Did you have surgery? If so, care to share where/with who? Thx. My wife is undernourished and constantly dehydrated from regurgitating ALL FOODS AND LIQUIDS. Did the Botox injections 2 days ago. Hope this helps for the time being anyway.
I had my surgery this past Monday! I feel like I have my life back now! Still having mini spasms as I heal but MY God, i have my life back!!! I had allcthenpre-tests laid out by the Dr to arrive at my diagnosis!
Thank you god this video. My 46 yr old wife was recently diagnosed with Achalasia and is awaiting surgery. She’s been given the choice of Hellas or POEM. You’re mention of shingles as a cause stopped me in my tracks. My wife has shingles a few years ago and this IS the time her issues started.Her case of shingles started as severe pain in her chest and stomach. She thought she was having a heart attack.
Thanks for this. Makes me feel like I'm not alone in this. I'm terrified over having this illness and stuff. It's been years and I just got the courage to get the process going.
Next week is my monometry. 2 weeks after that is my endoscopy/biopsy. After that is scheduling the POEM. i completely know what you are going through and it also scares the hell out off me as well . We have to go through this everyday with everything we eat and drink. I've had this since i was in high school (im 33yrs old now) and doctors just told me that i wasnt chewing my food enough and that it was just acid reflux...ugh....ive been struggling even a lot the past year and a half. July last year my doctor had me get some x rays. As i was driving back to work after my x rays my doctor called me and told me to go straight to the ER. in the xrays he say that my trachea was being pinched ( my esaphagus was pushing on my treacha do to food build up) I cant wait for the procedure because im so tired of struggling on a daily basis. even with simple things like water is now hard to get into my stomach
Hi friends, how are you both doing? I’m trying to get my consultation for my POEM hopefully before the year is up! Take care guys and let me know.. right there with you
I am awaiting the results of my final test ,an Esophageal Manometry, to determine next steps. So far,everyone agrees it is Achalasia but what stage and what to do next is still up in the air. This video was the second one I watched after seeing the recommended video suggested by my GI doctor. This is a lot to digest (no pun intended). I am grateful reputable doctors are willing to share information with us laypersons. Thank you again!
I suffer from Achalasia. I have already had the esophageal manometry test, it's not the most comfortable test but it is essential in determining if you actually have Achalasia and if so what type you have it will be read by your gastroenterologist and also a gastro-surgeon that specializes in the poem and helmer surgery's they will be the ones that tell you what procedure they recommend.I had the poem surgery and it has been 2 months since I had the surgery. If you get the surgery you will have a 1 night stay in the hospital, followed by a call from the surgeon in about 1 week. You will gradually go from a liquid diet, to a soft diet, to actual regular food. This whole process takes about 5 weeks before your are eating regular foods, also you will not be able to eat everything even then, you must eat very slowly and drink after each bite to help push the food down.Its not horrible after the surgery but it is a life adjustment.
Thank you so much for this video, I am having a poem procedure in 5 weeks and have been researching achalasia for the last 6 weeks and this is by far the most informative easy to understand video I’ve seen. Thanks again.
Thank you so much I got Achalasia 34 years ago while pregnant with my daughter it got really bad fast it almost killed me and my baby at 5mths pregnant I got the balloon stretch and it worked but had to get it again as symptoms returned after my child was born.it's causing really bad chest spasms and causing coughing and wheezing at night now it's unbearable.
I’m 76 & just diag with Achalasia after endoscopy, esophagram, esophageal manometry & abdomen scan. Meeting with GI Dr in 2 days so found this vid to the point & very, very helpful. Thanks for the info, I feel better prepared for my meet & greet! 😬
I am very impressed with the doctors excellent and understandable (from a lay perspective) presentation. I live in Knoxville Tennessee and obviously have some form of Achalashia. I was wondering if there is a physician group or individual physician, anywhere close to my area, that you might recommend whom i might see for treatment?
Thank you Dr. This video was very informative. Now I realize I have Type 1 and I can get Poem to start off with, if it's not suggested them poem it is.
Libra Jackson after that I’ve got a ballon dilation in June. It didn’t hurt anything. But I still feel achalasia and the heart burn often. So maybe in December I will try surgeon
I have had some type of hiccup related stop breathing episodes for 6 years. They have become more frequent over the years. After seeing various specialist locally I never received a definitive answer other than severe regurd. I was referred to a very well known Dr. Here in Jacksonville, FL. He did the LYNX procedure. Supposedly this cured the regurd problem. The hiccups and stop breathing episodes have continued. I just went to UF in Gainesville and was told probably some of the regurd was getting thru causing this and my panteprazole has been increased to 80 mg a day. This has not stopped these episodes. I'm 75. Quality of life deteriorates during these episodes which can multiple daily to none for several days. Where should I start?
Thank you so much for making this video. I am currently under doctors care at OSU Gastro for several issues. One being Pernicious Anemia with Sever B12 Deficiency along with Autoimmune Atrophic Gastritis, Hiatal Hernia along with other diagnoses. After my mother passed in 2007, from Gastric Cancer is when I was diagnosed with the listed. This past week I had a Manometry done due to having difficulties with swallowing liquid and solids, food getting stuck, extreme heartburn, regurgitating liquid and solids, waking in the middle of the night gagging to name a few. Thanks again for this video
I’m curious to know because I was told that I may be having esophageal spasms and a manometry needs to be conducted. My symptoms are much like yours and I’d like to know what to expect!!
My child ended up having achalasia.she cant swolloe her food or drink anything due to regurgitation. She had lost wt in a wk and it took 5-4 ER visits. She had an ensophical-intestinal-series(barum given to see how far contrast gos down) it got stuck in her lower part of her insophagus. Now shes on an NPO (nothing by mouth) and now had to be tube fed for a few wks until we get a motility test to see what type of achalasia she has. If you feel you may have this i suggest an Endoscopy, thats how i found out. Good luck to everyone that is suffering from this
Thank you so much , your detail was very useful for me,I am a General Physician In Iran with with fourty five years medical practice, topic chief complain is dysphagy with best wishes Dr Alireza
I've been searching omg !! Chest , stomach , spasms feels like a house on my chest , can't swallow at all . Bronchus and Trachea shows a problem but doctor doesn't know . I found this out from health insurance paper . Several times a day I go through this and its scary 😪😪😪😪
I had brutal hiccups to which I didn't know that hiccups was my body's way of forcing my LES open. I feel much better after my heller myotomy dor fundoplication.
