD, the LES could be hypotensive or have frequent relaxations.
Is achalasia serious?
It’s rare for people to pass away due to achalasia. While it’s a chronic condition, proper symptom management can help prevent serious complications like aspiration, choking, and malnutrition. Those with achalasia do have a higher chance of developing esophageal cancer.

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