Achalasia

Achalasia

is a condition in which the esophagus It is a food tube that connects to the mouth and stomach. In this condition, both solid and liquid food can pass through the stomach. because the sphincter does not expand after food enters This condition can occur at any age and cannot be prevented.

cause
The exact cause is unknown. It may be caused by damage to the esophageal nerve, infection, or congenital.

symptom
The main symptom is difficulty swallowing fluid at first. and solid follow Weight will begin to drop due to difficult and painful eating. Other symptoms include chest pain, pain when swallowing, coughing, difficulty breathing, vomiting, burping, in very severe cases. May be found to have bad breath as well.

diagnosis
by swallowing powder for intestinal x-ray or radiographic examination of the bronchi This method shows the narrowed and wide part above the sphincter before reaching the stomach. The contraction force gauge will help measure the movement of the esophagus. and increased contractile forces at the lower position of the sphincter, endoscope examination, endoscopy to assure sphincter stenosis, and biopsy to determine that it is not another nocturnal cause

treatment
There is no specific treatment for this symptom. But it improves symptoms and prevents complications that follow. The goal of treatment is to reduce the pressure on the lower esophageal sphincter. By expanding the sphincter with a tool or making a balloon. After dilation, the trachea does not move as usual. and must be repeated if symptoms recur
Medicines such as nitrate or cacium channel blockers can help reduce pressure in the sphincter. which these drugs are used when for people who are unable to use the enlargement method
Botox injection into the sphincter area which is a new method used to treat before deciding to have surgery If all treatments are unsuccessful, your doctor will need to open or use a laparoscopic surgery to cut down the pressure on your esophagus if left untreated. Complications may occur, such as rupture of the esophagus. gastric acid reflux Choking causes lung infections. Some people can cause esophageal cancer.

Things to do
Eat and chew slowly.
See your doctor if you still have difficulty swallowing after treatment. or have abnormal symptoms
Should see a doctor immediately when vomiting blood or other foreign symptoms.

don't do
Do not eat or drink while sleeping.
Do not eat food that is too hot or too cold. which will make the symptoms worse