I feel like I've had this for 7 years ....I thought I was allergic to something or crazy....checking burping would last 35 min and was horrible. I think this is it. But then again I'm no doctor and have no insurance ha
This was very comprehensive and informative. My condition is in decline and it’s time for next steps. I really appreciate the overview of options. Thank you.
I heard about this disease out of the blue but the symptoms are spot on for what my husband has been suffering with since he was about 30, he’s now 41! Last night dinner was stuck in his esophagus for almost 30 minutes and he threw up several times. It scared our children so horribly and I almost called an ambulance. He could talk so I know he was breathing but I’m so scared to lose him. What can he do in the meantime until they identify what’s going on? Soft food, or more chewing? Liquids only?
@@dogger37JC hi! I forgot I commented on this. So he had an endoscopy and they said it was reflux. He’s been taking an anti reflux medication and has not had an episode since. They mentioned IF that didn’t work they’d do more testing, I’m glad to report it has been working thus far. Thank you for checking in.
I'd like to know why folks are not told what type of A they have when they are diagnosed. And I'd like to know why all three types have spasms and what causes them. What percent of people are obese or overweight? Does the food delay create this problem? How long do the procedures last? How often should we follow up with doctors? Many people are told to come back when something is wrong. Thank you!
What can I do when the radiologist who performed the esophagram on me wrote that there was NOTHING wrong with my esophagus, whereas I am dangerously thin and have been on a liquid diet for months, I have Tardive Dyskinesia from being poisoned by cobalt from failed hip implements. The cobalt destroyed the nerves around my swallowing. Nothing goes down! Food from breakfast remained! I am terrified! How can I get treated if such a supposed professional is so completely off base with a life-threatening condition. I am 68! I had 5 years of botox. Last year's esophagrapm showed trouble in motility. Now I am supposedly healed?
I was only diagnosed with Achalasia a few days ago. I hadn’t thought that my symptoms were serious so I’m in shock really. I wish I’d seen this video beforehand as I didn’t know there are three types and in wasn’t told which one I have, I’m waiting for two appointments, one with a surgeon to discuss the next step, and another one for Botox injections as a stop gap while I’m waiting. Thank you so much for this video. It is excellent! One thing you didn’t mention is the possibility of having both acid reflux AND Achalasia? I’ve been treated for acid reflux for about three years having had endoscopies etc. Now after further tests including manometry, I have a diagnosis of Achalasia! Is that possible? Or can reflux possibly develop into Achalasia?
Can I ask where u were diagnosed. My wife has all the symptoms and brutally failed two manometry tests yet no diagnosis. She cannot hold anything down including water. She is dehydrated and under nourished.
@@GeneralFixingBotox is bad for treatment. Every specialist that I saw said to avoid it at all cost. It causes scar tissue that will make it worse and affect surgical options. It is also only temporary. I had it once and it didn’t last long.
Thanks a lot dr.ur vedio explains us today what actually aschelesia is.my mother is going tp attend for surgey ..v r very much worried how it vll be..pl prey soon she vll recover from this problem..plzzz God ....she just notice that problem..six months before..v r going for surgery better not to get delay ..As per doctors advice..thanku very much dr.
Just had the poem surgery cause ive had this disorder for just over a year and its so nice to drink water without resistance. The first drink ive had after the procedure i couldn't stop smiling, its so relieving!
Just diagnosed with Jackhammer Esophagus. Pain is 10/10. Dysphagia. No regurgitation at all. Almost no acid reflux, maybe 1 Tums a month and all gone. 30+ pounds lost. I'm just not going to risk the feeling of a heart attack more than once a meal.
Mainly extreme pain when trying to swallow. As if I can feel it very slowly tearing its way to my stomach, anywhere from 1 - 5 minutes. After that I no longer feel like eating, just not worth it. It's not every swallow, it seems completely at random. It does not happen with any regularity, rhyme, or reason. I can sometimes go a day without it happening, but that is rare. It can happen when swallowing water or solid food. The manometry showed extreme pressure on 8 out of 10 swallows, although I only noticed a very mild discomfort on 1 swallow during the test. I didn't have a full on attack during the test, I can't imagine how that would have felt or if the thing down my throat would have survived.
other than being really uncomfortable is this condition deadly? i have been dealing with difficulty swallowing like my throat muscles arnt strong enough to push the food all the way down. im on a liquid diet but even with that i still get an intense globus sensation after eating.
hi i have acchylasia and had the poem surgery years ago when it first came out and i had some relief but not for long i developed a hiatal hernia and was removed when i had another surgery where they took the stomach and wrapped it around the esophagus and created a little flap to let the food go down i have very little peristalsis thats where the muscles squeeze and let the food go down i am on a soft diet ensure 3 x a day and soft foods in blender. I am basically going to have this diet for the rest of my life. the next step is to remove the esophagus and be on a feeding tube so i follow my diet.
I have been diagnosed with Type II Achalasia and my doctor recommended POEM. He suggested that I search around to get more information before making any final decision. After watching this video, I wish to thank Dr. Sedarat for basically covering every question and concern that I have in regards to POEM vs Heller Myotomy. Given that I have UES issues as well, POEM is most appropriate for my diagnosis. I don't look forward to reflux however the symptoms that I am living with today are not sustainable.
I have been diagnosed with type lll Achalasia, and the type of surgery poem or heller is based on the type you have. I have just gotten the poem surgery and I am 2 months out post-surgery, between, God the doctors and the surgery my quality of life is much better you have to get your gastroenterologist to refer you to someone that specializes in this type of surgery.I wish you well may God bless you.
Thanks for this info and my dr told me that more then likely i got it from a Mosquito bite when i lived up in Barrow Alaska and then have been told by other people who aren’t drs lol that mosquitos don’t cause this
I'd like to know more about this if you've found any more information. I'm from the Yukon and the mosquitos are horrid there - and AK - as you know I'm sure.
