Achalasia (esophageal) - signs and symptoms, pathophysiology, investigations and treatment
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- Опубликовано: 24 июл 2024
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"Achalasia is a rare disorder that results from progressive destruction of ganglion cells in the myenteric plexus of the oesophageal wall. The destruction of these cells leads to the inability of the lower oesophageal sphincter to relax, and leads to the loss of peristalsis of the distal oesophagus. As a result there is dilatation of the distal oesophagus. Patients often present with dysphagia, regurgitation, heart-burn/reflux, and weight loss. Achalasia can occur at any age, but most likely diagnosed in those ages 25-60."
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Just finished medical school and had to come back to say Thank you,,,,
Bless me because I'm about to enter med school
@ajdeguzman2994 how is it so far
I have literally followed your channel now for years...what a phenomenal human you are!
Thankyou for this video. Clearly explained and nice supporting illustrations make it easy for sufferers to understand
Right on time! I just learnt this topic this week. 🥳
2nd Year Medical Student here guys!
@@aadewumijoyjames2411 I diagnosed myself . Just had the test . Been suffering a year with other issues too that haven't been diagnosed . A year , really ! I should've went to med school !!!!!! 😒Some sections of some states , bypass , because the care you get is poor . Never have I experienced this type of care in NY at all . I'm leaving this state and going South 🤔
@@angelar.2088 It depend on the doctor/doctors. It don't matter where you live or whatever. A lot of doctors dismiss the symptoms that women relay to them that they are experiencing. They tend to try to make women believe it's only in their mind. They are arrogant and prideful, and don't like to admit when they are wrong. That's the main issues.
Just goes to show; Nobody likes Yankees! welcome home Y'all@@angelar.2088
This was really helpful! Great work en great information density, loving it
What an excellent Lecture, You know I Studied Harrison For this topic, some points in Harrison Were Ambiguous about this issue, but in this video everything becomed cleared to me.
Thanks
This is great, love the illustration!!!
Thank you for such an excellent video. ❤️
Thank you for this well explained video, to help me deal with this.
I was diagnosed with Achalasia just about a year ago. Finally had an endoscopy with pneumatic dilation about 6 months ago (where they actually did perforate my esophagus in the process), but this is a great video for me to send to coworkers or family members who have questions about it!
I have it for 26 years
Could you please tell me what kind of symptoms you have? I have been dealing with something with my Esophagus for about 4 years now and it’s getting worse. I had a Barium Swallow Through that only showed Presbyesophagus. I have constant throat gurgles with sounds like little bubbles that happens ever single time I even swallow my saliva. I made the mistake of eating a large meal a couple of evenings ago and have been feeling crappy ever since. Every time I have something found, it’s always called mild even though this has been going on so long that now I’m starting to lose weight which after Menopause, I was a little happy about at first but now I’m gradually losing more weight and hope it doesn’t keep going down. The Barium test showed abnormal Peristalsis with lack of primary, secondary contractions with only tertiary contractions noted. I got sick from having to drink all of the fluids before the test and it ended up coming back out about 10 minutes after finishing the drink. I can’t eat large portions and noticed more trouble with lettuce and other raw veggies which I ate a couple of days ago. Sometimes when I bend over, bitter acid type liquid comes out of my throat in to my mouth. I hope that my Esophageal nerves aren’t permanently damaged. I’ve had to basically be my own doctor and have had to ask specifically for the tests that I had (I’m a RN although I can’t work anymore so I have some idea of what to ask for) because I don’t seem to get anywhere. My upper Endoscopy showed not much but some Candida which is what I thought was causing my problems so I asked for some Nystatin that I took for 10 days and it helped slightly but not as much as much as I had hoped. I did that two different times within 6 months and that gnawing feeling is still there. I have a little bulge that sticks out below my sternum and above my upper stomach which is where the discomfort is. I started making my own Sourdough bread ( milling my own flour as well ) and I have a batch of Kombucha that will be ready shortly, all of which I’ve tried to get some pre and probiotics in my stomach but if my nerves are damaged, that won’t probably change anything but is still good for my health so I guess it shouldn’t hurt anything. I don’t drink pop or beer because of the excessive carbonation which doesn’t really agree with me. I had a perforated Appendix 5 years ago and there was a suspicious area on my Gallbladder as well as sludge, so I had that removed and ended up with postoperative hemorrhaging and ended up back in surgery and getting 4 units of blood. My mom has a history of terrible Abdominal Adhesions, Hiatal Hernia, and had to have a Nissen Fundoplication and ended up needing her Esophagus her Esophagus dilated a couple of times and has to take long term vitamin supplements because of that surgery with a portion of her stomach removed from the damage of the acid and Adhesions. I’m going to make another appointment to go and see a Gastrointestinal doctor but will probably end up waiting several months before I can get in because I live in a rural area and have to travel to see someone.
