Achalasia Flashcards

1
Q

what is it

A

intermittent dysphagia

impaired relaxation of LOS

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2
Q

what are symptoms

A
intermittent dysphagia for solids and liquids 
regurgitation particularly at night 
chest pain (spasms)
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3
Q

how to diagnose

A

CXR shows dilated oesophagus and fluid level

barium swallow - bird peak appearance

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4
Q

how is it treated

A

mainly palliative
nifedipine can be tried (CBB - decreasing LOS pressure)
endoscopic/surgical intervention

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