Achalasia
Achalasia is a rare condition that affects the ability of the esophagus (food pipe) to move food toward the stomach. It occurs when the nerves in the esophagus become damaged, making it difficult for the muscles to push food and liquid down into the stomach. The lower esophageal sphincter (LES) — the valve between the esophagus and the stomach — also fails to relax properly, causing swallowing difficulties.
Source:What is Achalasia?
Symptoms
Common symptoms of Achalasia include:
- Difficulty swallowing (dysphagia)
- Regurgitation of undigested food
- Chest pain or discomfort
- Heartburn
- Unintended weight loss
- Coughing, especially at night
Note: Symptoms may vary from person to person and can often be misdiagnosed as other digestive conditions, such as acid reflux or anxiety-related swallowing issues.
For a helpful visual summary of symptoms, please see the Five Symptoms of Achalasia infographic from Achalasia Action.
Diagnosis
Achalasia is typically diagnosed through a combination of:
- Endoscopy
- Esophageal manometry (measures muscle contractions)
- Barium swallow X-ray
Timely diagnosis is important to avoid complications such as aspiration pneumonia or esophageal dilation.
Treatment Options
Although there is currently no cure for Achalasia, several treatments are available to help manage the condition and improve quality of life. These include:
- Pneumatic dilation (stretching the LES)
- Heller myotomy (surgical approach to cut the LES)
- Peroral endoscopic myotomy (POEM)
- Botox injections (for temporary relief)
- Medication (less commonly used)
You can find more information on treatment options here:
🔗 Treatment Options – Achalasia Action
Living with Achalasia
Managing Achalasia often involves adapting your lifestyle, diet, and daily habits. Many people find support from peer communities, carer groups, and patient networks.
You can learn more about practical tips for daily life and read personal stories here:
🔗 Living with Achalasia – Achalasia Action
These resources are designed to be accessible and helpful whether you are newly diagnosed, a long-term patient, or a carer.
