Achalasia Treatment

Achalasia Treatment

Esophagus is a muscular tube, which propels food towards stomach, it has a sphincter or valve at its lower end, which opens during act of swallowing and controls food entry into stomach, but in achalasia this sphincter can not function properly and does not relax during swallowing. 

Achalasia may be primary or secondary, primary achalasia is without any cause, it occurs in absence of any physical deformity in esophageal structure, secondary achalsia is due to diseases like esophageal cancer. 

Whatever the cause but there is lack of nerve supply and imbalance in neurotransmitters which regulate peristaltic action of esophagus (peristalsis is rhythmic contraction of muscles in esophagus and other parts of intestine which propels food particles towards anus). 

Symptoms of achalasia are very distressing for patients, initially there is difficulty in swallowing of solids later it progresses for even liquids, food is swallowed with difficulty and pain, patient feels chest pain due to regurgitation of food and acid reflux from stomach due to loss of tone of esophageal sphincter. 

As disease progresses there is weight loss and nutrient deficiency, often it is misdiagnosed as esophageal cancer because of similar signs and symptoms. 

Diagnosis is made by x-rays with contrast medium like barium swallow, endoscopy, biopsy can be taken during endoscopy. Definitive diagnosis is made by biopsy, which differentiates it from esophageal cancer. 

Achalasia treatment can be done by both drugs and by surgery. Medicines, which are used, relieve muscular spasm and decrease lower esophageal sphincter tone. One method is dilation of esophageal tube by applying pressure through balloon. Surgery is attempted in case of severe spasm leading to life threatening symptoms.

Achalasia Treatment In Urdu and Hindi

Yeh khurak ki nali ki bimari hai jo is kay nichaly hissay mein rukawat dalti hai jab khurak nigaltay hain to puri terha nali mein say nahin guzarti is marz ka sahih sabab maloom nahin hosaka yeh khayal kiya jata hai kay hazmay kay soodray asab kay kam na karnay say yeh bimari hoti hai.

Clinical Features

Yeh bimari har umar mein hoti hail akin bachon mein bohot kam hai yah sal mein lakhon mein say aik ko hoti hai. Yeh aurton mein ziyadah hoti hai. Sance lainay mein diqqat hoti hai nali kay nichlay hissay par sozish hojati hai mariz ko thos aur siyal nigalnay mein kafi arsay say taklif hoti hai laikin woh dhiyan nahin daita khurak atak jati h ai laikin mariz ziyadah pani pi kar nigal laita hai pait mein sakht dard hota hai khas kar nojawan ko is say sehat din badin kamzor hoti jati hai mariz jab sance laita hai to sari huee khurak ki bu ati hai mariz ko rat kay waqt ziyadah taklif hoti hai.

Treatment

Chati ka x-ray liya jai takay rukawat ka pata chalay osiv tegoscopy karnay say khurak ki nali kay nichlay hissay mein carcinoma ka andazah hojaiga C.T scan say bhi wazeh hoga mariz ka endascopic dilalation kiya jai is kay liye newmetic bag istemal kiya jai is say 80% mariz tandrust hojatay hain injection botulinum toxin lagaya jai burhay marizon ko nifedipine 20 mili gram dain.