With 2 clinics located in Central London and 2 in North-West London, Dr Arun Rajendran takes pride in offering expert, friendly, and effective care for a comprehensive range of conditions affecting the gullet, stomach, colon, and liver.
+44 (0)20 3404 5254
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London clinic and Onewelbeck
BMI The Clementine Churchill Hospital
OSD Healthcare
Achalasia is a rare condition that affects the oesophagus, making it difficult to swallow as the muscles fail to relax properly. This prevents food and liquids from moving easily into the stomach, leading to symptoms such as chest pain, regurgitation, and persistent swallowing difficulties. While the exact cause of achalasia is unknown, it is often linked to the loss of nerve cells in the oesophagus.
Symptoms of Achalasia
Common Signs of Achalasia
Dysphagia
Persistent difficulty swallowing both solids and liquids.
Regurgitation
Food or liquids flowing back into the mouth.
Chest Pain
Episodes of chest pain that may mimic heart-related issues.
Other Symptoms
Heartburn, weight loss, nighttime coughing, and the risk of aspiration.
Types of Achalasia Cardia
Classification of Achalasia
Achalasia Cardia is Classified into 3 types of Achalasia Based on Esophageal Peristalsis:
Type i Achalasia
(Classic Achalasia)
Minimal or no movement in the esophagus, resulting in dilation.
This subtype often lacks peristalsis (wave-like contractions).
Type ii Achalasia
(Achalasia With Compression)
Minimal or no movement in the esophagus, resulting in dilation.
This subtype often lacks peristalsis (wave-like contractions).
Type iii Achalasia
(Plastic Achalasia)
Features spasmodic, irregular contractions of the esophagus.
Often requires advanced procedures like POEM (Peroral Endoscopic Myotomy), particularly effective for achalasia type 3 symptoms.
POEM (Peroral Endoscopic Myotomy): The most advanced procedure, highly effective for all types of achalasia, including achalasia cardia type 2 and spastic achalasia.
Medications: Short-term relief for achalasia complications using muscle relaxants.
Botulinum Toxin Injections: Temporary symptom relief for specific cases.
Expert Advice & Support
Comprehensive Care in Central & North West London
Difficulty swallowing can significantly affect your quality of life. Our team of specialists provides personalised care and cutting-edge treatment solutions to help you manage and reduce symptoms. Get in touch with us today to explore your treatment options.