Achalasia (Year of the Zebra)

[@doc.dr.bahtiyarmuhammedogl674]

Achalasia is a medical condition that affects the esophagus, the muscular tube that connects the throat to the stomach. It is characterized by the impairment of the smooth muscle contractions that help propel food and liquids down the esophagus and into the stomach. As a result, people with achalasia experience difficulty in swallowing and may have other related symptoms.

[@mohamedelshakmak4652]

Thank you osmosis for illustration about this defect. Additionally, I have been diagnosed with acalasia since 2 years

[@sajiwan1]

How's your life going?

[@mohamedelshakmak4652]

@@sajiwan1 I am avoiding late meals that contain much oil or spicy, however I have attacks but less violence

[@sajiwan1]

@@mohamedelshakmak4652 good to know bro

[@mohamedelshakmak4652]

@@sajiwan1 sure 👌

[@ladennayoung2939]

I pray that you are healed from the crown of your head to the sole of your feet in Jesus' name. AMEN.

[@mikaylastacey481]

I am in Interdisciplinary health care studies where I hope to get into PA school and I have been watching your channel since day one I would like to thank you it has helped me so much with understanding medical problems and conditions.

[@osmosis]

Happy to help, Mikayla! ⭐️

[@BlakeVs]

I wouldn't wish this on my worst enemy. Type II Achalasia is the worst battle I've encountered

[@nigelnyoni8265]

Achalasia: esophageal disorder rendering it difficult for food to pass from esophagus to stomach, causing difficulty swallowing, regurgitation of undigested food, chest pain. . Esophageal peristalsis is impaired due to progressive degeneration of myenteric neurons (neurons of GI tract). Food isnt effectively moved through esophagus. Lower esophageal sphincter doesn't comoletekt relax during swallowing, stopping food from passing, leading to dilation of esophagus as food builds up. . Achalasia is often due to unknown causes, or due to secondary causes e.g. trypnosoma cruzi damaging myenteric neurons, or extra esophageal malignancies. . Achalasia causes Dysphagia = difficulty swallowing. Due to gradual nature of dysphagia, people may compensate by eating slowly, lifting the neck, throwing the shoulders back when swallowing to increase esophageal emptying. . Symptoms: regurgitation of undigested food, weightloss, chest pain, heart burn. Tests: Esophageal manometry (gold standard) = measures the strength and coordination of esophageal contractions during swallowing. Aphasia will reveal: Absence of peristaltic contractions in LOWER esophagus High pressure in lower esophageal sphincter at rest Failure of lower esophageal sphincter to relax during swallowing Also Barium swallow test during x ray. It shows dilation of esophagus and a narrow region at the end (bird's beak appearance). Upper endoscopy can be used to rule out esophageal cancer. . Treatment involves relieving symptoms and reducing pressure of lower esophageal sphincter to allow food swallowing. This can be done mechanically by tearing or cutting the sphincter muscle, or by taking medications that weaken the muscle E.g. Pneumatic dilation of lower sphincter Botulinum toxin injections Calcium channel blockers or sublingual nitrates Long lasting treatment : Heller laparoscopic myotomy = a small cut is made in the lower sphincter to relieve pressure.

[@samanthafitzgerel4460]

Just found out I have this. 😩 Now I finally know why there is so much pressure & chest pain. Plus I’ve lost almost 100lbs and look malnutritioned on blood tests. I’m also a Neuroendocrine cancer survivor. Two rare diseases, I’m definitely a Zebra.

[@boranuonofficial]

The video is very helpful for medical students and Dr.

[@osmosis]

Thanks, Bora! ❤️

[@peacelovecookies56]

hoping to possibly see an EDS video one day! I love your videos and how in-depth and well explained they are. Not a lot out there on all the different variations of EDS out there. Perfect for a Zebra addition! :D

[@osmosis]

Thanks for your recommendation! Our team will be taking this into consideration. Have a nice week! 💖

[@iyenarian7866]

Indeed, for some people this is a part of their EDS as many other co morbidities are

[@ssssyyyy2007]

Yess i have also achalasia, and for me it is stress related. I dont know why, but after taking vitamine C it reduces my cramps. Someone told me it was an auto imuun disease so vit C was worth trying. So that helped me alot. Now i have cramps ones a week sometimes ones in two weeks, but with stress, i get them the same day. When i get my cramp, its unbarable, it hurts and feels like its not going away, i start sweating and turn white. What gives me IMMEDIATE RELIEVE is eating a banana. Why a banana? Because with so much pain i dont have time to chew. Something that is thick inough to passage and but doesnt need much chewing. I eat the whole banana and that pushes my muscles by fors to relieve. It doest enter my stomach directly, but gives me immediate relieve. Than with a full glass of water i push it down. REALLY PUSH IT DOWN with fors. I hope this method will help someone.

[@Thesafespaceofficial]

Hi How Are You Are You Ok Now

[@waelfadlallah8939]

Great start for 2023. Happy new year Osmosis.

[@osmosis]

Thanks, Wael! Happy new year! 😊

[@shekharvarshney3193]

Good explanation

[@delilahfernandes7932]

Cardiospasm and achalasia are the same ?

[@aliaaragab4225]

Would be amazing if u guys made like a handbook ❤❤

[@aaronbrown7530]

I would love to see a video on traumatic asphyxia.

[@osmosis]

Thanks for your recommendation, Aaron! Our team will be taking this into consideration. Have a lovely first week of the year! 💖

[@Originalelyastagaming]

there is no heartpain in case of achalasia .correct that please

[@Vanlaltanpuia]

Recap from 4:00

[@anaset499]

Thank you for nice presentation ❤

[@osmosis]

Most welcome 🙏🏼

[@GhulamFareed-os2tz]

How we can see heartburn in achalasia when LES is closed?????

[@pattersonshanique1]

Narrow not closed

[@roaa_harahshih]

great interpretation

[@osmosis]

Thank you! ❤️

[@sohaibagouba9991]

And per oral endoscopic mukomyotomy

[@numrahashfaq7926]

loved thissss

[@osmosis]

Thank you, Numrah! 🙏🏼

[@RoselynTeves]

Thank you for sharing.

[@osmosis]

No worries, Roselyn! 👍🏼

[@earningmoneymatters]

Hello Which software do you use to create such educational content?

[@osmosis]

Hi, thanks for asking! Here’s how Osmosis videos are made: www.osmosis.org/blog/2020/11/27/how-osmosis-videos-are-made# 👍🏼

[@itsdaddy4986]

Thanks a lot🎉🎉

[@osmosis]

Most welcome! 😊

[@dr.anonymoussss152]

Thankyou✨️

[@osmosis]

Our pleasure! 🥰

[@MrRockSteady]

I have this, I've had all of these procedures and medication but still can't eat or drink properly.

[@amirebrahimi3069]

Me too😢

[@quprigon]

Happy New Year 🎉

[@doc.dr.bahtiyarmuhammedogl674]

Treatment should be with an experienced team

[@sabagul7143]

Good

[@DrPriyankaChoudhary98]

Amazing

[@osmosis]

Thank you, Priyanka! Cheers! ❤️

[@pranshuldev9268]

Okay

[@susanedmonson1208]

What about P.O.E.M. TREATMENT?????? U FORGOT THE BEST TREATMENT.

[@ahoppo68]

The best? Not necessarily for everyone.

[@silvershoes9724]

@@ahoppo68 true. I believe it also depends on the type of Achalasia, as to whether the Heller’s myotomy or poem is the best option .

[@Xz7h7]

❤❤❤❤❤

[@woahirsoon]

Elsevier Goes (Back) to Medical School

[@khankhan-n5y4z]

❤