Understanding Achalasia Cardia and the Role of Esophageal Manometry in Diagnosis

Difficulty in swallowing or the sensation of food getting stuck can be frustrating and concerning. One possible cause of these symptoms is Achalasia Cardia, a condition affecting the esophagus. Early diagnosis and treatment are essential to ensure a better quality of life.

What is Achalasia Cardia?

Achalasia Cardia is a disorder where the lower part of the esophagus fails to relax properly, making it difficult for food to pass into the stomach. This leads to symptoms such as difficulty swallowing, regurgitation of food, and sometimes chest pain.

Initial Examination: Endoscopy

For patients experiencing difficulty in eating, the first step is usually an endoscopy. This procedure allows doctors to visually inspect the esophagus and rule out other structural problems.

If the endoscopy appears normal, yet symptoms persist, a more specialized test called Esophageal Manometry is advised.

Esophageal Manometry: How It Works

Esophageal Manometry is a key diagnostic test for food pipe disorders. It measures the function of the muscles in the esophagus and the lower esophageal sphincter.

Here’s how the procedure is performed:

  1. A thin catheter is inserted through the patient’s nose and guided down the esophagus.
  2. The catheter is connected to a monitor that displays real-time graphical changes.
  3. During the procedure, the patient is given small sips of water (around 5 ml).
  4. Each swallow produces a graphical pattern on the screen, showing how the esophagus is contracting and relaxing.

These measurements help the doctor identify abnormalities in esophageal motility and confirm a diagnosis of Achalasia Cardia.

Treatment Options

Once diagnosed, patients may be advised treatments such as POEM (Peroral Endoscopic Myotomy), a minimally invasive procedure that helps relax the lower esophageal sphincter and improve swallowing.

Dr. Vikas Singla emphasizes the importance of early detection and proper testing for effective management of Achalasia Cardia.

 

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