What is Achalasia Cardia?
Achalasia cardiac disease is a rare condition that affects the esophagus, making it challenging for liquid and food to pass from the mouth into the stomach.
This occurs when the nerves in the esophagus are damaged, leading to muscle paralysis.
Although there is no cure, treatment can assist in managing symptoms and enhancing quality of life.
What Are the Symptoms of Achalasia Cardia?
Symptoms of Achalasia Cardia develop gradually and worsen over time. Common signs include:
- Difficulty swallowing (dysphagia)
- Regurgitation of food or saliva
- Heartburn
- Belching and chest pain
- Coughing or pneumonia from food aspiration
- Weight loss and vomiting
If you experience these symptoms, it’s important to seek medical advice for an accurate diagnosis and appropriate treatment.
How is Achalasia Cardia Diagnosed?
Diagnosing Achalasia Cardia involves several tests:
- Esophageal Manometry: Monitors the muscle contractions in the oesophagus and how well the lower oesophagal sphincter relaxes during swallowing.
- Barium Swallow (Esophagram): An X-ray test highlighting blockages or narrowing in the oesophagus.
- Upper Endoscopy: A procedure where a flexible tube with a camera is inserted to examine the oesophagus and stomach.
These tests help determine the type and severity of the condition, allowing for a tailored treatment approach.
What Treatment Options Are Available for Achalasia Cardia?
There are various treatments to manage Achalasia, including:
Medications: Muscle relaxants can help, but they are less effective and used only if other treatments are not viable.
Surgical Options:
- Heller Myotomy: A procedure where the lower oesophagal sphincter is cut to ease food passage. This can be done laparoscopically.
- Peroral Endoscopic Myotomy (POEM): A minimally invasive technique where an incision is made in the oesophagus using an endoscope.
- Fundoplication: Often performed with Heller Myotomy, this surgery prevents acid reflux by wrapping the stomach around the lower oesophagus.
Each treatment has its benefits, and your doctor will advice the best approach based on your health and condition severity.
How is Achalasia different from oesophagal cancer?
- Endoscopy
- CT scans
- Biopsies
can help differentiate between Achalasia and oesophagal cancer.
What are the complications of Achalasia Cardia?
Potential complications include
- Esophagitis
- Pneumonia
- Esophageal cancer.
If you are experiencing symptoms of Achalasia Cardiaca, early diagnosis and treatment can make a significant difference. Contact us to schedule an appointment and explore your treatment options. Let us help you take the first step toward better digestive health!
