Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Achalasia

 Syn. primary motility disorder

Signs & Symptoms

 Regurgitation
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis] Cecil [ 399]
Difficulty belching
Note: due to Defect in relaxation of the upper esophageal sphincter
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis]
Dysphagia for liquids
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis] Harrison [ 2213] Cecil [ 399]
Dysphagia for solids
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis] Harrison [ 2213] Cecil [ 399]

Physical Examination

Lab / Serology

Imagin Study

 Aperistalsis in the distal two-thirds of the esophagus
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis]
Incomplete relaxation of the lower esophageal sphincter
Note: Integrated relaxation pressure above the upper limit of normal
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis]
Aperistalsis in the distal esophagus
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis]

Complication

 Bronchitis
Note: due to Chronic regurgitation, due to aspiration
Ref: Harrison [ 2213]
Lung abscess
Note: due to Chronic regurgitation, due to aspiration
Ref: Harrison [ 2213]
Pneumonia
Note: due to Chronic regurgitation, due to aspiration
Ref: Harrison [ 2213]

Risk Factors

Cause

 Chagas disease
Ref: Uptodate [ Achalasia-pathogenesis-clinical-manifestations-and-diagnosis]

Other