How to manage achalasia?
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A 55 years old lady, presented with progressive dysphagia for 6months, she complained of difficulty in swallowing food since 6 months ago, started with solid food. Besides, she also had loss of appetite and loss of weight (10 kg over the last 2 months).There was no significant past surgical history. She is a housewife and non-smoker. Clinically she was pale, dehydrated, heart rate 80/min (regular) and blood pressure 120/80mmHg. Her weight was 45kg. There was no leg edema. Abdominal examination was unremarkable except for mild tenderness over epigastric region. Lungs were clear with no crepitation bilaterally.
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@mishtu Achalasia is a benign idiopathic disorder caused by progressive neuronal degeneration in the mesenteric plexus of Auerbach, which causing non-relaxing, hypertensive lower esophageal sphincter (LES) and a peristalsis of the esophageal body. This functional damage is irreversible and the treatment of esophageal achalasia is mainly palliative.
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Moved from Gastroenterolgical disorders by R rean_forum_admin