Pain in Esophagus: Achalasia Cardia — Symptoms, Causes & Treatment

 Achalasia cardia is a rare disorder of the oesophagus, the muscular tube that connects the mouth to the stomach. The oesophagus is made up of two main types of muscle: Smooth muscle and Skeletal muscle.

Smooth muscle is found in the innermost layer of the oesophagus and is responsible for propelling food and liquids down into the stomach.

Skeletal muscle is found in the outer layer of the oesophagus and is responsible for allowing the oesophagus to expand and contract so that food and liquids can be swallowed.

In achalasia cardia, the smooth muscle in the innermost layer of the oesophagus fails to contract properly. This results in a build-up of food and liquids in the oesophagus, which can cause difficulty swallowing and regurgitation.

As explained by Dr. Dhaval Mangukiya, one of the best gastro surgeon in surat whose expertise in handling complex cases of oesophageal disorders, achalasia cardia may also lead to chest pain, heartburn, and weight loss. Achalasia cardia is a progressive disorder, meaning it typically worsens over time.

In severe cases, the oesophagus may become so dilated that it ruptures.

What are symptoms of Achalasia Cardia?

There are a few key symptoms of achalasia cardia that are important to be aware of. These can include:

1. Dysphagia: This is when someone has difficulty swallowing. This can be due to the oesophageal sphincter not relaxing properly, which can make it hard to get food or liquids down.

2. Regurgitation: This is when food or liquids come back up after being swallowed. This can happen because the oesophageal sphincter is not closing properly, which can cause contents to leak back up.

3. Chest pain: This can happen because of the oesophageal sphincter not relaxing properly. When this happens, it can cause the muscles in the chest to tighten, which can lead to pain. 4. Weight loss: This can happen because of the difficulty in swallowing. When someone has trouble swallowing, they may not be able to take in enough calories, which can lead to weight loss.

5. Burping: This can happen because of the oesophageal sphincter not closing properly. When this happens, air can escape from the stomach and cause burping.

6. Vomiting: This can happen because of the oesophageal sphincter not closing properly. When this happens, contents of the stomach can leak back up and cause vomiting.

What are the causes of achalasia cardia?

There are several possible causes of achalasia cardia, though the exact cause is unknown in most cases. Achalasia may be caused by a problem with the nerves or muscles in the oesophagus. The oesophagus is the tube that carries food from the throat to the stomach. The oesophagus has two muscle layers. The inner layer is smooth muscle, and the outer layer is skeletal muscle. The smooth muscle contracts and relaxes to move food down the oesophagus. The skeletal muscle is responsible for keeping the oesophagus open.

Achalasia may be caused by a problem with the interaction between the two muscle layers. Normally, the smooth muscle contracts and the skeletal muscle relaxes when food enters the oesophagus. This allows the food to pass through. In achalasia, the smooth muscle does not contract properly. This causes the oesophagus to narrow and makes it difficult for food to pass through. There may also be a problem with the skeletal muscle.

In some cases, the muscle does not relax properly, which makes the oesophagus even narrower. Achalasia can also be caused by a problem with the nerves that control the muscles in the oesophagus. The nerves may be damaged or not working properly. This can happen if the nerves are injured or if there is a problem with the way they develop. Achalasia can also be inherited.

Achalasia is more common in women than in men. It is also more common in people over the age of 50. Achalasia can be a serious condition. If it is not treated, it can lead to weight loss, malnutrition, and even death.

What are treatment options?

There are several treatments for achalasia. Our goal as experts of gastro surgery is to treat the patients as such so that it’s easier for food to pass through the oesophagus. One treatment option is surgery. The surgeon will make a small incision in the chest and insert a tube into the oesophagus. The tube will help keep the oesophagus open.

Another treatment option is dilation. The doctor will insert a balloon into the oesophagus and inflate it. This will help stretch the oesophagus and make it easier for food to pass through. Other treatment options include medications and lifestyle changes.

Medications can help relax the smooth muscle in the oesophagus.

Lifestyle changes, such as eating smaller meals and avoiding fatty foods, can also help. Achalasia can be a serious condition, but it is treatable.

Timely treatment will help you lead a normal, healthy life.

Which is the primary symptom of achalasia cardia?

The primary symptom of achalasia is dysphagia, or difficulty swallowing.

If you notice any of the symptoms mentioned below, we advise you to not delay any further consult an oesophagus specialist available in Surat which will help address the condition and get timely treatment.Other symptoms may include regurgitation, chest pain, and weight loss.

How is achalasia cardia diagnosed?

Achalasia cardia is diagnosed by a combination of symptoms, physical examination, barium oesophagram, and endoscopy.


Location: Surat, Gujarat, India

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