Achalasia | Pathophysiology, Causes, Signs & Symptoms, Diagnosis, Treatment

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Achalasia | Pathophysiology, Causes, Signs & Symptoms, Diagnosis, Treatment
Achalasia is an acquired esophageal motility disorder that is caused by inability of the lower esophageal sphincter to relax. Multiple potential causes have been proposed, but in many cases, the cause is unknown. Individuals with this condition often have particular difficulties, especially feeling that food is being “caught” in their esophagus among other issues. In this lesson, we discuss the pathophysiology behind why achalasia occurs, including the signs and symptoms of achalasia, how it’s diagnosed and how it’s treated.
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DISCLAIMER: This video is for educational purposes only and information in this lesson SHOULD NOT be used for medical purposes alone. Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.

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25 июл 2024

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Комментарии : 56

@KosspapiKaufman 3 года назад

This was one of My greatest discoveries while studying GIT

@ndukanwankwo8393 3 года назад

Beautiful lecture on achalasia, thank you

@hazin67597 3 года назад

glad to see uploading new contents

@ushankaman6143 2 года назад

i had this from childhood all the way to the age of 15. Haruhiro himself, the inventor of POEM surgery in japan operated on me. most of my life i looked like a dwarf. at the age of 15 i looked like i was still a kindergartener. but after the surgery i started eating food and had a huge growth spurt. my genetics say i should be tall, around 180cm but cuz of this condition, it has left lasting negative effects on me, one of which is me missing out on most of my puberty. atleast i am now considered slightly below average height. it also left my esophagus in a very damaged state. my esophagus had expanded to 6 times its size, cuz of all the food getting stuck and storing in there. i have a condition where 1 side of my ribcage is slightly portruding forward so my chest looks assymetrical. i suspect achalasia has something to do with it. not sure tho. my gratitude goes to Haruhiro

@abhisheksarawata4256 2 года назад

Thankyou so much .... It's just superb ❤️❤️❤️

@ashozy1003 3 года назад

thank you for the great video :)

@wamangasam9799 3 года назад

Good lecture and precise

@ladennayoung2939 2 года назад

Thanks for sharing.

@shivanityagi5786 3 года назад

Excellent

@Athong333 Год назад

I had this. My food become ball each time i vomit. I cant even swallow water. I got the balloon treatment thing. But it only last for 3 day. Doctor suggest me to get a surgery because my body got so thin like drug addict. But i scared. So i train and push my self to swallow any food with so much water like flushing method. I train my mindset to not get panic if the food got stuck. Since that i start feeling food in my stomatch and start gaining weight. The downside is i have to bring my own water if eat outside/restaurant/etc. . Minimum 1 liter each meals.. And i keep getting heart burn. But its better than die starving. Now i got different problem, i eat less but my weight is keep gaining. 😂😂😂. Sorry for my bad English. I from Malaysia.

@karenjohnson3580 Год назад

I've done this but eventually that stopped working for me, standing while eating helps but it's embarrassing.

@timpoos4635 Год назад

Brother get the surgery myotomy…it will save your life. I had a balloon dilation I’ve been swallowing perfectly for 6 months post procedure

@herdmentality101 Год назад

Great video! Why didn't you mention vagus nerve irritation and/or damage as a cause for achalasia? Also, I thought achalasia incluses muscle spasms and loss of motility in the intestines as well.

@user-bd6tt8im1k 3 года назад

Thank you

@ladennayoung2939 2 года назад

WOW. This is a good video. You explain everything well. Have a blessed evening.

@missjo2036 2 года назад

This was helpful in understanding what I may have. A Barium swallow test revealed consistency with primary Achalasia complicated with an enlarged esphogus . My gastric wants to see how manomentry test does to confirm forsure if it's Achalasia.

@Lianasworld658 Год назад

What symptoms you had before going to see doctor?

@Carol-cb9yu 10 месяцев назад

@@Lianasworld658 You gag, you up chuck lunch.

@hammerradiology1470 3 года назад

A barium swallow test is not very pleasant for the patients but it gives a reliable diagnosis. Very useful video. Thanks!

@denisedowd1997 2 года назад

barium swallow test is a cake walk compared to manometer

@chrissttiiee 2 года назад

My Barium test only indicated "spams" at the esophagus. It took a motility Study in getting to the bottom of it.

@broodmare25 2 года назад

Barium swallow was nothing compared to the motility study where they put the camera up your nose. I wouldn’t wish that on my worst enemy. But I will say, the barium swallow wasn’t fun with having Achalasia when you had a fear of swallowing already.

@loshotshots 2 года назад

So how is it that I pass a barrium swallow test befor gallbladder surgrery but post surgery i failed it?

@king-bs3wu Год назад

@@loshotshots may I ask how did u failed it

@siphesihlendlangisa8195 2 года назад

Do you recommend surgery for Achalasia?