Can we say that if the myotomy extends beyond 1 cm on the stomach ( usually required ) an anti- reflux procedure ( wrap ) has to be added to myotomy . Lap myotomy is comparable to POEM though its efficacy is less than POEM in type 3 achalasia. Whereas reflux is higher in Poem than Heller.
I had a problem similar to this but when I started taking vitamins individually, especially B1, B6 and B12 (I use B12 liquid) as well as calcium (liquid) every once in awhile for calcium - it went away. I didn't get a barium swallow but I almost did. I did also start taking magnesium citrate.
I have this condition and surgery is what has been diagnosed, entry under chest area both sides, will they be able to reach the upper part of the esophagus where the food gets stocked throat area , who can I contact the Doctor ?
I have a disease that belongs to the same family of esophageal diseases. It is called ineffective esophageal motility. I dont have dysphagia, but i am out of breath all the time due to prolonged gastric content exposure in esophagus. It was brought on by a viral infection. Basically it is a condition of a damaged vagus nerve. It is hell on earth. Nerves are the hardest tissue to heal. I have no idea how i should live like that, gasping for air all day. :( My symphaties for all people with neurogastro diseases.
Thanks, Richard! Got the results back. Type 2 for me. Bleh. But I've heard that out of the 3 types to have, Type 2 is the better choice. Brightside, I guess? LOL
Doctor, could not this condition which I experience on and off, be caused by Spinal issues... You don't address that possibility. I suffer with a number of spinal issues (too numerous to delineate here, but includes but not limited to: DDD , Dextroscoliosis , L1 & L2 disc herniations into the spinal canal AND into the front stomach area, Facet Joint arthritis almost throughout the entire spine,etc.). I have come to learn that the SPINE is the secret to health . My cervical spine is affected as well: C3-C7 disc bulges , DDD, and Military Neck. These conditions affect the VAGUS Nerve - the Mother of all Nerves in the Body - affecting many organs (as I/m sure you Know). As I research more and more on my Own, CErvical Instability contributes and causes soooo many problems. Tinnitus, Sinusitis, GERD, IBS (git that too for many years), TMJ, ear and teeth pain, occipital pain to the bridge of my nose, etc.... The spasms are felt in my chest, my stomach, my Diaphragm , rib cage (TY9-T10 disc is herniated), and the scoliosis (at 25 degrees sustained due to a 1 inch shorter right leg resulting from a fractured femur sustained in 1966 {I'm 69 now}. Too many doctors offer only Bandaids and meds to treat symptoms, and not treating the Causes....
Im no doctor but ive been having trouble swallowing and heartburn esophagus spasms everything he speaks of im 42 been dealing with this 10 years i also belive the spine is a big part of everything that you speak of i also have bad cervical problems which i believe affects my jaw ears i think from my research and im pretty educated with a good brain i think that the spine is out of alignment with the organs plus POSTURE is a big issue that can cause these sickness by pulling n pushing our stomachs out of place nerves compress etc
Im no doctor but ive been having trouble swallowing and heartburn esophagus spasms everything he speaks of im 42 been dealing with this 10 years i also belive the spine is a big part of everything that you speak of i also have bad cervical problems which i believe affects my jaw ears i think from my research and im pretty educated with a good brain i think that the spine is out of alignment with the organs plus POSTURE is a big issue that can cause these sickness by pulling n pushing our stomachs out of place nerves compress etc
Thank you Dr. This was very clear. I had the monometry and I chocked on the test and my esophagus closed up completely. I am starting with Botox and see if it works I need the surgery. I also have lupus and fibromyalgia. Is it true that autoimmune disease can trigger it? I wish I could see you. I’m in MN. Thank you in advance 🙏🏼
I also have fibromyalgia and had a lung infection years ago that seemed to trigger all this. Was diagnosed with GERD years before all that. I’m hoping to find a dr to help also! In Oregon.
Hey if you are having difficulty swallowing food or the food gets stuck midway and you are having heart burn sensation or coughing more often at nights this probably a common symptom of Achalasia called dysphagia. To ease the pain I’d suggest you avoid dry foods, dough-based items, and fruit and vegetable skins wherever feasible. Also, consider reducing or avoiding gristle and meat products entirely.
Barium swallow which is pretty much straight forward fluoroscopy exam. You will be given an X-ray dye and X-rays will me taken in a video form to check the flow of the dye starting from throat going through ur foodpipe into ur stomach
I’ve had all of these tests in 2020- 2021than had a esophageal dilation but apparently not the help I need I only wish it were that easy. I have these both along with several other symptoms this started in February 2020 stopped for nearly a year than returning the same week after getting over COVID-19 in August 2021. No doctor where Im from can diagnose or help me.
I am going to UCLA health soon for an esophagus specialist. I had bulimia and now im better but I have the constant taste of rotten fat and off of other research it may be achalasia. Is this true or what else could this be?
I'm also suffering from Achalasia and is this possible for me to contact to dr. Ali Reza, i want to show him my berium xray and want to take his advice & suggestions, i don't want operation, it will be very helpful for me, can you please provide any way to contact him?
I have achalasia and I find I have gained weight instead of lost. Along with my PCOS and love of delicious food (which very well both contribute to weight gain), I am able to eat so much food and not be full. My doctor explained this to me as eating food and the food not entering my stomach, therefore not signifying to my brain to stop eating because my stomach is empty. So instead of a meal sitting in my stomach where it belongs, it sits in my dilated esophagus and my brain thinks I’m starving despite having just eaten. WTH! Also, I must be really “special” since 1-2/100,000 people have achalasia, and my uncle has achalasia too! Oh yeah, my surgeon thought I was kidding about my last name..
I do have problems swallowing. Food tends to just sit in my esophagus, and it can be really uncomfortable and board line painful if I ate too much. Do you have the chest pain after you eat a meal or all the time? Also a symptom I have (which is gross I know) is being able to bring food back up (kind of like on demand regurgitation) up to hours after eating. I know, nasty.
