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I'm wondering if anyone has any idea of the diagnostic criteria for diagnosing achalasia. I've googled it, and everything says that abnormal manometry is necessary for diagnosing it. I've had a manometry (god, talk about AWFUL) and the guy administering the test told me that, at first glance, the muscle contractions looked normal. He said he wouldn't really know if the test was normal, however, until he sat down and analyzed everything, including the resting LES pressure.
Thing is, I've also had a modified barium swallow. That showed that my LES wouldn't open, causing liquid to build up in my esophagus and stretch it out, giving it the "bird's beak" appearance. I know this is classic of achalasia. I think they ordered the manometry to confirm the diagnosis. They also did a PH study to rule out reflux. I know I don't KNOW that the manometry is normal. I won't find out until I see the doctor. I see him on the 29th.
I know I just need to suck it up and wait, but I'm just SO eager to find out what's going on. Can achalasia be diagnosed with normal manometry? The barium study also showed a number of "normal" swallows. I tend to be symptomatic when I have food in my stomach, and I couldn't eat before the manometry. She said when I'm symptomatic it's severe, but it's intermittent. I really think I have achalasia. The doctors have dragged a cardiothoracic surgeon into this whole hot mess, so I think they think I have it too, but the comment by whoever administered the test has me baffled.
My main symptoms are regurgitation and dysphagia, and they're getting worse.
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