Overview
Achalasia is a rare motility disorder of the esophagus where the lower esophageal sphincter (LES) fails to relax properly, making swallowing difficult. This condition results in food and liquids being trapped in the esophagus, causing discomfort and other symptoms. At KIMS Advanced Gastroenterology & Endoscopy - KAGE, Hyderabad, we specialize in diagnosing and managing achalasia with the latest advancements in treatment.
Symptoms
Difficulty swallowing (dysphagia)
A primary symptom where individuals struggle to swallow food or liquids.
Regurgitation of undigested food
Food or liquids may come back up into the throat without being digested.
Chest pain, especially after eating
Pain or discomfort in the chest caused by trapped food in the esophagus.
Weight loss
Unintended loss of weight due to difficulty eating and reduced intake.
Persistent cough or choking
Coughing or choking episodes, often triggered by regurgitation.
Causes and Risk Factors
Malfunctioning nerves in the esophagus
A disruption in nerve signals prevents the LES from functioning properly.
Hereditary predisposition (rare)
A genetic component may be involved in some cases.
Autoimmune response
The body’s immune system may attack the esophageal nerves, leading to dysfunction.
Complications
Esophageal dilation (widening)
The esophagus may enlarge due to prolonged food accumulation.
Increased risk of esophageal cancer
Chronic irritation of the esophagus can lead to cancer development.
Malnutrition
Difficulty swallowing can result in inadequate nutrition and weight loss.
Diagnosis
High-Resolution Manometry (HRM)
Measures muscle pressure and function in the esophagus.
Barium Swallow Test
X-ray imaging after swallowing a barium solution to observe esophageal movement.
Endoscopy
Used to rule out structural abnormalities like strictures or tumors.
Treatment Options
Medications
Nitrates or calcium channel blockers to relax the LES.
Botox Injections
Provides temporary relief by relaxing esophageal muscles.
Endoscopic Procedures
Minimally invasive procedures like Peroral Endoscopic Myotomy (POEM) to cut the LES muscle.
Surgery
Laparoscopic procedures like Heller Myotomy to release the tight LES muscle.
Why Choose KIMS Advanced Gastroenterology & Endoscopy - KAGE for Achalasia Treatment?
Expertise in advanced endoscopic procedures like POEM. Comprehensive diagnostic tools like HRM and barium swallow studies. Multidisciplinary approach for long-term symptom management.
Book a consultation at KAGE
Speak to a KAGE gastroenterologist about your symptoms, your diagnosis, or a second opinion.