Doctor insights on:
Medicine For Cardiospasm
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
Coronary spasm: The problem with coronary spasm is that you can't prove its absence, you can only (sometimes) prove its presence. Thus, anyone with any form of chest pain could be diagnosed with "coronary spasm" however, as invasive cardiologist, in my experience, it's relatively rare, especially when one considers how very common a complaint chest pain is. ...Read more
Temporary narrowing: Temporary narrowing of blood vessel to heart causing obstruction of blood flow and chest pain. Usually resolves with nitroglycerine. The condition is called prinzmetal angina and is diagnosed by abnormal ekg showing st segment elevation when you are having chest pain but resolved within a few minutes, . ...Read more
Achalasia: The disease is known as achalasia, where the esophagus doesn't push the food down in to the stomach. Symptoms are classically the sensation that food is stuck in the chest. Patients are usually the last to finish eating at the table, and sometimes have chest pain due to esophageal spasm. Hope this helps. ...Read more
Are you talking about coronary artery spasm? If not, I don't know what you are referring to...
Either way, natural remedies may work... If you are willing to take a chance and find out for yourself.
Unfortunately there are no objective, scientific studies demonstrating such efficacy. One life, one chance, the choice is yours! ...Read more
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 more
It is a motility disorder of the esophagus when the distal esophagus at the junction with the stomach can not relax, therefore difficult to pass solids and liquids into the stomach.
See full info educational info at
http://en. Wikipedia. Org/wiki/achalasia
http://www. Mayoclinic. Org/achalasia/. ...Read more
Motor disorder: Achalasia is a motor disorder of the esophagus. Achalasia is characterized by two things: 1) failure of relaxation of the sphincter between the esophagus and stomach when swallowing, 2) no normal mobement of the esophagus. Best treatment is minimal invasive surgery (or robotic) cutting muscle and a partial "wrap" procedure called heller myotomy with fundoplication. ...Read more
Achalasia: This is a narrowing of the esophagus which can be very painful. Sometimes it can be treated by dilating the esophagus to reduce the pain and narrowing. You should see a gastroenterologist for further treatment. ...Read more
endoscopy is performed to exclude a malignancy of the esophagus. X-rays often demonstrate a narrowing or birds beak of the distal esophagus. Manometry is diagnostic.
Laparoscopic surgery with a heller myotomy is highly effective treatment. ...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
Communicate: Feelings often don't make sense. Achalasia is a life-threatening illness and is not a reason to be angry. There must be something else going on. If you need to write us, it's time to sit down together with someone the two of you trust -- pastor, physician, friend, whoever is right -- and get the channels of communication open again. ...Read more
Yes.: I have a patient that suffers from barrett's esophagus, achalasia and such severe gerd that he has had two operations bringing the stomach up into the chest cavity and forming a new ring lower down in the stomach. Despite this and medications, he continues to suffer episodes of regurg, vomiting, aspiration. Now he is getting Botox injections into lower esophagus to paralyze nerves. Next? Who knows. ...Read more
Adjunct only: Achalasia is life-threatening short-term. If you've been offered definitive treatment, take it. Don't waste time or focus on herbal / pop / health-food-store alternatives. If you have an evidence-based holist in your area, you may get some recommendations for discomfort after treatment. ...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
Depends type2 is les: Depends on what is meant by "advanced"; natural progression still poorly understood. But success of therapy differs: Type2 easiest to treat w nearly 100% success on "pneumatic balloon dilation" (endoscopic) and 93% on "laparoscopic Heller myotomy" (surgery) - procedures done at major expert centers. Type1 success ~80%. Type3 best w surgery: 86% success vs 40% by balloon. Happy to consult further ...Read more
Many treatments: Sometimes certain medications can improve early achalasia, lower esophageal sphincter treated directly by forceful dilation with patient swallowing tube with a balloon. Balloon is placed across the lower sphincter with help of x-rays, and balloon is blown up suddenly for dilation. Sphincter can be cut surgically, called esophagomyotomy. Another treatment is Botox placement in muscle by scope. ...Read more
Is an INHIBITOR of GI motility (the natural contraction of your gut which is necessary to "process" food into energy. It paralyzes the ESOPHAGUS as well and ACHALASIA or narrowing/spasm of the esophagus is made WORSE when the natural contraction of the gullet
Hope this helps!
Dr Z ...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 more
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
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
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
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
Achalasia~: ~called esophageal dysmotility syndrome today with better effect. If the whole esophagsus involved its very serious because you need motility to swallow (and a tube for feeding!) If patchy, less severe and swallow technique can be taught. But if you have real dysmotility, you're on the SHORT-run to the doc for sure. Thanks ...Read more
See below: Usually a long flexible tube is passed down the throat and in to the esophagus with a video camera so the GI doctor can visualize the problem on a tv screen. It is not really an operation but a procedure. You will receive medicine so you fall asleep during the procedure. The doctor can sometimes inject Botox to help alleviate the problem. ...Read more
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
Achalasia vs. GERD: In achalasia, the muscles of the esophagus don't push food down and the lower esophageal sphincter (les) doesn't open to allow food to enter to stomach. Treatment is with endoscopic dilation or surgical cutting of the les. Gerd occurs when the les is abnormal (weak) and allows stomach juices to wash up into the esophagus. Treatment is with antacid medications or surgical reinforcement of the les. ...Read more