@@serenaheller9514 It is rather ongoing, not immediate after eating. Although I ate too much yesterday and woke up with the pain worse all day today. Also starting to get a few regurges and burping despite Never being a burper. Now that the heart tests are done will probably request the esophageal pressure test. Thanks for posting, was helpful.
I do not understand at all how you can have Achalasia and gain weight. How can you gain weight if the food isn’t making it’s way into your stomach? How can you eat more without throwing up when the food is stuck in your esophagus? As someone who’s had this for 25 years it literally makes no sense.
Dr. A PT can have re flux if the PT don’t had a hernia in the esophagus ? How fast we can had the next laparascopy for the fix the abd hernia or herital as soon the pron is done?
Is botox injection contraindicated for those that are immunocompromised? I'm a 2nd year med student and we just started on our GI block this last week.
Thank you very much for presenting in a very simple and beautiful way. I have been suffering from this problem for about three to four years but when from August 2021 the food drinks swallowing became almost uneventful and the weight started to decrease abnormally (from August 2021 to September 2022 the weight decreased from 75kg to 62kg) after repeated push by GP, after endoscopy and Barium X- ray test I know that I have Achalasia. I don't know what type but it said Botox can do injection. Will it be good for me? It would be helpful to know. thank you. What can someone say, who has taken such treatment and how are you now? I will be grateful if you share me a bit.
Don’t do Botox. From everything I’ve been told in the last 12 years it’s not worth it for the long term effects. It causes scar tissue and it only lasts for a short period. I was told it can make surgery not as effective or even possible if the scar tissue is bad.
I have achalasia. I have developed breathing problems due to this. I have had various treatments done. Am trying to manage this condition. Am I allowed to have a tummy tuck if I have this condition? Can it be harmful?
I’ve been diagnosed and have been suffering for months. I’ve chosen the POEM but my question is: Has anyone who is in this comment section having this issue has weight loss surgery? I’ve had the sleeve and when I’m in the waiting room at the GI Surgeon the amount of people getting seen for this issue that has also had weight lose surgery is concerning to me. Thank you!
I've had the Heller- Myautomi, with return of Symptoms I'm now going to have the Botox Treatment after 2 ballooned Treatments,# 1 Helped..but #2,Didn't do Any Good! Should I ask about the " Poem" Treatment also? Witch One Would be the Better?..👨⚕️👩⚕️🏥🔪..What Say You?..👓👍
Get second opinions, x rats and new barium swallow tests. Something may have gone wrong with your heller myotomy. This is a delicate surgery and has risks of going wrong. See other doctors. You owe it to yourself.
Awesome, wish i would of watched this video before. I had hellers myotomy done 3.9.20 im still doing soft diet (which was better ecplained here, needless to say i have had more then soft foods) i guess its ok. Im alive to type this. After 2nd day post op nausea is rare, maybe 2 very short episodes. I have rheumatoid arthritis, but real, steady symptoms started immediately after my stroke. Good luck eceryone!!
Very interesting and informative. I am meeting with a surgeon tomorrow re: having a POEM. I have been diagnosed as Type III and am very anxious to get relief and obtain my prior quality of life.
This has to be the most detail I've seen regarding this condition, which I personally suffer from. Thank you
Did you have surgery? If so, care to share where/with who? Thx.
My wife is undernourished and constantly dehydrated from regurgitating ALL FOODS AND LIQUIDS. Did the Botox injections 2 days ago. Hope this helps for the time being anyway.
Agree! Covers all the details I've had to peice together. Plus video on POEM is very informative. Thank you!
I had my surgery this past Monday! I feel like I have my life back now! Still having mini spasms as I heal but MY God, i have my life back!!! I had allcthenpre-tests laid out by the Dr to arrive at my diagnosis!
Have your symptoms still been improved 6 months later compared to what it was? I have the same condition and I am curious about the surgery.
Thank you god this video. My 46 yr old wife was recently diagnosed with Achalasia and is awaiting surgery. She’s been given the choice of Hellas or POEM. You’re mention of shingles as a cause stopped me in my tracks. My wife has shingles a few years ago and this IS the time her issues started.Her case of shingles started as severe pain in her chest and stomach. She thought she was having a heart attack.
Thanks for this. Makes me feel like I'm not alone in this. I'm terrified over having this illness and stuff. It's been years and I just got the courage to get the process going.
Next week is my monometry. 2 weeks after that is my endoscopy/biopsy. After that is scheduling the POEM. i completely know what you are going through and it also scares the hell out off me as well . We have to go through this everyday with everything we eat and drink. I've had this since i was in high school (im 33yrs old now) and doctors just told me that i wasnt chewing my food enough and that it was just acid reflux...ugh....ive been struggling even a lot the past year and a half. July last year my doctor had me get some x rays. As i was driving back to work after my x rays my doctor called me and told me to go straight to the ER. in the xrays he say that my trachea was being pinched ( my esaphagus was pushing on my treacha do to food build up) I cant wait for the procedure because im so tired of struggling on a daily basis. even with simple things like water is now hard to get into my stomach
Hi friends, how are you both doing? I’m trying to get my consultation for my POEM hopefully before the year is up! Take care guys and let me know.. right there with you
Dr. Sedarat performed my POEM. He is AMAZING!
I’m also seeing Dr. Sedarat for the POEM soon. How are you doing with spasms and reflux?
I am awaiting the results of my final test ,an Esophageal Manometry, to determine next steps. So far,everyone agrees it is Achalasia but what stage and what to do next is still up in the air. This video was the second one I watched after seeing the recommended video suggested by my GI doctor. This is a lot to digest (no pun intended). I am grateful reputable doctors are willing to share information with us laypersons. Thank you again!
I suffer from Achalasia. I have already had the esophageal manometry test, it's not the most comfortable test but it is essential in determining if you actually have Achalasia and if so what type you have it will be read by your gastroenterologist and also a gastro-surgeon that specializes in the poem and helmer surgery's they will be the ones that tell you what procedure they recommend.I had the poem surgery and it has been 2 months since I had the surgery. If you get the surgery you will have a 1 night stay in the hospital, followed by a call from the surgeon in about 1 week. You will gradually go from a liquid diet, to a soft diet, to actual regular food. This whole process takes about 5 weeks before your are eating regular foods, also you will not be able to eat everything even then, you must eat very slowly and drink after each bite to help push the food down.Its not horrible after the surgery but it is a life adjustment.