@@eduardoisais3446what symptoms you have and his did you find out?
It’s very interesting to see the barium sliding down through the oesophagus. One needs to be pretty nippy to catch a good image. Thanks for this video.
I have been suffering from achalasia since I was 19. I am now 63. I am glad to finally find out what has been bothering me all this time.
I was 32 and now 65...it's getting old! DT2024!!
@@petemininni5671 I have been diagnosed with Jackhammer esophagus. I am in my 30s. Your survival gives me hope.
I have questions
Do you still suffering from spasm ? Or it is disappear like me ?
I have been suffering from achalasia since I was 14 now I am 30
@@dhekraalmwald845 คุณรักษาโรคนี้ด้วยหัตถการใด?
@@dhekraalmwald845 Wait. Can you please elaborate? I am trying to figure out if I was misdiagnosed or not. I initially had issues swallowing liquids AND solids off and on. And now it's primarily challenging to get solids down. Do your symptoms come and go? Were you diagnosed with alchalasia?
detailed study c few minutes ,its really amazing.
Thank you for all of your work! Helps me a lot ♥
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Excellent definition of the condition and causes -my interest is due to my husband having this - he is having the surgery for it
Really good video. Thanks for sharing.
A very informative video.Thank you sir
Love this channel! 🥳
Congratulations, excellent video, so simple and so clear. My students will be grateful to you. I am a professor at UNAM, Faculty of Higher Studies Zaragoza.
No one asked
@@justinplascencia4861 Oh, okay.
Pls make more videos and complete the series I love this very much
Thank you! I was just reading about this.
I’ve had this since 6th grade..I’m 26 now. My dr said it was in my head till i couldn’t swallow liquids…then they fast tracked me at Texas children’s
That seems to always be the first conclusion…that we are all mental cases. Do they think people really want to go to the doctor when it’s so outrageously expensive and like your visit, get told nothing is wrong with you. It’s medical gaslighting as I’ve come to know. I hope you’re doing better, you’re so young for something like this.
it is wonderfull video.
Thank you for your studying.
thanks very informative notes.
This vedio is awesome due to slowly speaking during learning us. ..so l hope all vedioes are in the same manner to be undrestanded to the students who don't have strong English language as me 😢
This is a good video,and halpful video
Thank you so much!! I was just studying about it!!
U have Achalasia too
@@faizanmani3513 umm? nope.
I was diagnosed with this, was not sure what it was. Thanks for helping me to learn more about this.
Do anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on surgery, injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetics, asthma, Cancer, hepatitis, etc. I've seen it with my own eyes. I was cured of Irritable bowel syndrome and my Sister and her Husband were cured of herpes by dr Osemuahu who uses natural herbs to cure different kind of illness. Even Dr. Osemuahu proved to the whole world that natural herbs can cure all diseases and he cured countless of people using natural herbs. I know is hard to believe but am a living testimony. There is no harm in trying herbs. Contact Dr Osemuahu(email). dr.o.osemuahu@gmail.com
WhatsApp: +2349050925421
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What treatment u r having.any improvement..
I was also diagnosed, waiting on an endoscope to dilate the muscle. Today was the second time in two weeks I choked on my food due to being unable to swallow, having never had it happen before. So scary. I just hope I won't have to wait too much longer incase one day someone isn't around to save me 😞
@@mccarthydonnadonna57 I pray things are better for you in Jesus name. AMEN. I had to change my diet tremendously. I really don't attempt to eat majority of solids. Because it's SO uncomfortable.
thank u it wasreally usefull😊
Beautiful!!!!! ❤
Thank you !
