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Hi I’ve Been Having For A Week And It’s Jsut

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Posted on Wed, 7 Nov 2018
Question: Hi I’ve been having for a week and it’s jsut getting worst difficulty swallowing food and water feels like something is blocking it around my stomach area, like a band. Every time I drink water it stops then goes down slowly, my vowel movement is very narrow. I have difficulty breathing due to this feeling
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Answered by Dr. Ramesh Kumar (43 minutes later)
Brief Answer:
Achalasia cardia.

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.As per your complaint, it seems that you are suffering from Achalasia cardia.

Achalasia is a primary esophageal motility disorder characterized by the absence of esophageal peristalsis and impaired relaxation of the lower esophageal sphincter (LES) in response to swallowing.Esophagus is seperated from stomach by a muscular sphincter called lower esophageal sphincter.Impaired relaxation of this sphincter can also be responsible for feeling of food struck in stomach.The degeneration of nerves due to uncontrolled GERD in esophagus often contributes to the advanced symptoms of the condition.


Tests suggested are-
High-resolution esophageal manometry. Using a catheter inserted down your esophagus, muscle contractions in your esophagus are measured when you swallow water.
Endoscopy- To visualise esophagus and stomach.
To prevent the esophageal damage from developing into Barett or acalasia cardai i would suggest you to ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually.
Follow up with reports.
Thanks!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Hi I’ve Been Having For A Week And It’s Jsut

Brief Answer: Achalasia cardia. Detailed Answer: Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice.As per your complaint, it seems that you are suffering from Achalasia cardia. Achalasia is a primary esophageal motility disorder characterized by the absence of esophageal peristalsis and impaired relaxation of the lower esophageal sphincter (LES) in response to swallowing.Esophagus is seperated from stomach by a muscular sphincter called lower esophageal sphincter.Impaired relaxation of this sphincter can also be responsible for feeling of food struck in stomach.The degeneration of nerves due to uncontrolled GERD in esophagus often contributes to the advanced symptoms of the condition. Tests suggested are- High-resolution esophageal manometry. Using a catheter inserted down your esophagus, muscle contractions in your esophagus are measured when you swallow water. Endoscopy- To visualise esophagus and stomach. To prevent the esophageal damage from developing into Barett or acalasia cardai i would suggest you to ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tappered off gradually. Follow up with reports. Thanks!