Doctor insights on:
Causes Of Achalasia
R/O OSA: WHATEVER POSITION IS MORE COMFORTABLE. OSA can be suggested with underling obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYOID SUSPENSION . NO CORELATION WITH ACHALASIAIA ...Read moreSee 1 more doctor answer
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
Can achalasia cause severe charliehorse like pain under lower rt rib close to sternum? Rt shoulder & back pain as well?
On PA & Lat chest images, besides achalasia, what else could cause the gastric bubble to be missing/unseen?
Normal xray: Either presence or absence of a "gastric bubble" on a chest Xray is entirely normal. If swallowed gas is in the stomach, usually a "bubble" is seen. If not, no bubble. That's all. When a gastric bubble is seen, its size and location might give a clue about achalasia or other conditions. But absence of a bubble on any particular xray is meaningless. ...Read more
How achalasia can cause breathing difficulties? Please suggest exercises that'll help the food to go down to stomach if someone is having achalasia.
Esophageal achalasia: is the failure of the lower esophageal sphincter muscle to relax, resulting in retention of food/fluid in the esophagus, and regurgitation. Primary achalasia, the most common form, has no known cause. Unfortunately, the smooth muscle is not under voluntary control, so exercise won't help. Treatment can include lifestyle changes, medication, dilatation, or surgery. You need to talk to your doc. ...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
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
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?
Achalasia: This is a progressive disorder of the esophagus in which the esophagus no longer has the ability to push food into the stomach and at the same time, the lower esophageal sphincter pressure is increased. The most common symptoms are difficulty swallowing and regurgitation. Symptoms may be confused with gerd. Diagnosis is made with endoscopy, x-rays, and esophageal manometry. ...Read moreSee 2 more doctor answers