Thanks a lot 🙏🙏🙏
Which app did you use?
Thanks
📽 Very nice video 📹
Is it possible to trace the root cause?
Is der any treatment to restore esophagus motility...I dint get diagnosed for that...actually I had endoscopy last year and they diagnosed as LAX les...bit now am having little swallow problme...shud I get tetsed with esophagus manometry
Yes manometry and esophageal swallow (barium swallow) while radiologist views swallow via fluoro x-ray.
Why would jackhammer esophagus potentially lead to achalasia?
I have IEM (>70% failed). What treatments are possible?
thank you so much ^-^
doesnt the esophagus lack adventitial layer?
otherwise awesome
thanks❤
I wonder if long term Bulimia can be a cause of this? I am just here researching symptoms I am having, with a history of Bulimia.
sir
i am 43 years old.for last tree weeks ...
i am feeling pressurised feeling inside the esopagul ad immediate after the tongue odd senation.. accompanied with headache.... the headache is severe.... with
continued thirst.....
what it could be sir.....
Did you ever figure out what the problem was?
i have also achalasia, and for me it is stress related. I dont know why, but after taking vitamine C it reduces my cramps. Someone told me it was an auto imuun disease so vit C was worth trying. So that helped me alot. Now i have cramps ones a week sometimes ones in two weeks, but with stress, i get them the same day.
When i get my cramp, its unbarable, it hurts and feels like its not going away, i start sweating and turn white. What gives me IMMEDIATE RELIEVE is eating a banana. Why a banana? Because with so much pain i dont have time to chew. Something that is thick inough to passage and but doesnt need much chewing. I eat the whole banana and that pushes my muscles by fors to relieve. It doest enter my stomach directly, but gives me immediate relieve. Than with a full glass of water i push it down. REALLY PUSH IT DOWN with fors. I hope this method will help someone.
Hi How Are You Are You Ok Now
I wonder why is there no esophageal pacemaker just as there is for heart?!
Because it's a rare disorder there isn't enough demand and money to research such a device
Achalasia has a lifetime prevalence of 1:10 000. It is a neurodegenerative disorder in which the neurons of the myenteric plexus are lost, leading to dysfunction of the lower esophageal sphincter and to a derangement of esophageal peristalsis.👍
Is it a neurodegenerative disease? I thought it was an autoimmune disease.
@@marylou6039 No..nothing if this nature is autoimmune.
I am a parkinson disease patient with achalasia problem. Any suggestion?
That sounds more like what I have versus the diagnosis of Presbyesophagus. Only occasional tertiary contractions noted, no primary or secondary contractions with abnormal peristalsis. 52 years old with Fibromyalgia, arthritis, and degenerative disc disease. I need to get in to see someone again and ask some different questions.
Great💙Can you add arabic translation please?
I had this when I was about 6 weeks old, I'm glad it's being discussed because the doctor who saved my life was worried that any effort to save my self could have killed me sooner than the 24 hour window he gave me to live.
I feel like I have this or a minor version... if I eat without some liquid first ....I burp feel chocking...and in a few rare times puked clear saliva.
Started when I was 29. Now I'm 36. It's not as bad now because I identified foods that get stuck or trigger this. But sometimes spaghetti can do it if inforget to chew slowly never diagnosed no health insurance thanks for video
How did you manage it
Could to much alcohol cause problems with your les
thanks for the useful info !
but for people with STOMACH problems, why not start with a 1 -- 7 day FAST
and see how everything is feeling and working after this period without food and the stomach might have a rest and a chance to HEAL without pills, interventions to cut away parts of the body !
This doesn't work, I'm bad enough now that all I can handle is waters and a quarter bowl of soup, situation hasn't improved so it seems it's down to doctors for me now
@@SamanthaOSullivan are you better now
My achalasia got to the point that during that manometry test (the gold standard for diagnosing), even after having fasted, they reported back 100% ineffective swallows and 90% failed swallows, and that was just with a few milliliters at a time of saline. I felt like I was choking on it.
