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Doctor insights on: What Is The Best Treatment For Achalasia

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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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Dr. James Dukelow
66 doctors shared insights

Esophageal Achalasia (Definition)

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


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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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What are the benefits of the treatments for achalasia?

What are the benefits of the treatments for achalasia?

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

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What is the best calcium blocker for intestine smooth muscle relaxation in achalasia?

What is the best calcium blocker for intestine  smooth muscle relaxation in achalasia?

Achalasia a name for: a behavior, not the reality of what is happening. Except for heart, no muscle cells in body contract without 0.001 sec nerve impulses to each muscle cell releasing neurotransmitter to trigger activation & contraction. Meds do not address, much less solve the real problems which are brain+neuromuscular. Since this is too complex for disease medicine, Docs focus only on aspects of end body behavior. ...Read more

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Idiopathic Gastroparesis and Achalasia: what is the best med to take for pain? I had my large intestine removed but pain also continues in low pelvis.

Idiopathic Gastroparesis and Achalasia: what is the best med to take for pain? I had my large intestine removed but pain also continues in low pelvis.

Specialist: This is a very complicated motility problem they can effect each other in negative way you need to see a GI or motility specialist good luck ...Read more

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Should fundiplication be done? Manometry shows achalasia in 10 yr old grandson. Dr recommends cutting muscle along with fundiplication. Is that best?

Should fundiplication be done?  Manometry shows achalasia in 10 yr old grandson. Dr recommends cutting muscle along with fundiplication. Is that best?

You doc is right: Cutting the esophageal sphincter muscle, which is the primary and most definitive treatment for achalasia, usually causes reflux so a fundiplication should be done to prevent reflux. This is especially important in a 10 year old who, hopefully, has a lifetime to live with the adverse consequences of reflux. You have gotten good advice! ...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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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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Dr. Arthur Balin
53 doctors shared insights

Cardiospasm (Definition)

Cardiospasm (also known as achalasia), is a problem with the esophagus where the connection between the esophagus and the stomach remains contracted and tight. This prevents the normal passage of swallowed food from entering the stomach, causing chest pain ...Read more


Dr. Hiroshi Mashimo
68 doctors shared insights

Achalasia (Definition)

Achalasia is where 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