General

Achalasia

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13 Sep 2016 - General
 

Achalasia is a medical condition of the oesophageal, due to failure of the lower oesophageal spincter to relax, and also aperistalsis of the body of oesophagus.  Usually, patient may initally presented with dysphagia to both solid and liquid. Most patient will complaint dysphagia, predominantly to solid food. Sometime, regurgitaion of food may occur. They can have some weight loss as well. Patient can also presented with chest pain and symptoms of heartburn/reflux. Usually, gastrosocpy and follow by oesophageal manometry are the investigation of choice for patient with dysphagia. In patient with achalasia, the typical investigation - oesophageal manometry will show lack of peristalsis in the body of oesophagus, and also abnormal or absent of lower oesophageal sphincter relaxation for swallowing.

Achalasia is a functional disorder in the lower part of the esophagus. It is characterized by the defective relaxation of the lower esophageal sphincter and the reduced peristalsis of the esophageal muscle layer. Most of the time patients present with dysphagia, regurgitation, burning sensation and loss of weight. Barium swallow, esophageal manometry, prolonged esophageal pH monitoring and esophagogastroduodenoscopy are helpful to diagnose this condition. The condition can be controlled or cured...
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Evaluation of dysphagia is very important to narrow down the differential diagnosis when a patient presents to us with the complain of swallowing difficulty. People sometimes have neuromuscular incoordination, and the swallowing difficulty is due to the muscular incoordination in the pharynx. These patients usually have intermittent episodes of swallowing difficulty and associated vomiting. If there is dysphagia for solids and not liquids, it is most likely that the patient is having a narrowing...
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It is good to address rare diseases of GIT along with common in order to have more awareness among public. Although achalasia is a rare disease but it is very troublesome with unknown causes. Few cases show that it may appear due to degeneration of esophageal muscles or nerves controlling these muscles. In the start of achalasia, you may feel difficulty in swallowing, chest pain and regurgitation of solid and liquid food and may lead to complications such as weight loss, lungs disease and cancer...
 (Total 119 words)