Diagnosis and Treatment

Diagnostic Methods

  • thorough evaluation of the disease (diagnosis)

  • barium swallow (gastro-intestinal-passage)

  • gastroscopy/endoscopy

  • manometry (pressure monitoring within the gullet)

  • ph (acid) monitoring within the gullet

  • isotope analysis (scintigraphy) of the gullet

  • computer tomography CT

Therapy

The treatment of achalasia cannot solve the actual cause. Following therapies can be applied to treat the symptoms:

  • botulinum toxin injections into the muscle of the lower oesophagus sphincter by using an endoscope

  • endoscopic dilatation of the lower oesophagus sphincter

  • surgery of the lower oesophagus sphincter (key-hole or open surgery)

  • medication of accessory symptoms like the inflammation of the gullet, heartburn, cardiac arrhythmia (irregular heartbeat), indigestion

  • there is not yet much experience with alternative medicine.