Esophageal achalasia (swallowing disease)


Description

A rare disease of the muscle of the esophagus. The esophagus is the tube that connects the mouth to the stomach. Achalasia occurs when the lower esophageal sphincter fails to relax and let food pass into the stomach. The cause of the disorder is unknown, and is more common in older patients.

Symptoms

Chest pain, vomiting, difficulty swallowing, pain with swallowing, choking, weight loss.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Barium swallow, esophageal manometry and/or endoscopy may be performed.

Other Specific Tests: Barium swallow, esophageal manometry, endoscopy

Specialists:
Gastroenterology

Treatment

Medications such as nitrates and calcium channel blockers may be given. Other treatments include: dilation of the esophagus, Botox injection of the sphincter, and/or surgical incision of the sphincter.
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