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Achalacia is a rare occurrence, see how to prevent and treat it

Written By Hanny & Melissa on Tuesday, May 07, 2019 | Tuesday, May 07, 2019

The condition of loss of esophageal ability to encourage food or drink from the mouth to the stomach is a term from Achalacia. This disease is classified as rare and can affect men and women of various ages.

Achalasia occurs when nerves in the wall of the esophagus that connect the mouth to the stomach are damaged and stop functioning normally.

Generally, the Lower Esophageal Sphincter (LES) will open automatically so that food can enter the stomach.

But in people with achalasia, LES does not open and close normally, so food accumulates in the lower part of the esophagus or rises back to the base of the esophagus.

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The main cause of damage to LES is not yet known. However, there are several factors that are thought to have the potential to increase the risk of achalasia, including :

1. Immune system disorders.

- Achalacia is thought to be caused by an immune system error that attacks esophageal nerve cells, resulting in decreased function of the esophagus.

2. Heredity.

- Achalacia is thought to be passed on from an elderly person with achalasia.

3. Virus infection.

- Like the herpes virus.

Meanwhile, symptoms of achalasia appear gradually. Over time, the function of the esophagus will become weaker and some symptoms will appear as follows, namely:

1. Dysphagia

- Conditions when people with achalasia have difficulty, even pain, when swallowing food or drinks.

2. Heartburn

- Is a feeling of burning or burning in the pit of the stomach due to stomach acid which rises into the esophagus.

3. Regurgitation

- Circumstances when food or drink returns to the throat.

4. Chest pain.

5. Vomiting that flows or drips from the mouth.

6. Weight loss.

If the symptoms of achalasia continue to be left without treatment, it will increase the risk of esophageal cancer.

Achalacia and Prevention...

Achalacia disease is difficult to prevent, but sufferers can prevent complications, including:

- Increase drinking while eating.

- Chew food properly before swallowing.

- Live a smaller and more frequent diet.

- Avoid eating before bed, give a minimum of 3 hours before bedtime.

- Avoid sleeping in a flat position, and use pillows to refute your head. This is done to prevent stomach acid from rising into the esophagus.

Achalacia along with its treatment...

The treatment of achalasia disease aims to reduce the symptoms felt by the sufferer, to open the LES muscles so that food and drinks can enter easily into the stomach, and prevent complications.

Here are some types of treatment for achalasia sufferers, including:

1. Widening of the esophagus.

- This procedure is done by inserting a balloon into the part of the esophagus which has narrowed with the help of an endoscope.

The balloon is then developed to enlarge the LES opening, so that food can enter the stomach. This action needs to be done repeatedly to get the best results.

2. Botox injections (Botulinum toxin).

- This type of treatment is carried out for patients with general health conditions that are not good, so it is not possible to do esophageal dilation.

The doctor or doctor will inject botox directly into LES through endoscopy, so that the LES will relax and open. The effect of botox injections is only temporary, can last for several months and sometimes several years.

3. Operation.

The step of the surgical procedure to open LES is known as myotomy. There are several types of myotomy to treat achalasia, including :

- Heller myotomy.

This procedure is done by cutting the LES muscle using a laparoscopic technique or minimal incision surgery, so that the food is easier to enter the stomach.

- Peroral Endoscopic Myotomy (POEM).

The rule is done by using an endoscope that is inserted through the mouth into the esophagus to cut LES.

- Fundoplication.

The doctor or surgeon will wrap the upper part of the stomach (Under the LES) to tighten the stomach muscles and prevent stomach acid from rising. This surgical procedure is usually performed in conjunction with Heller myotomy through laparoscopic techniques.

Then, in addition, the administration of medicines can be done by a doctor if the patient's condition is not possible to go through the esophageal dilation procedure or surgery, and if the botox injection is also not helpful.

Furthermore, for drugs that can be given to relax LES, among others, Nitroglycerin (Nifedipine) is consumed before meals.

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