Achalasia Definition in Medical
Achalasia definition is a condition in which the esophagus loses the ability to push food from mouth to stomach. This disease is quite rare, can be inherited, and can attack people of various ages. However, most people with intellectualities are middle-aged or have an autoimmune disorder.
Normally, the lower esophageal sphincter (LES) will relax so that food can enter the stomach. However, in the sufferer of secrecy, LES does not slacken properly. So the food accumulates at the bottom of the esophagus or more often the food rises again. LES itself is a muscle rupture at the bottom of the esophagus that opens automatically when food or drink goes down to the stomach. And closed by itself to prevent acid and food that is in the stomach does not climb back into the esophagus.
Damage and also loss of nerves in the esophagus wall become the main cause of the occurrence of the secret. However, the cause of the damage or loss of these nerves is still unknown. Autoimmune disorders, such as Sjogren’s syndrome, lupus, or uveitis, can also be associated with the appearance of the secret.
There are several complications that can be experienced by the sufferer of the confidential:
- Regurgitation. Rising stomach acid or food back into the esophagus.
- Pneumonia due to the entry of food into the lungs.
- Esophageal perforation Torn wall of the esophagus.
- Esophageal cancer. Blockage of the esophagus by large amounts of food that can not enter the stomach, then the risk of esophasgus cancer also increases.
Symptoms of Achalasia
Symptoms are something that is felt and told by the patient. The main symptoms that are generally felt by the sufferer of the confidential is:
- Dysphagia, is a condition in which the sufferer of the confusion difficulties, even to the pain, when swallowing food or drink.
- Chest pain, which usually worsens after eating.
- Pain in the pit of the liver.
- Vomiting dripping from the mouth.
- Weight loss down for no apparent reason..
Diagnosis of Achalasia
Diagnosis is a doctor’s step to identify a disease or condition that explains the symptoms and signs experienced by the patient. Some of the things doctors usually do to diagnose the mind are:
- X-ray and Barium Imaging. Patients will be asked to swallow a fluid containing barium chemicals, so that the esophagus can be seen when taken pictures with X-rays. Normally the throat diameter looks quite wide and barium looks smoothly entering the stomach. But not so in the sufferer of secrets.
- Endoscopy. Flexible instruments with a camera at the end will be inserted into the lower portion of the esophagus for doctors to examine the walls of the esophagus and stomach.
- Manometry. Small plastic tubes will be inserted into the esophagus through the mouth or nose, and will record the activity and strength of muscle contraction and check the function of the esophagus. On the secrets will appear the loss of contraction and higher pressure at the end of the esophagus
The purpose of treatment for the sufferer of the secret is to open the LES muscle, so that food and drink can get into the stomach. Some types of treatment for the confidant are:
- The spread of the esophagus, especially in parts of the narrowing with the help of balloons. This action is preceded by total anesthesia and should be repeated several more times after over a year.
- Drugs. LES muscle can relax temporarily by taking drugs. Doctors will usually prescribe drugs such as nitrate or nifedipine.
- Surgery. The esophagus will be accessed through the abdomen or chest, then the strained muscle fibers of LES will be separated. Generally the effectiveness of therapy in this way is permanent.
- Botox Injection (Botulinum toxin). The doctor will inject botox into the LES muscle, because botox can cause muscle fibers to relax. Usually only effective for a few months.
To reduce the discomfort in the esophagus after undergoing widening or surgery, there are several things you can do:
- Drink plenty of fluids during meals.
- Always eat with upright sitting position.
- Do not rush and chew food well before swallowing.
- Use some pillows to protest against the head, to prevent stomach acid from rising into the esophagus and causing pain in the pit of the stomach