Hey there can I ask how are you doing now?
Thank you. Very well explained to help us that have this disorder, understand it better.
I am far more informed after watching this video, thank you for taking the time. I have achalasia 1 and a small hiatus hernia.
I have achalasia and my speech is also affected
Hey!! Which surgery you did
@@tonystark-er4xk I had a POEM operation of the esophagus
@@clifforddalton3067 sorry my English is weak, is it worked for you and your health is good now??
@@tonystark-er4xk the operation only eases the problems, there is no cure
This was great to watch, thank you! I haven’t seen such a great walkthrough as this. I really appreciate it
Thank you so much for this video, I am having a poem procedure in 5 weeks and have been researching achalasia for the last 6 weeks and this is by far the most informative easy to understand video I’ve seen. Thanks again.
How did everything go?
Thank you so much for this very informative lecture. Hope you can teach POEM here in Manila.
@@manny121884 I think he is busy eating lol.I hope so
Thanks for this info i kinda new a lot of this already , had my op in Oct 2018 , its a big game changer for us with this illness , great video .
Thank you so much I got Achalasia 34 years ago while pregnant with my daughter it got really bad fast it almost killed me and my baby at 5mths pregnant I got the balloon stretch and it worked but had to get it again as symptoms returned after my child was born.it's causing really bad chest spasms and causing coughing and wheezing at night now it's unbearable.
I’m 76 & just diag with Achalasia after endoscopy, esophagram, esophageal manometry & abdomen scan. Meeting with GI Dr in 2 days so found this vid to the point & very, very helpful. Thanks for the info, I feel better prepared for my meet & greet! 😬
This video was so informative. He explained things so well.
I am very impressed with the doctors excellent and understandable (from a lay perspective) presentation. I live in Knoxville Tennessee and obviously have some form of Achalashia. I was wondering if there is a physician group or individual physician, anywhere close to my area, that you might recommend whom i might see for treatment?
Thank you Dr. This video was very informative. Now I realize I have Type 1 and I can get Poem to start off with, if it's not suggested them poem it is.
Amazing video!!! Really impressive...
Loved your presentation dr S, thank you sooo much for explaining so clearly ❤️
I have achalasia since 2016. I need a manometry but I hate all sympthoms. I miss eating like normal people.
I had my manometry. Achalasia confirmed :’v
What did they suggest after your diagnosis?
Libra Jackson after that I’ve got a ballon dilation in June. It didn’t hurt anything. But I still feel achalasia and the heart burn often. So maybe in December I will try surgeon
dam sorry how did that surgery go
I have had some type of hiccup related stop breathing episodes for 6 years. They have become more frequent over the years. After seeing various specialist locally I never received a definitive answer other than severe regurd. I was referred to a very well known Dr. Here in Jacksonville, FL. He did the LYNX procedure. Supposedly this cured the regurd problem. The hiccups and stop breathing episodes have continued. I just went to UF in Gainesville and was told probably some of the regurd was getting thru causing this and my panteprazole has been increased to 80 mg a day. This has not stopped these episodes. I'm 75. Quality of life deteriorates during these episodes which can multiple daily to none for several days. Where should I start?
Thank you so much for making this video. I am currently under doctors care at OSU Gastro for several issues. One being Pernicious Anemia with Sever B12 Deficiency along with Autoimmune Atrophic Gastritis, Hiatal Hernia along with other diagnoses. After my mother passed in 2007, from Gastric Cancer is when I was diagnosed with the listed. This past week I had a Manometry done due to having difficulties with swallowing liquid and solids, food getting stuck, extreme heartburn, regurgitating liquid and solids, waking in the middle of the night gagging to name a few. Thanks again for this video
What the test discover?
The diagnosis is Nutcracker Esophagus.
How was the issue corrected?
I’m curious to know because I was told that I may be having esophageal spasms and a manometry needs to be conducted. My symptoms are much like yours and I’d like to know what to expect!!
My child ended up having achalasia.she cant swolloe her food or drink anything due to regurgitation. She had lost wt in a wk and it took 5-4 ER visits. She had an ensophical-intestinal-series(barum given to see how far contrast gos down) it got stuck in her lower part of her insophagus. Now shes on an NPO (nothing by mouth) and now had to be tube fed for a few wks until we get a motility test to see what type of achalasia she has. If you feel you may have this i suggest an Endoscopy, thats how i found out. Good luck to everyone that is suffering from this
Thank you so much for all your knowlege and for sharing it!
Thank you so much , your detail was very useful for me,I am a General Physician In Iran with with fourty five years medical practice, topic chief complain is dysphagy with best wishes Dr Alireza
I've been searching omg !! Chest , stomach , spasms feels like a house on my chest , can't swallow at all . Bronchus and Trachea shows a problem but doctor doesn't know . I found this out from health insurance paper . Several times a day I go through this and its scary 😪😪😪😪
How do they fix this
@@mitziarredondo3692 Surgery but now I know what's been going on....lymph nodes !!! 😳
Thank you. Looking into options now
I had brutal hiccups to which I didn't know that hiccups was my body's way of forcing my LES open. I feel much better after my heller myotomy dor fundoplication.
Good job answering several questions
I feel like I've had this for 7 years ....I thought I was allergic to something or crazy....checking burping would last 35 min and was horrible. I think this is it.
But then again I'm no doctor and have no insurance ha
This was very comprehensive and informative. My condition is in decline and it’s time for next steps. I really appreciate the overview of options. Thank you.
I heard about this disease out of the blue but the symptoms are spot on for what my husband has been suffering with since he was about 30, he’s now 41! Last night dinner was stuck in his esophagus for almost 30 minutes and he threw up several times. It scared our children so horribly and I almost called an ambulance. He could talk so I know he was breathing but I’m so scared to lose him. What can he do in the meantime until they identify what’s going on? Soft food, or more chewing? Liquids only?
How is he doing now? I’ve had it for 25 years so if he hasn’t had treatment I can try to help with how to manage it.