@carlottafontes9575 2 года назад

I had Achalasia, my doctor had to stretch my esophagus. I had a great doctor.

@pernillabengtsson4215 2 года назад

Dude.. u cant "have had it" and then its gone.. its a disese that is not going to go away.. it can be better but it wont go away...

@carlottafontes9575 2 года назад

@@pernillabengtsson4215 Excuse me!!! I never said it was gone but it is better than it was. I know it will never go away.

@mmadhu8622 2 года назад

Which type of doctors are better for this disease please reply

@carlottafontes9575 2 года назад

@@mmadhu8622 After going through many tests I was finally sent to a gastroenterologist.

@karenjohnson3580 Год назад

Yeah they usually try dilutions before going to surgery but it depends how you respond. I've had 4 dilations but never experienced any relief and the last one actually sent me into such a bad spasm I had to be tied to the hospital bed temporarily after clenching my chest so hard all my fingers pierced and started ripping my skin off but in my defense I was still waking up from anesthesia and was in that weird in between limbo of not being conscious yet but still physically reacting. My Dr's won't consider anything but surgery after that

@king-bs3wu Год назад

I have a question I have had a endoscopy procedure done and my GI specialist said that they don't see anything wrong but I know it's something wrong with my body I feel things getting into my lungs and esophagus and chest it's crazy I might try to tell them that I want a swallowing test or poem surgery

@0114855 Год назад

A barium swallow and a manometry is what you should ask for

@ijazkhan1696 6 месяцев назад

Sir i think thier is no heart burn because of the LES is already closed so no acid comeback to esophagus.. chest pain because of the esophagus spasming... Correct if i am wrong

@curium4026 3 года назад

Sorry I think there is a little bit of wrong information Achalasia patients have characteristic dysphagia for liquids only that may progress to solid. But initially they have selective dysphagia for liquids.

@mokhles703 3 года назад

You are correct, i believe, it was mentioned specifically in our lecture aswell, however i cant seem to understand why, have you ever arrived at an explanation?

@laymansmedicine 2 года назад

It is a progressive disorder. The damaged nerves causes a failure of the sphincter to open , and since the nerves are not going to regenerate again, the disease progresses with loss of muscle function of the sphincter area. So it starts with just mild dysphagia while swallowing liquids and as the muscles loses its function further , the disorder causes a full blown dysphagia even for solid food

@0114855 Год назад

My problems started with bread, then other solid food, then liquids.

@dailydoseofmedicinee 3 года назад

👏👏

@sayuncleordie 2 года назад

Damn, this hurts.

@broodmare25 2 года назад

It is rather odd that I see difficulty burping as one of the symptoms. I was diagnosed with Achalasia at 30 and have honestly never burped my entire life. I have more of a hiccup thing. Figured that was just something unique to me but maybe it’s Achalasia related. I also got the POEM surgery done and so far it’s been successful.

@jahmeelahmuddathir4560 2 года назад

Hello did you get the poem surgery done in America

@broodmare25 2 года назад

@@jahmeelahmuddathir4560 Yes. In Colorado.

@itsgotnoname854 2 года назад

Literally because of this I never understood why ppl would just burp outlook cuz I thought you could just choose not to burp... turns out it's a symptom of this

@king-bs3wu Год назад

I think I may want that poem surgery cause I'm having truble swallowing foods and drinks and I feel like things is getting caught in my air ways

@karenjohnson3580 Год назад

I found that a lot of my burping difficulty comes from my E being so drastically misshapen. I started doing yoga to stretch my muscles because I have 1-4 daily muscle cramps all over my body outside of my achalasia and increasing my flexibility allowed the gas to move up to be able to burp. I have a pretty severe problem with getting backed up so I rarely get the other gas which can be painful, it's amazing how you can be on a liquid only for weeks/months drinking multiple gallons a day and still be backed up. This disease is crazy

@hanaskruzna1006 Месяц назад

Mám POEM v roce 2021. Velké zlepšení, ale bolest na hrudi se vrací. Stačí se napít mléka a mám klid. Neumím anglicky, takže bych potřebovala titulky. 😢😢

@doc.dr.bahtiyarmuhammedogl674 Год назад

Treatment should be with an experienced team.

@8arunphilipson813 Год назад

♥️👍

@Carol-cb9yu 10 месяцев назад

To save costs my gastrologist stalled. He wanted to just dilatate it which works poorly and isn't permanent. If you get a tear, you're really in trouble. I will never have a HMO again because they make medical decision based on money. The cause for me was idiopathic because the idiots don't know anything about autoimmune. Now I have RA, another autoimmune condition. I have other autoimmune issues but every condition is another doctor..... it's all idiopathic. This lesson is to blame the patient and consider risky treatments. Surgery is necessary. But even with that it's best to eat standing up and drink lots of water, lol.