Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
Achalasia
MUSCLE DISORDER IN THE GULLET
Achalasia is a rare muscle disorder in the oesophagus (gullet), which can make difficult to swallow food and drink.
What is achalasia?
Achalasia is where the oesophagus and ring fail to contract and relax. This leads to a build up of food and stops it from entering the stomach.
When you swallow food, the muscles in your oesophagus (the tube from your mouth to your stomach) contract to push it along. A valve at the end of the oesophagus then relaxes so food can enter your stomach.
Achalasia is thought to be caused by damaged nerves in the oesophagus wall. This damage can be brought on by an infection. Whatever the cause, it can be a painful and troublesome condition.
Need to know
The symptoms of achalasia can start at any time in life and tend to develop gradually. They might include:
- difficulty or pain when swallowing food (this is called dysphagia)
- regurgitating or vomiting food after eating
- heartburn (burning sensation behind your breast bone)
- chest pain
- weight loss
- choking and coughing fits
- recurring chest infections
Your GP or consultant may recommend certain diagnostic tests at a later date. These might include:
- Barium swallow test. This involves swallowing a special liquid that will show up on an X-ray. This lets us examine your oesophagus and identity any abnormalities.
- Endoscopy/gastroscopy. Our consultant will insert a flexible tube with a camera at the end of it down your mouth. This will allows us to look at the lining of your oesophagus and stomach.
- Manometry test. This test involves passing a small plastic tube into your oesophagus to measure pressure waves. These waves indicate how well your oesophagus is working.
Your consultant will discuss your treatment options with you. They each aim to relax the valve at the base of your oesophagus, so food can pass into your stomach.
- Drug therapy: Drugs can help to temporarily relax the valve at the base of your oesophagus.
- Stretching the valve: Using a small balloon, we'll stretch the muscle fibres in the valve to improve swallowing temporarily.
- Muscle relaxant injections: Using an endoscope, we'll inject this toxin to relax the muscle fibres in the valve and improve swallowing temporarily.
- Keyhole surgery: We'll cut the muscle fibres that are failing to relax to improve swallowing permanently.
Patient stories
Yvette's story: From back pain to hip replacement surgery
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.