- Missing peristaltic (muscular) activity
- Failure of the LES to open completely
- Discomfort or pain in the chest , especially after meals
- Coughing, especially when lying down
- Weight loss (as the disorder progresses)
- Vomiting or regurgitating food or liquids. This may occur during sleep. This can cause a person to inhale food particles or liquid, which can lead to aspiration pneumonia and other respiratory infections.
|Heartburn / Reflux Disease|
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- Manometry—A tube is inserted down the throat to test the pressure in the esophagus and the stomach when swallowing.
- Esophagram—X-rays are taken of the esophagus while you swallow barium (a thick liquid that lights up on x-rays).
- Upper gastrointestinal endoscopy (esophagoscopy)—The esophagus is viewed directly through a fiberoptic tube to look for other causes of the symptoms.
American Academy of Family Physicians http://www.familydoctor.org
American College of Gastroenterology http://www.acg.gi.org/
American Gastroenterological Association http://www.gastro.org/
The Canadian Association of Gastroenterology http://www.cag-acg.org/
Health Canada http://www.hc-sc.gc.ca/index-eng.php/
Achalasia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated August 7, 2012. Accessed October 26, 2012.
Achalasia and esophageal motility disorders. The Society of Thoracic Surgeons website. Available at: http://www.sts.org/patient-information/esophageal-surgery/achalasia-and-esophageal-motility-disorders . Accessed October 26, 2012.
Vaezi MF, Pandolfino JE, Vela MF. Diagnosis and management of achalasia. Am J Gastro. 2013;108:1238-1249.
2/13/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Vaezi M, Pandolfino J, et al. ACG Clinical Guideline: Diagnosis and Management of Achalasia. Am J Gastroenterol. online publication, 23 July 2013.
- Reviewer: Daus Mahnke, MD
- Review Date: 09/2013 -
- Update Date: 02/13/2014 -