Thank you dear doctor. You amaze me because of your sincere offer to answer a question that nobody has attempted to answer before. I have had severe achalasia since 1977. I have not lost weight like all the other achalasians I have read over the Internet. I have gained a lot of weight. I was 160 lbs. Now I am 220 lbs.. I regurgitate a minimum of a dozen times per day. I use a waste basket, a toilet, a large mouth container, I go behind bushes. You now have the idea. Nobody has ever talked about how they deal with regurgitation embarrassments. Why the weight gain? 90% of what I swallow, with much difficulty, it regurgitated. My entire family and a the few friends that I still have are disgusted by my achalasia. I have had botox, dilatations, every medication you can think about, and all without being very efficacious. Is suicide my only remaining option? I am just too unhappy now. I find if very demanding to experience any true joy. I was recently discovered to have DB2 and I must us Novolog N 2x/day and Metformin 2X/day. The meds only made me sicker and more nervous. Psychiatry did not work either! The achalasia is very real. It is not a figment of my imagination. I first found out about the disease when an emergency sent me to Mount Sinai in Miami Beach, Florida. The gastroenterologist there refused to do the pneumatic dilatation. But, another doctor stepped in an performed it. They results were mixed. I had to continue using horrible medicines that were so bad that they were actually affecting my personality. It was called Isordil and I got so bad that I was taking so much (with is concomitant severe headaches) that the doctor refused to prescribe any more (he said I had arrived at a toxic level of Isordil). The Botox treatments did only abut 2 months of help. The Mosher dilatations lasted about 3-4 months, and the Heller myotomy has been ruled out at my age (66 1/2) because of sever erosion of the muscle and likelihood of peritonitis due to esophageal rupture. Boy, oh boy, I have probably said too much and I am so consternated and embarrassed to have opened up and revealed so much about my condition If you do read this, I beg you to please forgive me. Sincerely, David Moon I apologize, doctor, but I am impoverished. I have ZERO income a present and I am only surviving due to help from a few friends in Florida. I live in Georgia. I guess I can forget getting any answer from you. You do not work for free and I don t want to rob you of your living. Have a great day. DBM