Achalasia Flashcards
1
Q
what is it
A
intermittent dysphagia
impaired relaxation of LOS
2
Q
what are symptoms
A
intermittent dysphagia for solids and liquids regurgitation particularly at night chest pain (spasms)
3
Q
how to diagnose
A
CXR shows dilated oesophagus and fluid level
barium swallow - bird peak appearance
4
Q
how is it treated
A
mainly palliative
nifedipine can be tried (CBB - decreasing LOS pressure)
endoscopic/surgical intervention