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Confused about Achalasia condition. Can anyone help me?

Asked by Supacase (14563points) October 14th, 2011

My Gastroenterologist believes I have Achalasia. I do see how the tests can point to that, but some things aren’t adding up for me and I am hoping someone can help shed some light. I know this is long, but I don’t know what to cut out and still give the full story.

* Birth – Sept 20th = NO trouble swallowing! I am 37.

* Tuesday, Sept 20 = a pill falls into the sink and some of the coating washes off. It hurts going down my throat, but I don’t think much of it until I realize the pain is still there every time I try to eat or drink. Eh, I’ll work itself out.

*Monday, Sept 26 = Not worked out. See doctor and get referral to gastroenterologist.

*Wednesday, Sept 28 = The last meal I am able to eat before the pain & discomfort are too much. (½ piece pizza & some salad in about an hour.)

*Wednesday, October 5 = EGD shows two narrowings, Dr. dilates.

*Thursday, October 6 = Pain gone! Still can’t get food or liquid down.

*Friday, October 7 = Go to Radiologist for upper GI approved. After 5 min 11 sec, 90% of the thinned out Barium is still in my esophagus.

*Tuesday, October 11 = 2nd EGD. Doctor dilates esophageal sphincter and takes biopsies, but is confident I have achalasia.

Currently = Able to eat and drink some things (hit or miss) and it is still a slow process.

So, why am I confused? I can’t find any information about sudden-onset achalasia! It seems to be a gradually progressing disorder, but this has all been very sudden. The closest I can find is sudden-onset dysphagia, cause being pill-related or esophagitis. Can this suddenly happen one day?

My consultation with the Gastroenterology office was with the PA. I’m not sure the doctor knows about all of this starting with that pill. Is that relevant?

I am pursuing this with the doctor. I have another meeting with the PA on Thursday. I’m just trying to get some information and a general feel for things here.

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