Achalasia cardia is a condition that affects the food-pipe or esophagus. It makes it hard for food and liquids to pass into the stomach. This happens because the muscles in the esophagus do not work properly. As a result, a person with achalasia cardia may experience difficulty swallowing, chest pain, and weight loss. Understanding how achalasia cardia is treated can help those suffering from this condition find relief.
Before discussing treatment, it is crucial to diagnose achalasia cardia correctly. Doctors perform various tests to confirm the diagnosis. These tests include an endoscopy, barium swallow study, and esophageal manometry. The endoscopy allows doctors to look inside the esophagus. The barium swallow study helps in visualizing how food moves through the esophagus. Esophageal manometry measures the muscle contractions in the esophagus.
Once diagnosed, treatment options can be discussed.
There are several treatment options for achalasia cardia. The choice depends on the severity of symptoms, age, and overall health of the patient.
In mild cases, making some lifestyle changes can help manage symptoms. Eating smaller meals is one suggestion. Soft foods and liquids can be easier to swallow. Staying upright after meals for a few hours may also help food move down more easily.
If lifestyle changes are not effective, medications may be prescribed. Medications like nitrates or calcium channel blockers can help relax the lower esophageal sphincter (LES). This relaxation allows food to pass into the stomach more easily. However, these medications may not work for everyone and are generally used as a temporary solution.
Another treatment option is pneumatic dilation. This procedure involves inserting a balloon into the esophagus and inflating it. The balloon stretches the LES, allowing it to open more freely. Many patients find relief after this procedure, but it may need to be repeated after some time.
If other treatments do not work, surgery may be necessary. The most common surgical procedure for achalasia cardia is called Heller myotomy. During this surgery, surgeons cut the muscle at the lower end of the esophagus to allow easier passage of food into the stomach. This is accompanied by a fundic wrap.
This surgery is often performed using laparoscopic techniques, which are less invasive and involve smaller incisions. Patients experience shorter recovery times compared to traditional open surgery.
For some patients who are not candidates for surgery or prefer a non-surgical option, botulinum toxin injections can be an alternative. This injection relaxes the muscles of the LES and can provide temporary relief from symptoms of achalasia cardia.
Post-treatment care is essential for ensuring successful outcomes after any procedure for achalasia cardia. Patients should follow their doctor’s advice on diet and activity levels after surgery or other treatments.
Regular follow-up appointments are also necessary to monitor any changes in symptoms and to check if additional treatments are needed.
There are several effective treatments available for achalasia cardia ranging from lifestyle changes to surgical interventions. Each patient’s situation is unique; therefore, it’s crucial to consult with a healthcare professional specializing in this area for personalized advice.
If you or someone you know is struggling with achalasia cardia, do not hesitate to seek help from experts who can guide you through your options for treatment.
Don’t let achalasia cardia control your life any longer! Reach out for professional help today and explore your treatment options. Whether it’s through lifestyle adjustments or surgical interventions, relief is possible! Contact your healthcare provider now to start your journey toward better health and wellness!
Dr. Aparna Govil Bhasker is a Laparoscopic & Bariatric Surgeon with experience of over 15 years. She is an alumnus of Mahatma Gandhi Institute of Medical Sciences, Sewagram. Incidentally, she was the first lady in more than 20 years to take up surgery as a specialization in her institute. Women in surgery constitute less than 5% of the total number of surgeons in India and have to face a lot of prejudices. However, she considers herself to be blessed to have been trained by the best teachers and most supportive colleagues… Read more