What is Achalasia? definition , Symptoms, Test for achalasia

Achalasia

Achalasia is a motility disorder that affects your esophagus. In simple language we can says achalasia mince is loss of relaxations (or failure to relax) involving the lower esophagus and the lower esophageal sphincter (LES). There is no peristalsis in lower esophagus (or distal 2/3 part of esophagus), in achalasia the lower esophageal sphincter (LES) fails to open during normal peristalsis, it does not relax. That’s result to food cannot pass from esophagus to the stomach, result to swallowed material both solids and liquids, gets stuck in the esophagus and esophagus is become dilated also called mega esophagus. during barium study esophagus appeared bird’s beak

Symptoms of achalasia

  • Difficulty swallowing or dysphagia (which is the most common symptom of achalasia)
  • Chest pain or pain behind sternum
  • Regurgitation
  • Heartburn
  • Hiccups

Test for achalasia

  • Endoscopy
  • Gastroscopy
  • Barium study
  • Esophageal Manometry

Author: Dr. vivek saini

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