@@dogger37JC hi! I forgot I commented on this. So he had an endoscopy and they said it was reflux. He’s been taking an anti reflux medication and has not had an episode since. They mentioned IF that didn’t work they’d do more testing, I’m glad to report it has been working thus far. Thank you for checking in.
@@TheThatagirl So good to hear that. This is a very cruel disease and I wouldn’t wish it on anyone.
I'd like to know why folks are not told what type of A they have when they are diagnosed.
And I'd like to know why all three types have spasms and what causes them.
What percent of people are obese or overweight? Does the food delay create this problem?
How long do the procedures last?
How often should we follow up with doctors? Many people are told to come back when something is wrong.
Thank you!
Great information, thank you....
I had it. Then had a fundoplication 1998. Still having good results.
Amazingly informative. Thank you so much!!
Very interesting and precise.
What can I do when the radiologist who performed the esophagram on me wrote that there was NOTHING wrong with my esophagus, whereas I am dangerously thin and have been on a liquid diet for months, I have Tardive Dyskinesia from being poisoned by cobalt from failed hip implements. The cobalt destroyed the nerves around my swallowing. Nothing goes down! Food from breakfast remained! I am terrified! How can I get treated if such a supposed professional is so completely off base with a life-threatening condition. I am 68! I had 5 years of botox. Last year's esophagrapm showed trouble in motility. Now I am supposedly healed?
Nice video! I Learned alot!
great lesson
Can you give information on how to treat retrosternal pain in Acalasia patients?
Am already done with the test procedure and now I am scheduled for surgery on 25 this month i hope it will be successful insha Allah
How did it go for you walaal, I’m suffering also
@@Health-is-Wealth92
Alxamdulilah am doing well
@@Health-is-Wealth92
Insha Allah you will be and don't worry
I was only diagnosed with Achalasia a few days ago. I hadn’t thought that my symptoms were serious so I’m in shock really.
I wish I’d seen this video beforehand as I didn’t know there are three types and in wasn’t told which one I have,
I’m waiting for two appointments, one with a surgeon to discuss the next step, and another one for Botox injections as a stop gap while I’m waiting.
Thank you so much for this video. It is excellent!
One thing you didn’t mention is the possibility of having both acid reflux AND Achalasia?
I’ve been treated for acid reflux for about three years having had endoscopies etc.
Now after further tests including manometry, I have a diagnosis of Achalasia!
Is that possible? Or can reflux possibly develop into Achalasia?
hey! i was wondering what your symptoms were like having achalsia?
I am the same like you. waiting for see by surgeon and Botox injections.
Can I ask where u were diagnosed. My wife has all the symptoms and brutally failed two manometry tests yet no diagnosis. She cannot hold anything down including water. She is dehydrated and under nourished.
@@GeneralFixingBotox is bad for treatment. Every specialist that I saw said to avoid it at all cost. It causes scar tissue that will make it worse and affect surgical options. It is also only temporary. I had it once and it didn’t last long.
@@EricThailandnot sure if anyone has replied, I have been diagnosed in Charleston SC. Best dr.s and specialists.
Yep. He covered just about everything but stents.
Sir, For this Achalasia disease there are not any way to medicine treatment?
See that's another thing I find that most of the GI doctors think people are having acid reflux but its not
Thanks a lot dr.ur vedio explains us today what actually aschelesia is.my mother is going tp attend for surgey ..v r very much worried how it vll be..pl prey soon she vll recover from this problem..plzzz God ....she just notice that problem..six months before..v r going for surgery better not to get delay ..As per doctors advice..thanku very much dr.
Just had the poem surgery cause ive had this disorder for just over a year and its so nice to drink water without resistance. The first drink ive had after the procedure i couldn't stop smiling, its so relieving!
Just diagnosed with Jackhammer Esophagus. Pain is 10/10. Dysphagia. No regurgitation at all. Almost no acid reflux, maybe 1 Tums a month and all gone. 30+ pounds lost. I'm just not going to risk the feeling of a heart attack more than once a meal.
Saint Duck what was your symptoms?
Mainly extreme pain when trying to swallow. As if I can feel it very slowly tearing its way to my stomach, anywhere from 1 - 5 minutes. After that I no longer feel like eating, just not worth it. It's not every swallow, it seems completely at random. It does not happen with any regularity, rhyme, or reason. I can sometimes go a day without it happening, but that is rare. It can happen when swallowing water or solid food. The manometry showed extreme pressure on 8 out of 10 swallows, although I only noticed a very mild discomfort on 1 swallow during the test. I didn't have a full on attack during the test, I can't imagine how that would have felt or if the thing down my throat would have survived.
other than being really uncomfortable is this condition deadly? i have been dealing with difficulty swallowing like my throat muscles arnt strong enough to push the food all the way down. im on a liquid diet but even with that i still get an intense globus sensation after eating.
hi i have acchylasia and had the poem surgery years ago when it first came out and i had some relief but not for long i developed a hiatal hernia and was removed when i had another surgery where they took the stomach and wrapped it around the esophagus and created a little flap to let the food go down i have very little peristalsis thats where the muscles squeeze and let the food go down i am on a soft diet ensure 3 x a day and soft foods in blender. I am basically going to have this diet for the rest of my life. the next step is to remove the esophagus and be on a feeding tube so i follow my diet.
So what's the bottom line after diagnosed? Surgery???
I have been diagnosed with Type II Achalasia and my doctor recommended POEM. He suggested that I search around to get more information before making any final decision. After watching this video, I wish to thank Dr. Sedarat for basically covering every question and concern that I have in regards to POEM vs Heller Myotomy. Given that I have UES issues as well, POEM is most appropriate for my diagnosis. I don't look forward to reflux however the symptoms that I am living with today are not sustainable.
Hi, did you get the surgery and How has it worked out for you?
I have been diagnosed with type lll Achalasia, and the type of surgery poem or heller is based on the type you have. I have just gotten the poem surgery and I am 2 months out post-surgery, between, God the doctors and the surgery my quality of life is much better you have to get your gastroenterologist to refer you to someone that specializes in this type of surgery.I wish you well may God bless you.
