Question 1

What lifestyle changes should I make after the treatment?

Accepted Answer

Cut the food into little, bite-sized pieces and consume it while sitting up straight. This allows gravity to assist in the movement of food through your esophagus.

Never lie down flat. Aspirating or getting food in your lungs is more likely due to this. Elevate your head while sleeping.

Avoid solid foods before going to bed.

Question 2

What can I expect from medications?

Accepted Answer

Medications like nifedipine improve symptoms in 0% - 75% of patients with achalasia, whereas isosorbide improves symptoms in 53% - 87 %.

Question 3

What can I expect from Botox injections?

Accepted Answer

In up to 35% of persons with achalasia, Botox injections successfully relaxed their spastic esophageal sphincter muscles.

Please note: The injections must be repeated every 6 – 12 months to sustain symptom relief.

Question 4

What can I expect from Laparoscopic Heller myotomy (LHM)?

Accepted Answer

This laparoscopic surgery/minimally invasive surgery is effective in 76 % - 100 % of patients with achalasia.

Please note: About 15% of people develop symptoms of gastroesophageal reflux after surgery.

Question 5

What can I expect from the pneumatic or balloon dilation treatment?

Accepted Answer

In 50 % - 93 % of persons with achalasia, balloon dilation improves symptoms. Remember that you may have to repeat the process to maintain the symptom relief.

Please note: Repeated dilations can cause a perforation (hole) in your esophagus.

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