Achalasia: Difference between revisions
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*Trial of antispasmodic for [[Esophageal Spasm]] | *Trial of antispasmodic for [[Esophageal Spasm]] | ||
**Nifedipine | **Nifedipine | ||
*Surgical intervention | |||
*Baloon dilatation | **Baloon dilatation | ||
*Botulinum toxin injection | **Botulinum toxin injection | ||
*Myomectomy | **Myomectomy | ||
==Disposition== | ==Disposition== | ||
Revision as of 04:08, 22 May 2016
Background
- Inability of LES to relax and loss of normal peristalsis
Clinical Features
- Dysphagia
- Regurgitation
- Chest pain
- Esophageal spasm can be eight, crushing retrosternal much like ACS
Differential Diagnosis
Diagnosis
- Upper GI
- Esophageal dilatation
- Birds beak sign
- Esophageal Manometry
Management
- Trial of antispasmodic for Esophageal Spasm
- Nifedipine
- Surgical intervention
- Baloon dilatation
- Botulinum toxin injection
- Myomectomy