Thanks for this info and my dr told me that more then likely i got it from a Mosquito bite when i lived up in Barrow Alaska and then have been told by other people who aren’t drs lol that mosquitos don’t cause this
I'd like to know more about this if you've found any more information. I'm from the Yukon and the mosquitos are horrid there - and AK - as you know I'm sure.
Hello, everyone, praying for you all, in the mighty, name of Jesus Christ, our Lord and Savior of the world, amen 🙏❤
My gastroenterologist said that 90% of POEM patients end up with GERD.
Can we say that if the myotomy extends beyond 1 cm on the stomach ( usually required ) an anti- reflux procedure ( wrap ) has to be added to myotomy . Lap myotomy is comparable to POEM though its efficacy is less than POEM in type 3 achalasia. Whereas reflux is higher in Poem than Heller.
I had a problem similar to this but when I started taking vitamins individually, especially B1, B6 and B12 (I use B12 liquid) as well as calcium (liquid) every once in awhile for calcium - it went away. I didn't get a barium swallow but I almost did. I did also start taking magnesium citrate.
I have this condition and surgery is what has been diagnosed, entry under chest area both sides, will they be able to reach the upper part of the esophagus where the food gets stocked throat area , who can I contact the Doctor ?
I had heller.have had it.years. achalasia too have bad spasms. I call attacks..because hurts so bad..still can't swallow eating sometimes.
I have a disease that belongs to the same family of esophageal diseases. It is called ineffective esophageal motility. I dont have dysphagia, but i am out of breath all the time due to prolonged gastric content exposure in esophagus. It was brought on by a viral infection. Basically it is a condition of a damaged vagus nerve. It is hell on earth. Nerves are the hardest tissue to heal. I have no idea how i should live like that, gasping for air all day. :( My symphaties for all people with neurogastro diseases.
Uroš Peteh this is me in your boat
@@georgianazdoca2692 I am so sorry. Havent seen your reply.
The manometry was not nice at all.
Richard Amen! I had one done today and it was horrid! Lol
Thrift Diving I hope you are feeling better soon. Good luck
Thanks, Richard! Got the results back. Type 2 for me. Bleh. But I've heard that out of the 3 types to have, Type 2 is the better choice. Brightside, I guess? LOL
Thrift Diving Yes, that's good. Got to try and be positive. Best of luck!
Preach. They tried doing it to me when I was 11 and they ended up having to sedate me fully lol
Doctor, could not this condition which I experience on and off, be caused by Spinal issues... You don't address that possibility. I suffer with a number of spinal issues (too numerous to delineate here, but includes but not limited to: DDD , Dextroscoliosis , L1 & L2 disc herniations into the spinal canal AND into the front stomach area, Facet Joint arthritis almost throughout the entire spine,etc.). I have come to learn that the SPINE is the secret to health . My cervical spine is affected as well: C3-C7 disc bulges , DDD, and Military Neck. These conditions affect the VAGUS Nerve - the Mother of all Nerves in the Body - affecting many organs (as I/m sure you Know). As I research more and more on my Own, CErvical Instability contributes and causes soooo many problems. Tinnitus, Sinusitis, GERD, IBS (git that too for many years), TMJ, ear and teeth pain, occipital pain to the bridge of my nose, etc.... The spasms are felt in my chest, my stomach, my Diaphragm , rib cage (TY9-T10 disc is herniated), and the scoliosis (at 25 degrees sustained due to a 1 inch shorter right leg resulting from a fractured femur sustained in 1966 {I'm 69 now}. Too many doctors offer only Bandaids and meds to treat symptoms, and not treating the Causes....
Im no doctor but ive been having trouble swallowing and heartburn esophagus spasms everything he speaks of im 42 been dealing with this 10 years i also belive the spine is a big part of everything that you speak of i also have bad cervical problems which i believe affects my jaw ears i think from my research and im pretty educated with a good brain i think that the spine is out of alignment with the organs plus POSTURE is a big issue that can cause these sickness by pulling n pushing our stomachs out of place nerves compress etc
Im no doctor but ive been having trouble swallowing and heartburn esophagus spasms everything he speaks of im 42 been dealing with this 10 years i also belive the spine is a big part of everything that you speak of i also have bad cervical problems which i believe affects my jaw ears i think from my research and im pretty educated with a good brain i think that the spine is out of alignment with the organs plus POSTURE is a big issue that can cause these sickness by pulling n pushing our stomachs out of place nerves compress etc
Thank you Dr. This was very clear. I had the monometry and I chocked on the test and my esophagus closed up completely. I am starting with Botox and see if it works I need the surgery. I also have lupus and fibromyalgia. Is it true that autoimmune disease can trigger it?
I wish I could see you. I’m in MN. Thank you in advance 🙏🏼
Mine started after an immune response to a virus. It is a great tragedy and a coincidence from hell.
I also have fibromyalgia and had a lung infection years ago that seemed to trigger all this. Was diagnosed with GERD years before all that. I’m hoping to find a dr to help also! In Oregon.
What is your opinion of gastric pull up surgery?
Thank you
I am curious if accupuncture can help instead of surgery.
I’ve had achalasia since I was 11... I can easily say no ... it really doesn’t.
دکتر علیرضا میشه بگین من اسید ریفلاکس دارم یا این مریضی از کجا بدونم ؟ با چه تستی جوت بعضی وقتها احساس میکنم غذا تو گلوم گیر میکنه
Hey if you are having difficulty swallowing food or the food gets stuck midway and you are having heart burn sensation or coughing more often at nights this probably a common symptom of Achalasia called dysphagia. To ease the pain I’d suggest you avoid dry foods, dough-based items, and fruit and vegetable skins wherever feasible. Also, consider reducing or avoiding gristle and meat products entirely.
@@azanriaz8377 I don’t have it at night
@@azanriaz8377 what kind test should I take to see if I have that disease?
Barium swallow which is pretty much straight forward fluoroscopy exam. You will be given an X-ray dye and X-rays will me taken in a video form to check the flow of the dye starting from throat going through ur foodpipe into ur stomach
I’ve had all of these tests in 2020- 2021than had a esophageal dilation but apparently not the help I need I only wish it were that easy. I have these both along with several other symptoms this started in February 2020 stopped for nearly a year than returning the same week after getting over COVID-19 in August 2021. No doctor where Im from can diagnose or help me.
thank you!
