Doctor insights on:
Achalasia Esophagus Disorders
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
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
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
Besides achalasia, what can causes an esophagus not to contract? And can it cause chest pain under breast bone, weakness and body aches?
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 moreSee 4 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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
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?
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
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 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