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Doctor insights on: Achalasia Esophagus Disorders

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I am 25y old. Can GERD cause complete aperistalsis of esophagus? It's been 3y. Not Scleroderma, Achalasia or any other diseases. My LES=5mmHg. Thanks

I am 25y old. Can GERD cause complete aperistalsis of esophagus? It's been 3y. Not Scleroderma, Achalasia or any other diseases. My LES=5mmHg. Thanks

GERD alone unlikely: manometric evidence of aperistalsis (not simply on barium test) unlikely from GERD alone, and can be from achalasia or esophageal scleroderma, even without skin findings of latter. You need to see Gastroenterologist or motility expert. Low LES pressure does not rule out achalasia. If you are medical personnel, I refer you to my free GI Motility on line on web via Nature Publishing on this subject ...Read more

Esophageal Achalasia (Definition)

Achalasia is an esophageal motility disorder. It is diagnosed by manometry, showing a lack of relaxation of the distal esophagus and decreased peristalsis. Primary achalasia (most common) is due to loss of inhibitory neurons in the distal esophagus. Secondary achalasia is caused by chagas disease. "pseudo-achalasia" is seen with cancers. Surgical treatment ...Read more


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23 years old. Have aperistalsis of esophagus-distal, middle, proximal.And gerd(0, 3 mmhg). But not achalasia and not scleroderma. What may be the cause?

23 years old. Have aperistalsis of esophagus-distal, middle, proximal.And gerd(0, 3 mmhg). But not achalasia and not scleroderma. What may be the cause?

Need more info: Any other related symptoms - how did you get this result in first place ? It's rare to have all part of esophagus not moving in young age without underlying problem but could induce by specific drugs as well. Was this measured by functional esophagography? ...Read more

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Can you die from esophageal achalasia?

Can you die from esophageal achalasia?

If left untreated: A person could die from untreated achalasia due to starvation, aspiration pneumonia or chocking on the contents accumulated in the esophagus. ...Read more

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Can I die from esophageal achalasia if I ignore it?

Can I die from esophageal achalasia if I ignore it?

Maybe: Untreated achalasia can result in accumulation of fluid in the esophagus that can silently enter the lungs while you sleep at night. Chronic silent aspiration can cause permanent damage to the lungs, asthma, recurrent pneumonia. Any of these conditions can potentially shorten your life if not treated properly. A large aspiration event can be deadly. ...Read more

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What is the treatment for esophageal achalasia?

What is the treatment for esophageal achalasia?

Several: The main treatments are 1) medications, 2) endoscopic, and 3) surgical. Which one to choose depends on how severe the symptoms are. ...Read more

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Wouldnt fixing Achalasia by surgery result in acid reflux in esophogus?

Wouldnt fixing Achalasia by surgery result in acid reflux in esophogus?

Maybe (answer #5): See prior HealthTap answers on this subject. Fixing achalasia is often combined with an anti-reflux procedure to avoid just what you fear. ...Read more

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What kind of pills or treatment can somebody get for esophageal achalasia?

No pills: The only effective treatment is to open the lower esophageal valve by balloon dilation or surgically through the abdomen or the mouth (poem). Pills don't work, nor does botox. ...Read more

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What do you recommend for esophageal achalasia?

What do you recommend for esophageal achalasia?

Hard question: Although there is no definite cure, several therapies have been shown to be effective - dilation of the esophagus, certain medications such as nitroglycerine, Nifedipine may be helpful and finally if all fails, especially esophageal dilations, surgery. ...Read more

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What is the definition or description of: esophageal achalasia?

What is the definition or description of: esophageal achalasia?

Motility Disorder: Achalasia is an esophageal motility disorder. It is diagnosed by manometry, showing a lack of relaxation of the distal esophagus and decreased peristalsis. Primary achalasia (most common) is due to loss of inhibitory neurons in the distal esophagus. Secondary achalasia is caused by chagas disease. "pseudo-achalasia" is seen with cancers. Surgical treatment remains the gold standard. ...Read more

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Do you have to have difficulty swallowing if you have esophageal achalasia? What are all the symptoms?

