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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For Achalasia Cardia?

I am 68 years.I am diasonised achalasia cardia.Endoscopy & barium meal has been done.Upper part is enlarged & food dose not go to lower part.some times in night have severe pain in chest.Get food test in mouth after even 8 hrs.Some times I omit also.Tounge is loosing test.For last two days when on liquid for endoscopy tongue has become more clear.In 1995 barium meal was clear but only recent test ravels the disease.It appears this has devolved after 1995. What is best remedy? after treatment is it permanent or again go for same treatment?
Thu, 16 Nov 2017
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Internal Medicine Specialist,  's  Response
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Achalasia is a rare disease of the muscle of the esophagus (swallowing tube). The term achalasia means failure to relax and refers to the inability of the lower esophageal sphincter (a ring of muscle situated between the lower esophagus and the stomach) to open and let food pass into the stomach.
In addition to the failure to relax, achalasia is associated with abnormalities of esophageal peristalsis (usually complete absence of peristalsis), the coordinated muscular activity of the body of the esophagus (which comprises 90% of the esophagus) that transports food from the throat to the stomach.

Oral medications that help to relax the lower esophageal sphincter include groups of drugs called nitrates, for example, isosorbide denigrate, and calcium channel blockers (CCBs), for example, nifidipine and versatile.

Botulism injection at lower esophageal junction, endoscopic dilation OF LES, surgical procedures like esophagomyotomy can be done.

Please consult your doctor for further assistance.
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What Is The Remedy For Achalasia Cardia?

Hello Thank you for trusting HCM Achalasia is a rare disease of the muscle of the esophagus (swallowing tube). The term achalasia means failure to relax and refers to the inability of the lower esophageal sphincter (a ring of muscle situated between the lower esophagus and the stomach) to open and let food pass into the stomach. In addition to the failure to relax, achalasia is associated with abnormalities of esophageal peristalsis (usually complete absence of peristalsis), the coordinated muscular activity of the body of the esophagus (which comprises 90% of the esophagus) that transports food from the throat to the stomach. Oral medications that help to relax the lower esophageal sphincter include groups of drugs called nitrates, for example, isosorbide denigrate, and calcium channel blockers (CCBs), for example, nifidipine and versatile. Botulism injection at lower esophageal junction, endoscopic dilation OF LES, surgical procedures like esophagomyotomy can be done. Please consult your doctor for further assistance.