Thank you
nekutenda nenyasha You was up
I am going to UCLA health soon for an esophagus specialist. I had bulimia and now im better but I have the constant taste of rotten fat and off of other research it may be achalasia. Is this true or what else could this be?
I'm also suffering from Achalasia and is this possible for me to contact to dr. Ali Reza, i want to show him my berium xray and want to take his advice & suggestions, i don't want operation, it will be very helpful for me, can you please provide any way to contact him?
Arshan Amrohvi google his hospital he’s in California
Mirna Ward thanks 👍
Any updates on your condition?
I have achalasia and I find I have gained weight instead of lost. Along with my PCOS and love of delicious food (which very well both contribute to weight gain), I am able to eat so much food and not be full. My doctor explained this to me as eating food and the food not entering my stomach, therefore not signifying to my brain to stop eating because my stomach is empty. So instead of a meal sitting in my stomach where it belongs, it sits in my dilated esophagus and my brain thinks I’m starving despite having just eaten. WTH!
Also, I must be really “special” since 1-2/100,000 people have achalasia, and my uncle has achalasia too!
Oh yeah, my surgeon thought I was kidding about my last name..
Do you have problems Swallowing? I have bad chest pain and didn't think I could have this til reading your comment, as it sounds just like me.
I do have problems swallowing. Food tends to just sit in my esophagus, and it can be really uncomfortable and board line painful if I ate too much. Do you have the chest pain after you eat a meal or all the time? Also a symptom I have (which is gross I know) is being able to bring food back up (kind of like on demand regurgitation) up to hours after eating. I know, nasty.
@@serenaheller9514 It is rather ongoing, not immediate after eating. Although I ate too much yesterday and woke up with the pain worse all day today. Also starting to get a few regurges and burping despite Never being a burper. Now that the heart tests are done will probably request the esophageal pressure test. Thanks for posting, was helpful.
Hi I don’t know if you will see this since your comment was a long time ago, but did you get any surgery?
I do not understand at all how you can have Achalasia and gain weight. How can you gain weight if the food isn’t making it’s way into your stomach? How can you eat more without throwing up when the food is stuck in your esophagus? As someone who’s had this for 25 years it literally makes no sense.
Dr. A PT can have re flux if the PT don’t had a hernia in the esophagus ? How fast we can had the next laparascopy for the fix the abd hernia or herital as soon the pron is done?
Hi ...i have 14 year old boy...who have this disease at stage 2 right now....any treatment for this
Is botox injection contraindicated for those that are immunocompromised? I'm a 2nd year med student and we just started on our GI block this last week.
Don't graduate school till you know what the hell your doing, don't be another one of those Drs that knows shit after all, just an advise
Thank you very much for presenting in a very simple and beautiful way. I have been suffering from this problem for about three to four years but when from August 2021 the food drinks swallowing became almost uneventful and the weight started to decrease abnormally (from August 2021 to September 2022 the weight decreased from 75kg to 62kg) after repeated push by GP, after endoscopy and Barium X- ray test I know that I have Achalasia. I don't know what type but it said Botox can do injection. Will it be good for me? It would be helpful to know. thank you.
What can someone say, who has taken such treatment and how are you now? I will be grateful if you share me a bit.
Don’t do Botox. From everything I’ve been told in the last 12 years it’s not worth it for the long term effects. It causes scar tissue and it only lasts for a short period. I was told it can make surgery not as effective or even possible if the scar tissue is bad.
Any risk in poem treatment?
is POEM performed at any hospital? or is it just UCLA?
Esophaguctomy +gastric pull up your opinion?
I have achalasia. I have developed breathing problems due to this. I have had various treatments done. Am trying to manage this condition. Am I allowed to have a tummy tuck if I have this condition? Can it be harmful?
I’ve been diagnosed and have been suffering for months. I’ve chosen the POEM but my question is: Has anyone who is in this comment section having this issue has weight loss surgery? I’ve had the sleeve and when I’m in the waiting room at the GI Surgeon the amount of people getting seen for this issue that has also had weight lose surgery is concerning to me. Thank you!
What is acalashia
I've had the Heller- Myautomi, with return of Symptoms I'm now going to have the Botox Treatment after 2 ballooned Treatments,# 1 Helped..but #2,Didn't do Any Good! Should I ask about the " Poem" Treatment also? Witch One Would be the Better?..👨⚕️👩⚕️🏥🔪..What Say You?..👓👍
Get second opinions, x rats and new barium swallow tests. Something may have gone wrong with your heller myotomy. This is a delicate surgery and has risks of going wrong. See other doctors. You owe it to yourself.
I am patient of acelesia cardia
Hiii bro konai surgery ki tumne
The subject is most interesting. The delivery of this presentation not so hot. Dr. Seems to be under section or hungover.
Not the POEM… yes the POEM.
u did great but you could work on your mood it realy annoys me how u talk it feels like you just dont even care
Thank you
Awesome, wish i would of watched this video before. I had hellers myotomy done 3.9.20 im still doing soft diet (which was better ecplained here, needless to say i have had more then soft foods) i guess its ok. Im alive to type this. After 2nd day post op nausea is rare, maybe 2 very short episodes. I have rheumatoid arthritis, but real, steady symptoms started immediately after my stroke. Good luck eceryone!!
Very informative thank you.
Wow! Thanks for letting me know, i have the surgery after few days.
Let us know how you made out. Good luck, hope all goes well for you..
How do u breath during surgery, normal general anesthesia there is tube ventilation
Oh my heck! I've had problems with severe anemia. I was sent to a hematologist. No one told me it might be related to my achalasia. Thank you!
These fucking Drs do their videos and put their info, but when you try to reach them they're never available and never respond back to you
Very interesting and informative. I am meeting with a surgeon tomorrow re: having a POEM. I have been diagnosed as Type III and am very anxious to get relief and obtain my prior quality of life.
How did your surgery go, and what dr and where did you get it done?
yes how did it go why survey explain if u are Alived
Where did you do surgery did it help?