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Doctor insights on: Die Esophageal Achalasia

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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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Dr. Clarence Grim
76 Doctors shared insights

Esophageal Achalasia (Definition)

This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment ...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 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?

Achalasia: This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment directed at opening valve. ...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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What kind of pills or treatment can somebody get for esophageal achalasia?

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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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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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

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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?

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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What is the definition or description of: Achalasia?

Achalasia: Achalasia = is a disorder affecting the esophagus which makes it difficult for food or liquids to pass to the stomach. ...Read more

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Anyone here treat dysphagia or achalasia?

Anyone here treat dysphagia or achalasia?

Achalasia: This is a disease where the nerves of the esophagus no longer function to coordinate the muscles to push down food, or send a signal to the lower valve of the esophagus at the entrance to the stomach to open an let the food in. Cause usually unknown. Most effective and most invasive treatment is surgically cutting the muscle of the valve, that can be done laparoscopically or endoscopically (poem). ...Read more

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Should you peg a patient with achalasia?

Should you peg a patient with achalasia?

Depends: Symptom relief with pneumatic dilation or myotomy (laparoscopic or endoscopic) is usually the best, then the patient can eat. If norther of these are options, a peg could be an option, but I would imagine this scenario is uncommon. ...Read more

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How dangerous is the surgery for achalasia?

Quite safe: Provided you seek an experienced surgeon. There are always risks with any surgery, but a laparoscopic myotomy is quite safe. ...Read more

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Has anyone cured an illness called achalasia?

No: Achalasia is a problem with the nerves in the esophagus not working to coordinate the muscle. There is no known cure, but the symptoms can be relieved by treating the valve at the lower portion of the esophagus, such as Botox (not good, makes other treatments more difficult), balloon dilation (usually at least two times), laparoscopic muscle splitting (surgery) and endoscopic surgery (poem). ...Read more

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What to do if I have an illness called achalasia?

See a G.I. doc: Achalasia is a disease resulting from damage to the nerves in the muscles of the lower esophagus, keeping them from being able to relax and making swallowing difficult. There is nothing you can do on your own to make this better. There are several medicinal, endoscopic, and surgical treatments available, which your G.I. doc can evaluate and go over with you. Do not delay. Good luck. ...Read more

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What does the surgical procedure of achalasia involve?

What does the surgical procedure of achalasia involve?

Myotomy: Which means cutting of the muscle sphincter at the bottom of the esophagus. A partial "wrap" or anti reflux procedure is usually added. ...Read more

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What are the different operations to treat "achalasia"?

What are the different operations to treat "achalasia"?

Ediphageal dilation: Usually surgery is not required but esophageal dilation is first line treatment. ...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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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


Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more


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