Esophageal Achalasia

What is it?

Esophageal achalasia is a rare disorder where the muscles of the lower esophagus do not relax properly, making it difficult for food and liquid to pass into the stomach. The condition results from a loss of nerve cells in the esophagus.

What are the symptoms?

Difficulty swallowing (dysphagia), especially with solids
Regurgitation of food
Chest pain or discomfort
Heartburn or acid reflux
Weight loss (in advanced stages)
Coughing or choking while eating

What else could it be? (Differential diagnosis)

Gastroesophageal reflux disease (GERD)
Gastrointestinal motility disorders
Esophageal cancer
Achalasia-like conditions (such as pseudoachalasia)

What are the aggravating factors?

Eating large meals or certain types of food
Stress
Eating while lying down
Alcohol consumption

What types of food are helpful?

Small, frequent meals: To reduce the strain on the esophagus.
Soft foods: Avoid tough or dry foods and opt for smoothies, soups, or pureed foods.
Hydration: Drinking liquids during meals to help swallow food more easily.

Sample Recipe: Pureed Vegetable Soup

Ingredients: Carrots, sweet potatoes, onions, vegetable broth.
Directions: Cook vegetables until tender and blend into a smooth soup.

What are the traditional treatments?

Dilation therapy: Stretching the lower esophagus to improve swallowing.
Botox injections: To relax the esophageal muscles.
Surgery (Heller myotomy): To cut the muscles at the lower end of the esophagus.
Medications: Nitrates or calcium channel blockers to relax the esophageal muscles.

What are the natural and alternative treatments?

Ginger: May help with digestion and reduce symptoms of acid reflux.
Probiotics: To improve gut health and aid digestion.
Herbal teas: Peppermint or chamomile may soothe the esophagus.

Medical Disclaimer: The information provided on this website is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition. Reliance on any information provided on this website is solely at your own risk.