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Discussion in 'All Categories' started by Umesh - Dec 14th, 2023 11:51 am.
What are the available treatment options for Achalasia, both non-surgical and surgical?
re: Achalasia by Dr. B. S. Bhalla - Dec 14th, 2023 11:52 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Achalasia is a rare disorder of the esophagus that makes it difficult for food and liquid to pass into the stomach. Treatment options for achalasia aim to relieve symptoms by improving the passage of food through the lower esophageal sphincter (LES). The two main categories of treatment are non-surgical and surgical approaches. It's important to note that the choice of treatment depends on the severity of symptoms, individual patient characteristics, and the preferences of both the patient and the healthcare provider.

Non-Surgical Treatment Options:

Calcium Channel Blockers (e.g., nifedipine): These medications can help relax the LES.
Nitrates (e.g., isosorbide dinitrate): Similar to calcium channel blockers, nitrates can also help relax the LES.
Botulinum Toxin (Botox) Injection:

Injection of botulinum toxin directly into the LES can temporarily paralyze the sphincter muscles, allowing for improved food passage. However, the effects are usually short-lived and may require repeat injections.
Surgical Treatment Options:
Heller Myotomy:

This is the most common surgical procedure for achalasia. It involves cutting the muscles of the LES to help relax and open the sphincter. The procedure can be performed through traditional open surgery or minimally invasive techniques such as laparoscopy.
Peroral Endoscopic Myotomy (POEM):

A less invasive option, POEM is performed using an endoscope passed through the mouth to access the esophagus. The inner circular muscle layer of the LES is cut to allow for improved passage of food.
Dilation (Pneumatic or Balloon Dilation):

In this procedure, a balloon is inflated at the LES to stretch and disrupt the muscle fibers, making it easier for food to pass. Repeat dilations may be necessary over time.
re: Achalasia by Pawan - Jan 16th, 2024 8:58 am
I am suffering from Achalasia. Are there any lifestyle changes or dietary modifications that can help manage symptoms?
re: Achalasia by Dr. Bishal - Jan 16th, 2024 9:15 am
Dr. Bishal
Dr. Bishal
Achalasia is a rare disorder that affects the esophagus, making it difficult for food and liquid to pass into the stomach. While lifestyle changes and dietary modifications may not cure achalasia, they can help manage symptoms and improve overall well-being. Here are some suggestions:

Eating Habits:

Eat smaller, more frequent meals throughout the day.
Chew your food thoroughly and eat slowly.
Avoid eating large meals close to bedtime.
Food Choices:

Choose softer and easier-to-swallow foods, such as soups, stews, and well-cooked vegetables.
Avoid foods that are hard, dry, or tough to chew, as they may be more difficult to swallow.

Drink fluids between meals rather than with meals to reduce the risk of aspiration.
Opt for liquids that are easier to swallow, such as smoothies, milkshakes, or soups.

Sit or stand upright while eating and for some time afterward to facilitate the passage of food into the stomach.
Consider raising the head of your bed if you experience nighttime symptoms.
Temperature of Food:

Experiment with the temperature of your food and beverages to find what is most comfortable for you.
Avoid Trigger Foods:

Identify and avoid foods that may trigger symptoms, such as spicy or acidic foods.

Your doctor may prescribe medications to help relax the muscles in the esophagus. Follow your prescribed treatment plan.
Weight Management:

Maintaining a healthy weight can reduce the pressure on the lower esophageal sphincter.
re: Achalasia by Vivek - Apr 12th, 2024 9:22 am
What are the symptoms of Achalasia and how is Achalasia diagnosed?
re: Achalasia by Dr. Rishi - Apr 12th, 2024 9:23 am
Dr. Rishi
Dr. Rishi
Achalasia is a rare disorder of the esophagus that makes it difficult for food and liquid to pass into the stomach. Symptoms of achalasia can vary but often include:

Difficulty swallowing (dysphagia), especially with solid foods
Regurgitation of undigested food
Chest pain, often behind the breastbone
Weight loss
Coughing or aspiration pneumonia (from inhaling food)
Difficulty burping
Achalasia is diagnosed through a combination of tests, including:

Esophageal Manometry: This test measures the pressure in your esophagus. In achalasia, the pressure is usually high and the muscle contractions are weak or uncoordinated.

Barium Swallow: You'll drink a chalky liquid containing barium, which coats the inside of your esophagus and stomach. This helps to visualize the shape and function of your esophagus on X-rays.

Endoscopy: A thin, flexible tube with a camera (endoscope) is passed down your throat to examine your esophagus. This can help rule out other conditions and assess the degree of dilation in your esophagus.

Esophageal pH Test: This measures the acidity inside your esophagus to determine if you have gastroesophageal reflux disease (GERD), which can mimic achalasia symptoms.

CT Scan or MRI: These imaging tests can help evaluate the esophagus and surrounding structures for any abnormalities.

Treatment for achalasia focuses on relaxing or stretching the lower esophageal sphincter muscle to improve swallowing. Options include:

Balloon Dilation: A procedure where a balloon is inflated to stretch the lower esophageal sphincter.

Botulinum Toxin (Botox) Injection: This can temporarily relax the sphincter muscle.

Surgical Myotomy: A surgical procedure to cut the muscle at the lower end of the esophagus, allowing easier passage of food.

Peroral Endoscopic Myotomy (POEM): A minimally invasive procedure where the inner lining of the esophagus is accessed through an endoscope to cut the muscle.
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