Achalasia history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Created page with "__NOTOC__ {{Achalasia}} {{CMG}} ==Overview== ==History and Symptoms== * Primarily result from the increased tone of the LES. *Regurgitation of undigested food *[[Coug..." |
No edit summary |
||
| Line 19: | Line 19: | ||
* 40 % of patients describe weight loss, regurgitation, chest pain and heartburn. | * 40 % of patients describe weight loss, regurgitation, chest pain and heartburn. | ||
* Patients often adopt certain behaviors to enhance esophageal emptying such as lifting the neck or throwing their shoulders back. | * Patients often adopt certain behaviors to enhance esophageal emptying such as lifting the neck or throwing their shoulders back. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:39, 5 September 2012
|
Achalasia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Achalasia history and symptoms On the Web |
|
American Roentgen Ray Society Images of Achalasia history and symptoms |
|
Risk calculators and risk factors for Achalasia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and Symptoms
- Primarily result from the increased tone of the LES.
- Regurgitation of undigested food
- Coughing, especially when reclining or lying down
- Weight loss due to inadequate nutrient intake
- Non-cardiac chest pains (NCCP), which may radiate to the back, jaw, neck, and arms
- Some patients also experience heartburn or frequent hiccups
- Dysphagia for solids and liquids is the most common feature, being seen in 91 % and 85% respectively.
- The specificity of dysphagia for liquids is relatively high, although it can be seen in other diseases such as progressive systemic sclerosis.
- Due to the slowly progressive nature of the disease, many patients have symptoms for years prior to seeking medical attention (mean ~ 4.7 years in one study).
- Difficulty belching is seen in 85 % of patients and likely results from failure of the UES to relax.
- 40 % of patients describe weight loss, regurgitation, chest pain and heartburn.
- Patients often adopt certain behaviors to enhance esophageal emptying such as lifting the neck or throwing their shoulders back.