Unfortunately if the LES won’t open enough to let food and fluids through no amount of fasting and waiting will help it. It just progressively gets worse over time
I’ve been doing this for several years now. Every time I have a worsening of symptoms, I basically don’t eat for several days and that sometimes helps but it always comes back. I’m having some kind of flare up right now hence the reason I’m looking for answers. The US health system is not good at all. End up waiting months to see someone only to have the appointment cancelled. Try again I guess but they will probably tell me there’s nothing wrong again or downplay what they find is abnormal. All I’ve been told is that I have Presbyesophagus at the age of 52.
Correction heartburn doesn't occur because of the closed esophageal sphincter prevents the gastro-esophageal Reflex, the pathway is already closed! How come a reflex occur
“Reflux” occurs because your saliva already starts to break down the food as it is heading to the stomach. Because the LES is closed and the food isn’t passing all the way through to the stomach right away the breakdown and digestion of the food in the esophagus gives that feeling of reflux.
For me it would usually go away with a few sips of water once I was able to wash it all down and have it pass into the stomach
Great
I was diagnosed 5 years ago with Achalasia.
I almost died 5 times and food aspiration in to lungs.
Do anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on surgery, injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetics, asthma, Cancer, hepatitis, etc. I've seen it with my own eyes. I was cured of Irritable bowel syndrome and my Sister and her Husband were cured of herpes by dr Osemuahu who uses natural herbs to cure different kind of illness. Even Dr. Osemuahu proved to the whole world that natural herbs can cure all diseases and he cured countless of people using natural herbs. I know is hard to believe but am a living testimony. There is no harm in trying herbs. Contact Dr Osemuahu(email). dr.o.osemuahu@gmail.com
WhatsApp: +2349050925421
Come and thank me later ✌️✌️
What symptoms do u feel?
My wife told me to tell other Achalasia suffers what we discovered that helps and is a non-invasive medical procedure. I started out suffering from Acid reflux for the past 10 years in the last 6 months my food wouldn't go into my stomach. I spent hours on hours spewing up my food and just by chance I found a cure woo hoo. I want to share with other Achalasia suffers. For the past month, this is what helped me open the lower oesophageal sphincter (LES).
Ok, I use this every day, every time I eat, everywhere I go, I carry this just like I do my cell phone, it's called a Terminal Zapper or the basic zapper they both work, man I'm free from spewing up all the fricken time so exhausting. Click on the link and buy one, It really works. Once you have the Zapper make sure you have a brand new 9-volt battery. Usually, with a new 9-volt battery in the Zapper, you turn it on then you hold the copper plates to the skin of your stomach where you feel the food is stuck, and with in a few seconds you'll feel the food slip into your stomach, it's awesome. Eventually when the food takes 5- 10 minutes to slid into your stomach change the battery. I always carry a spare. I know it works, good Luck and pass it on to other achalasia sufferers...... by the way I don't get a commission. I just want to help. Peace rawsynergy.square.site/
@@GWT139 Are you trying to kill someone? You can die from untreated Achalasia. I am one of those who almost didn't make it. No zapper is gonna help with Achalasia. People need to see a doctor for that. Not zapping worms and parasites out of your system, with a "magical" zapper.
This is a real disease, and needs real treatment.
@@me77ki works for me, any operation on my LES would cause my ACID REFLUX to inflame every day on my esophagus and cause scarring on the inner lining of my esophagus. That's what happened to me before. Not only did food get stuck in my stomach it felt like swallowing fricken GLASS. The Fricken ZAPPER helped open my LES and heal the scarring on the walls of my esophagus. Trying to kill someone I don't think so, HELP PEOPLE who have Achalasia & Chronic ACID REFLUX ...
Hello Achalasia Sufferers,
I just wanted to provide a real and honest healing experience. I suffered from Type 2 Achalasia since January 2022. I was at the time 223lbs, and now I am 159 lbs. I just wanted to say not to get all into the Internet stuff about how there is no cure for Achalasia. Yes, it is certainly a rare condition, but you need to see a good GI who knows about the condition and can treat it. I ended up in the emergency room twice this year (2023) and got three tests (barium swallow, CAT Scan, manometry) and a day later the doctor told me I had Type 2 Achalasia. On May 9, 2023 I had to get the POEM Procedure. Now, I am home recovering-eating food and drinking liquids again. Never lose heart and remember to pray! Feel free to contact me or reply with any questions.
sir.. I m.24 at present..i m Also suffering from.. The same prob. Since 2018 , nd now I m diagnosed with Type 1achlasia....i was investigated with (Endoscopy, barium swallow , manometry, chest xray) also I have antral ersosion.
