About achalasia

Question

About achalasia

Asked for Male, 17 Years

I have achalasia of type 2 and I had done balloon dilation 3 times but still I have difficulty sleeping at night because I cough whole night As I am a science student due to this coughing whole night I am not able to take a proper sleep and due to coughing I get pain in my throat and fever along with that I had visited many doctors but no one was able to cure my coughing everyone preferred me dmr syrup but syrup only gave me relaxation for a few days but I need a permanent cure to this.

Answers (2)

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Dr. Golamari Srinivasa Reddy

Hepatologist 10 yrs exp Hyderabad

U need to see what type of a achalasia Accordingly u need treatment

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Dr. Digant Pathak General Surgeon 20 yrs exp Jabalpur Consult Now · Accepted Answer

Dr. Digant Pathak

General Surgeon 20 yrs exp Jabalpur

Consult Now

Achalasia patients often have cough because of aspiration ( more so while lying down). Post dilatation it may be because of : Incomplete muscle tear leading to stasis still being there Overdo - leading to reflux Remember- dilatation is NOT a procedure of choice especially in younger age groups

Next Steps

1. Consult medical / surgical gastroenterologist and get re-evaluated including endoscopy, manometry. You may need definitive intervention like endoscopic POEM or laparoscopic Heller’s myotomy 2. Sometimes it is because of reflux following dilatation/ surgery/ POEM - in that case syp like digeraft may be of help. If it still persists then laparoscopic partial fundoplication might be of help

Health Tips

Keep head end of ur bed up Do not lie down immediately after meals