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- $Unique_ID{BRK01321}
- $Pretitle{}
- $Title{What Do "Achalasia" and "Dysphagia" Mean?}
- $Subject{heartburn swallowing achalasia digestive system dysphagia heartburns
- cardiospasm esophagus peristalsis bolus sphincter cardiac stomach esophageal
- swallow heart burn digestion systems cardiospasms barium esophagography}
- $Volume{I-10}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Do "Achalasia" and "Dysphagia" Mean?
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- QUESTION: I thought it was only heartburn at first, but now after all the
- tests, I am more confused than ever. My doctor has been trying to explain it
- to me, but I get lost in the big words. Can you explain "achalasia" to me and
- what does "dysphagia" mean? He also mentioned something about "cardiospasm".
- Does this mean I have a heart condition too? I had the nice nurse write down
- all these words for me so I hope they are spelled right and that you can help
- me.
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- ANSWER: You and the nurse did just fine, and I will have no trouble
- explaining these words to you. They all have to do with a condition of the
- esophagus, the muscular tube that carries food between your mouth and your
- stomach. It is not clear to me just what your specific problem is, but
- perhaps understanding these words and just how your esophagus works will help
- clear up some confusion. When you eat or drink and then swallow, the food is
- moved along through the esophagus by a special wave like contraction of the
- muscles called "peristalsis". The rounded mass of food (or "bolus") is
- carried to the lower end of the esophagus where it enters through a ring like
- muscle called a sphincter, into the cardiac portion of the stomach. So the
- word "cardio" here (as in cardiospasm) does not refer to the heart, and the
- spasm is one of the special esophageal sphincter muscles, not the arteries of
- the heart. "Achalasia" is another word that deals with the same problem.
- Literally it means "a failure to relax" and implies that the same esophageal
- sphincter does not open sufficiently to allow the food bolus to pass through.
- When this occurs, a pain occurs that mimics the pain of heart pain, and can
- even radiate into the neck and left arm, just as pains do that result from
- certain heart problems. "Dysphagia" is the term applied to pain or difficulty
- in swallowing. The diagnosis of the condition can often be made when an x-ray
- called "barium esophagography" is performed. After swallowing a mouthful or
- two of barium liquid, the esophagus is seen to be widely dilated, as the
- sphincter muscle fails to open, and all the barium is held back in the
- esophagus. In most cases the causes of achalasia remain unknown.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-