@@dr.shivanidviwedi9734 Hello. Thank you for writing to me. I am sad to hear that you have been suffering from achalasia for 5 years. I was diagnosed with Type 2 Achalasia. All I can say is that I had the POEM Procedure and I am eating back to normal. The only foods that I have problems with are roasted chicken and peanut butter. The Internet says that there is no cure, but the POEM procedure is near close..
Hello! could you give us an update about the POEM procedure? did it work? how are u felling now?
@@camilo1601 Good Morning. Yes, I am feeling great! I don't have any side effects at all. Its about been about 2.5 months and I would say it was 95% effective. The only foods/liquids that I have problems with our fried foods and peanut butter. Also, I am putting back on weight again...... One thing that has helped me is to drink a glass of Almond Milk after eating to wash out the esophagus.
Hi what kind test have you done bcz mine start from chest burning and difficulty slowing heartburn and all those they said o have GERD but I’m not sure I have chest pain difficulty swallowing and horrible stomach pain in past
Is this a sign that it's coming for my OSCE today?🤣
Is it genetic coz i want to die after losing my mom
Seems these disorders may be linked to those tapeworms we all love.
Wowww
U millionaire watching this video very interesting man🙌🔥🔥🔥🧬♥️
Better in previous drawings i think ☹️
Sorry but your information is incorrect. My daughter was born with Achalasia and sometimes it is never discovered until someone is older.
This condition led to my mom's death. And now my whole life has no purpose
مرحباً ..💛
نحنُ لا نعرِفُ بعضَنا أبداً ولكِنّني أحبَبتُ أن تَتلقّى رسالة من شَخصٍ غريب وعَابر، يا من تقراء تعليقى أسأل الله العظيم رب العرش الكريم أن يبيض وجهك ويعلى شأنك ويرفع قدرك وينور دربك ويبارك في عمرك ويرزقك من حيث لا تحتسب و يشفي مرضاك ويرحم موتاك ويبارك في مالك وأولادك ويحقق أحلامك ويعطيك كل ما تتمناه ويدخلك الجنة بغير حساب وأن تلقى الله على رضاه فليس في رضى الله الا الجنة أتمنى لك يوماً ملِيء بالراحة والإنشراح والخِفّة وأن يصَادفُك اليوم خبر سعيد يُعيد لرُوحك الحياة ويَجعلها تَبتهج قد يكون الله سخّرني إليك حتى تَبتسم أتمنى أنني نجَحتُ
My mother is affected by this disease
Mine died 😢
❤❤❤
I have been suffering Achalaisa for about 40 years,because of complications back then have never had surgery to correct this awful disease,I am now 80 years old and I have what has been described as corkscrew oesophagus,I have now developed a very sore roof of my mouth,no bad breath or taste…My question is does anyone else suffer this in their mouth.
I have a horrible taste in my mouth.
What kind symptom you had and how did you find out?
I was just diagnosed with this. Not fun.
Same
@@NurseJhonnawhat kind test have you done ?
My wife has this. I feel for her. She take three drops of THC/CBD.
What that mean??
Weight loss, eh? That eliminates me!
Mmnmnn😮
Sir , your explanation so nice ...but the voice used so irritating ..can you please change the voice used in this channel ..
Sorry but in achalasia heartBurn does not occur because the closed lower esophageal sphincter prevents gastroesophageal reflux
The Reference: Davidson textbook 23 edition
Hi! This is what was explained to me by my doctors:
“Reflux” occurs because your saliva already starts to break down the food as it is heading to the stomach. Because the LES is closed and the food isn’t passing all the way through to the stomach right away the breakdown and digestion of the food in the esophagus gives that feeling of reflux.
For me it would usually go away with a few sips of water once I was able to wash it all down and have it pass into the stomach. I would get “reflux” midday with zero warning and it would cause so much discomfort and pain