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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

mailgastro@pm.me
London clinic and Onewelbeck
BMI The Clementine Churchill Hospital
OSD Healthcare

Monday - Friday 09:00 - 17:00

Saturday and Sunday - CLOSED

+44 (0)20 3404 5254

mailgastro@pm.me

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Advanced Achalasia Treatment – Personalised Oesophageal Care

Offering effective diagnostic tools and tailored treatments for oesophageal achalasia in Central & North West London.

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Achalasia
What is Achalasia?

About Achalasia

What is Achalasia?

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

Dysphagia

Persistent difficulty swallowing
both solids and liquids.

Regurgitation

Regurgitation

Food or liquids flowing back into
the mouth.

Chest Pain

Chest Pain

Episodes of chest pain that may
mimic heart-related issues.

Other Symptoms

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. 

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Dietary & Lifestyle Adjustments

Managing Achalasia Through Diet And Lifestyle

Dietary Tips

Dietary Tips

  • Opt for soft or pureed foods. 
  • Chew slowly and thoroughly to make swallowing easier. 
  • Drink water with meals to assist food in passing through the oesophagus.
Lifestyle Tips

Lifestyle Tips

  • Eating Position: Eat while sitting upright to allow gravity to help food pass. 
  • Meal Timing: Avoid eating just before bedtime to minimise regurgitation risk. 
  • Portion Control: Choose smaller, more frequent meals for easier digestion.

Treatment Options for Achalasia

Treatment Options for Achalasia
Modern options for achalasia treatment address both symptoms and underlying causes

Treatment Options for Achalasia
  • Balloon Dilation: A non-surgical solution to widen the oesophagus, particularly effective for achalasia cardia causes in Type I and II Achalasia.
  • Hellers Myotomy:A minimally invasive surgical procedure offering permanent symptom relief.
  • 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.
Dr. Arun

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.

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Patient Reviews & Testimonials

Dr Arun Rajendran has been treating patients for over 10 years and prides himself
on the warm, friendly and efficient treatment of gastro conditions.

Our Health Insurance Partners

We are a self-pay clinic but also work with the the major UK healthcare insurance providers.