Achalasia Cardia
If the contractility or deglutative inhibition fails, it will result in failure of bolus progression and the patient would feel it as Dysphagia. Surplus peristalic contraction of the esopgahus as well as diffuse esophageal spasm are generally related with pain, though Dysphagia might be a feature. The occurrence of the ailment is more frequent because of uncoordinated or hypotensive esophageal contraction. Achalasia of the cardia can be the most well defined example of such abnormalities. Achalasia, literally 'failure to relax', is characterized by uncoordinated, non progressive contraction within the esophageal body. In addition, the LOS fails to relax on swallowing, and is generally hypertensive at rest.
Achalasia along with Dysphagia is the primary symptom. As the disease advances, the esophagus dilates proximal to the obstructing LOS and can port large volumes of food, which might be repeated or even aspirated if it doesn't pass distally. As the symptoms progress, patients frequently lose weight. Dysphagia in Achalasia is variable and can occur to solids and liquids. Patients might be able to assist esophageal emptying by employing manoeuvers such as straightening up or lifting their arms. The cause for idiopathic Achalasia is not known, but Chagas disease, which is a trypanosomal infection mostly widespread in South America, closely mimics the esophageal changes of Achalasia. It might also be mimicked by tumor infiltration around the gastric cardia. Thus, it's very important that the patient obtains an endoscopic assessment in all cases and maintains a high index of suspicion in older patients presenting with apparent Achalasia.
For the diagnosis of Achalasia, Oesophageal manometry is considered to be the cornerstone. The pathognomonic features are failure of LOS relaxation and disordered or absent esophageal contraction, especially in the distal esophageal body. The finding of resting LOS hypertension is a common additional feature. Earlier, in the evolution of the disease, some patients could exhibit strong esophageal contractions on swallowing, although the contractions would yield an isobaric waveform with non progression. This is called vigorous Achalasia.
Clinical Features of Achalasia Cardia
Dysphagia is the most common presenting symptom in patients suffering from achalasia cardia and can be seen in more than 95% of patients. Generally, dysphagia due to motor disorders of the esophagus occurs with solids as well as liquids. However, it's found out that most patients with Achalasia complain mainly, if not exclusively, of Dysphagia to solid food. it's been observed that 80 to 90% of patients with Achalasia experience impulsive regurgitation of food from the esophagus. This regurgitation is because of progressive stasis of food that the patient has eaten hours or even days, previously.
Homeopathic Treatment of Achalasia Cardia
The fact cannot be ignored that today homeopathy is one of the most popular holistic systems of medicine. The theory of individualization and systems similarity determines the remedial selection. In this way only a state of complete health can be regained by eliminating all the signs and symptoms from which the individual is suffering. Today, homeopathy is far widely recognized and has several remedies for curing Achalasia Cardia symptoms. Homeopathy, today, is considered to be one of the result oriented treatments for may ailments. If you want to know more about it, you can log on to www.drnikam.com.