Achalasia Disease

Achalasia is one of the rare health conditions that cause food and fluids to be difficult to enter the stomach.

It occurs when the stomach of the tract that connects the oral and gastric cavity, the esophagus, is damaged. As a result, the esophagus suffered the loss of ability to push food down, and the muscle valve limiting the esophageal and stomach, i.e. the lower sphincter of the esophagus, does not experience relaxation completely and causes difficult food to enter the stomach.

The causes of Achalasia

Wits can happen as a result of various things. Sometimes, it is difficult for healthcare professionals to determine the specific underlying cause.

This condition may be decreased, or may also occur as a result of autoimmune diseases. In those conditions, the immune system can attack the healthy cells in the body. The degeneration of the esophagus in the esophageal often contributes to the emergence of signs and symptoms of Asian Asian.

Symptoms of Achalasia

People who experience Asian wits often have difficulties to swallow or feel that the food consumed is stuck in the esophagus. This condition is referred to as dysphagia.

These symptoms can cause excessive cough and increase the risk of aspiration, which is the food that is the inhalation of the respiratory tract with the potential to choke.

Some other signs and symptoms of Achalasia are:

Chest pain or discomfort
Accidental weight Loss
Heartburn
Excessive pain or discomfort after eating

Also, people with wits can experience regurgitation of gastric acid flow back to the esophagus. However, it can also be one of the signs and symptoms of other gastrointestinal conditions, such as gastric acid reflux.

Achalasia Diagnosis

Diagnosis from Achalasia can be determined from detailed medical interviews, direct physical examinations, and specific supporting examinations. Sometimes, it can have signs and symptoms that are quite similar to other gastrointestinal diseases.

Therefore, to confirm the occurrence of Achalasia, the doctor can recommend doing some types of supporting examination, such as:

Esophageal manometry. This examination measures the rhythmic contraction of muscles in the esophagus when a person swallowing, coordination and pressure occur in the esophageal muscles, as well as the ability of the sphincter of the esophagus to experience relaxation when a person swallows.

X-ray examination of the upper gastrointestinal tract. Imaging checks using X-rays can be performed after a patient consumes milky white fluid that helps the doctor to visualize an overview of the esophagus, stomach, and small intestine.

The sufferer may also be asked to take a pill containing barium to help see any obstruction in the esophagus.

Endoscopy of the upper gastrointestinal tract. This examination uses a thin and flexible hose that is accompanied by a lamp and a camera, which is then inserted into the throat to evaluate the esophageal and stomach conditions.

Endoscopy can be performed to determine the presence of partial obstruction of the esophagus when signs and symptoms indicate that it is likely to occur. Endoscopy can also be performed to take a tissue sample by a biopsy to assess the complication of gastric acid reflux.

Handling Achalasia

The treatment of Achalasia is focused to support the relaxation or the opening of the bottom sphincter of oesophageal so that food and fluids can go through the gastrointestinal tract more easily. Self-handling options depend on a variety of factors, among which the age and degree of severity of the condition are experienced.

Some types of handling groups that can be done are:

Non-surgical treatment. One of the non-surgical treatment options can be a pneumatic dilation, which includes the use of balloons inserted in the lower sphincter of oesophageal and developed to enlarge the gap between the esophagus and the stomach. Sometimes, this procedure can require repetition when the sphincter does not open in a sedentary.

Also, it can be given A botulinum toxin type A, which is a treatment to support muscle relaxation. The treatment can be injected into the sphincter of the esophagus with the help of endoscopic tools. The injection may require repetition.

Treatment with botulinum toxin is generally recommended only for people who are not candidates for pneumatic dilation or surgery due to age or health in general.

The third non-surgical treatment is the healing muscle relaxant that is consumed before eating. Since oral treatment generally has a limited therapeutic effect and certain side effects, it is only considered if the sufferer is not a candidate for pneumatic dilation or surgery and the administration of botulinum toxin does not Show the benefits.

Surgical treatment. Surgery may be considered in patients with younger age groups. There are several types of surgical techniques that can be done, depending on various indications.