Achalasia - difficulty in swallowing

Achalasia is a disorder of the esophagus (the tube that carries food from the mouth to the stomach). The esophagus is less able to move food toward the stomach, and the muscle from the esophagus to the stomach does not relax as much as it needs to during swallowing. It is also known as esophageal achalasia, achalasia cardiae, cardiospasm,dyssynergia esopgagus and esophageal aperistalsis. Achalasia is characterized by difficulty in swallowing, regurgitation and some times chest pain.

Symptoms:

Difficulty in swallowing (Dysphagia) liquids and solids, Regurgitation(backflow) of food, coughing, chest pain, hurtburn, weight loss etc are symptoms.

Causes:

There is no known underlying cause of this disease.It may be caused by failure of the lower esophageal sphincter to relax and an absence of esophageal peistalsis leading to a functional obstruction at the gastro-esophageal junction. Esophageal cancer or chagas disease (an infectious disease common in South America) caused achalasia. Another part of the disorder is lack of nervous stimulation to the esophagus. Causes include damage to the nerves to the esophagus, parasitic infection, cancers, and hereditary factors.

Treatment:

Several options are available for the treatment of achalasia. Treatments include: Drug Therapy and botulinum toxin injection, Balloon dilation and surgery (myotomy), Esophagectomy. Injection of botulinum toxin into the lower esophageal sphincter is an effective, safe, and simple method of treatment for achalasia. Medications such as long-acting nitrates such as isosorbide dinitrate or calcium channel blockers such a nifedipine and nitroglycerin can also be used to lower the pressure at the lower esophagus sphincter. Pneumatic dilation is most effective on the long term in patients over the age of 40. Because of excellent results, a short hospital stay, and a fast recovery time, the primary treatment is considered by many to be a laparoscopic Heller myotomy and partial fundoplication surgery (called an esophagomyotomy) to decrease the pressure in the lower sphincter may be needed. A laparoscopic Heller myotomy is considered by many to be the appropriate primary treatment of patients with achalasia .The thoracic or thoracoscopic approach may be preferred for some patients. The thoracic approach is also appropriate in managing patients with proximal esophageal motility abnormalities.

Prevention:

Avoid foods like ketchup,citrus,chocolate,mint,alcohol and cafeein etc.Add dietary food in the food menu.Eat slowly,chew very well,drink plenty of water with meals and avoid eating near bed time.

Alternative Treatment:

Acupuncture,traditional chinese herbal medicine and relaxation techniques are different altrnative method. Raising the head of the bed or sleeping with a wedge pillow promotes emptying of the esophagus by gravity. Proton pump inhibitors can help to prevent reflex damage by inhibiting gastric acid secretion.

Links:

http://content.nejm.org/

http://www.ncbi.nlm.nih.gov/

http://linkinghub.elsevier.com/

http://en.wikipedia.org

http://www.uptodate.com/

http://www.nlm.nih.gov/

http://medind.nic.in

http://www.emedicine.com/

http://www.ssat.com/

4 comments:

Dr.Rutledge said...

Hi,
I think your blog is terrific, and I would like to feature you on Wellsphere (http://www.wellsphere.com). Would you drop me an email?
Good health!
Geoff
--
Geoffrey W. Rutledge, MD, PhD
http://medblog.wellsphere.com

Sachin said...

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shaheel said...

TREATMENT FOR CHEST PAIN
Chest pain is considered a chief symptom of heart related problems. It can occur due to various causes such as heart attack, pulmonary embolism, thoracic aortic dissection, oesophageal rupture, tension pneumothorax and cardiac tamponade.

By conducting several medical tests, the above causes could be ruled out or treated as recommended by medical professionals. If acute chest pain occurs, the patient should be admitted immediately for observation and sequential E.C.G.'s are followed up.

Just like in all medical cases, a careful medical history and detailed physical examination is essential in separating dangerous from minor/trivial causes of disease. Sometimes, there is need of rapid diagnosis to save life of patient. A deep study of recent health changes, family history, tobacco consumption, smoking, diabetes, eating disorders, etc. is useful in treatment of chest pain.

Features of chest pain could be generalised as heaviness; radiation of the pain to neck, jaw or left arm; sweating; nausea; palpitations; pain coming from exertion; dizziness; shortness of breath and a sense of impending doom. On the basis of these characteristics, a number of tests can be carried out for proper treatment. X-ray and CT scan of the chest help in determining the basic cause of pain. An electrocardiogram helps in detailed study of the problem.

Naturalherbs Solutions said...

Try Natural Treatment for Achalasia because the mixture of different natural ingredients makes a proper herbal remedy such as Achalasia Herbal Remedy produced by Natural Herbs Clinic. This herbal remedy work properly and can help to treat your achalasia successfully.

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