Do you have to have difficulty swallowing if you have esophageal achalasia? What are all the symptoms?

Yes: Achalasia is a when the lower esophageal sphincter muscle incompletely relaxes and doesn't allow food or fluid to pass easily. Achalasia is characterized by difficulty swallowing, regurgitation, and sometimes chest pain. It is diagnosed with esophageal manometry or pressure study or barium swallow test. Treated with dilation, Botox injection or a heller myotomy "cutting of the muscle.". ...Read more

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Hi, can GERD cause esophageal dysmotility? I don´t mean achalasia or sclerodermia. Only GERD (les 3mmhg). I have both and non specific. Thanks

Hi, can GERD cause esophageal dysmotility? I don´t mean achalasia or sclerodermia. Only GERD (les 3mmhg). I have both and non specific. Thanks

They go together: Your les (lower esophageal sphincter) is hypotensive. The pressure is too low. Normally it should be above 10mmhg. Therefore acid from the stomach can freely go up to your esophagus and therefore gerd. If your physician told you that rest of manometry was unremarkable, you may still have scleroderma. Some foods and medications can decrease the les pressure. Achalasia has a high les pressure. ...Read more

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Can foods that are not good for GERD patient b/c they relax Lower esophgus valve such as garlic,coffee etc be actually good for achalasia patients?

Can foods that are not good for GERD patient  b/c they  relax Lower esophgus valve such as garlic,coffee etc be actually good for achalasia patients?

Nice thinking but: ...in achalasia, the LES does not respond normally to the typical cues to relax. Much of reflux in achalasia patients is the retained contents that are delayed in emptying from the esophagus. ...Read more

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What is the definition or description of: Esophagus disorders?

What is the definition or description of: Esophagus disorders?

Esophageal disorders: ...are conditions that affect the first 40cm of the gut=the esophagus. These may include structural, motility, inflammatory, and infiltrative disorders. ...Read more

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Fluoroscopy made to (10 month) son diagnosing esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk?

Fluoroscopy made to (10 month) son diagnosing esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk?

Low risk: A single set of fluoroscopic evaluations has a very low risk of triggering any cancer in a patients lifetime.He is much more likely to be severely injured in an accident than to develop such a problem. ...Read more

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Fluoroscopy made to (10 month) son to diagnose esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk ?

Fluoroscopy made to (10 month) son to diagnose esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk ?

Reflux R/O: this is being done to check for reflux being the cause of apnea conventional radiology and fluoroscopy will expose him to radiation 5% as compared to radiation exposure from radon and terrestial radiation which is 50% the test is important so the problem is corrected and fear of radiation should not prevent the use of the test ...Read more

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Are Coeliac Disease & Achalasia linked? I have both and wasn't sure

No they are differen: coeliac disease is more of a malabsorption disease. where as achalasia is more of a dysfunction of the esophagus motility ...Read more

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Any natural help with achalasia?

Any natural help with achalasia?

No: You would need to see a gastroenterologist/gi doctor and get an egd done(a video camera with a long flexible tube down the throat) to evaluate further. Sometimes it is treated with Botox injections. ...Read more

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Could you tell me more about achalasia?

Certainly: Best treatment is an esophageal myotomy. It is a benign condition (non cancerous). ...Read more

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Dr. Jeffrey Duman
8 doctors shared insights

Esophageal Disorders (Definition)

An esophageal disorder is a condition in which a person has problems affecting his esophagus, the tube from the throat to the stomach. Gastroesophageal reflux disease (GERD) is a common problem. Other problems include esophageal muscle spasms, ...Read more


Dr. Hiroshi Mashimo
76 doctors shared insights

Achalasia (Definition)

Occurs when the muscle that makes up the esophagus spasms and contracts, which may cause chest pain, a feeling of "food being stuck in the throat", or regurgitation due to obstruction at the ...Read more