Doctor insights on:
Do We Gain Weight After Treatment For Achalasia
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
Swallowing normally: The goal of treatment for achalasia is to improve swallowing and avoid complications such as weight loss and malnutrition. The newest, and likely most effective treatment is per oral endoscopic myotomy (poem). This is offered in springfield, ma, chicago, portland, or, san diego, and long island to name most of the centers performing this procedure. ...Read moreSee 1 more doctor answer
I am 25. Diagnosed with Achalasia 5yrs ago, had 2 Hellers Myotomys & 2 Botox treatments. Do I have a higher risk of cancer in the oesophagus?
Causes of achalasia: Achalasia often means absent peristalsis in the esophagus & incomplete relaxation of the lower esophageal sphincter (les). It may be a "primary" esophageal motility disorder, or "secondary" to cancers invading the les (pseudoachalasia), Chagas disease from reduviid bug bites, amyloidosis, sarcoidosis, eosinophilic infiltration. Similar motor abnormalities can be seen with diabetes & CIIP. ...Read more
What is the basic reason that achalasia patients loose weight? Is it because they start eating less or is there another underlying reason?
Malabsorption: Achalasia is a relatively uncommon disease usually of the muscles of the lower esophageal body and lower esophageal sphincter. This prevents relaxation of the sphincter and an absence of contractions, or peristalsis, of the GI segment. This results in very slow movement of food in the GI tract. Achalasia can also occur at any point in the GI tract, causing poor absorption, & wgt. loss. ...Read moreSee 1 more doctor answer
Could chest pain 30 min after eating, 20ibs weight loss, and regurgitation and aspiration be Achalasia? Was Dx with EOE, but symptoms don't fit.
Get scoped: It could be either of these or something else. That weight loss bothers me. Somebody needs to take a look. ...Read more
I've just been diagnosed with achalsia and I have read all about the procedures and so on. What I need help with is gaining my weight back to normal.
More cals: work with ur GI md and u will gain wt. when ur able to eat more and take more Calories ...Read more
Manometry definition: these are definitions to characterize achalasia (a disorder of esophagus where contraction wave is absent and the lower sphincter does not relax): Type1 has minimal contractions, Type2 intermittent contractions, Type3 spastic contractions. Success rates of treatment differ as replied in prior question. I'm happy to consult as I would highly recommend followup at major specialized expert center ...Read more
Achalasia can be bad: Achalasia is defined by absent peristalsis in the esophagus & incomplete relaxation of the lower esophageal sphincter (les). It may be a "primary" esophageal motility disorder, or "secondary" to cancers invading the les (pseudoachalasia), chagas disease from reduviid bug bites, amyloidosis, sarcoidosis, eosinophilic infiltration. This is not something you should ignore or that fixes with herbs. ...Read more
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
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
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