Positive I have Alchalasia

Posted , 6 users are following.

Hi everyone. I am very new here and really need to speak to fellow sufferers with Alchalasia. I am trying to find out what options are best for me, as I am being passed from pillar to post and back again with varying treatments and diagnosis.

My story is as follows and this related to my own personal experience of this hideous and soul destroying illness.

In 1998 I had a motorcycle accident and spent three weeks in hospital after suffering a collapsed lung, facial injuries etc. Whether this is inter-related to the onset of my illness, I have no idea, but around two years after my accident I noticed a very slight change in the way I swallowed food. The changes in my digestion were so slight, that I did not notice until now, when I think back to when this possibly could have initialised itself.

Until around 18 months ago, swallowing food was easy enough, and only rarely did I suffer any \"symptoms\". However, over the last year my condition has gotten worse twenty fold! I now have problems swallowing and retaining any kind of food. Constant regurgitation and heartburn night and day. I have also noticed some sufferers on here talking of pains in the central part of the chest. My pain is directly under the centre chest bone and can come on at any time. The pain is intense, and when this first happened, I genuinely thought I was having a heart attack.

My eating \"disorder\" can be \"OK\" one day and horrendous the next. There have been times when I have had to go without food for up to four days, which in my line of work which requires constant attention, is a no no as it totally drains my energy. When I say \"OK\" I mean the symptons are still there, but to a lesser extent.

There are days when I cannot even swallow and retain water. I've read that people find cold water a help. To me this is a hinderance, and I find room temperature water to be more favourable. On the subject of drinks, fizzy drinks, such as Coca Cola, Fanta, and Sprite can help one day to \"gas\" me up enough to swallow, and on other days can have a completely reversed effect in which my throat spasms and makes me vomit. When I vomit now, I am noticing a white \"frothy\" bile coming up with whatever else is being vomitted. The consistency of this bile is like a thin yoghurt, sometimes transparent and sometimes white. This particular sympton has become more commonplace.

At night now, I sometimes wake with a serious chest pain (heartburn) and usually wake with aching back or shoulders. Since January 2011, I have had constant pain in my left shoulder which has been put down to a trapped nerve, however, no amounts of massaging or physio make it any better. I still have the pain which extends up the left side of my neck and is quite severe at times.

To treatments.

I first went to the GP with complaints of sticking foods, and constant heartburns, particularly at night. I was given Omeprazole for this. No change.

I was then tried on various doses of Lanzoprazole, and gain , no change.

Referred to hospital for a barium swallow test. The radiographer told me that I had a hernia. Fine, great I thought, problem solved, small op and all will be fine. Two weeks later the results from the barium tet arrived with my GP. She told me it was not a hernia! Who do I believe?

Symptoms became worse, so I asked to be referred to a specialist. I was given a half hour consultation and told I would have to be dilated. I was told the dilation can ease symptoms for around two years. My first dilation lasted three days. I then had four further dilations in as many months!

Over that four months period I saw three specialists all saying its not Alchalasia. So, on a holiday trip to Poland, I paid a small fee, saw a specialist there. I had an endoscopy which revealed stomach ulcers and a very dilated eosophagus! He was amazed when I told him how many dilations I had had in a four month period. I was then placed on a three month course of a tablet (medical name) ControLoc (20mgs three times a day). These seemed to control my heart burn quite well, and whilst on them, had very little heartburn at all.

Whilst in Poland I was given a proper barium test laid down on my side on the XRay table. The riadiographer there said he had never seen anything like it! He could not understand how I was not a stick insect as nothing was passing into the stomach. I have the Xray results which the consultant there confirmed is definitely Alchalasia. The specialist has been working on throats for some thirty five years, and has said to me that my case is the worst he has ever seen in his career.

Back to the UK, and I have been suffering even more, and have been passed to yet another specialist who has to carry out a manometry test. I have tried this once before and because of my extremely sensitive gag reflex, was unable to have the tube passed through my nasal cavity. Apparently they can do a shorter test using the tube in the mouth rather than down the nose.

I am totally convinced I have Alchalasia, but my UK specialist and GP are refusing to acknowledge this and keep trying other \"treatments\" saying its just reflux etc. Everything I have read up on about Alchalasia points to my exact symptoms day in, day out.

My XRays from Poland shows a narrowing near the stomach so small, that the specialist said its a miracle that I can actually eat or drink ANYTHING. Who do I beleive? Who do I trust, what can I insist on before I totally lose my mind? This condition has effected me in so many ways, and has totally changed my quality of life.

Sorry for the long first post, but I wanted to get it all off my chest.

0 likes, 9 replies

9 Replies

  • Posted

    I forgot to add I am a reasonably fit, 41 year old male.
  • Posted

    Sorry cannot edit original post, but also needed to add that I had to have treatment for Candida with Flucanozole around six months ago due to it being found in my throat on an endoscopy.
  • Posted

    Have you shown your GP here the X-rays you got in Poland? It sounds like you have the classic 'birds beak' symptom of Achalasia (I think that's what they call it).
  • Posted

    Chris, I have had achalasia for a number of years and if you hav'nt seen tips for achalasia go to page two six down this may help while you are waiting for treatment,also you might want to get an electric mincer there a god send.I put anything to hard to chew though it then add a little water. Another thing that may help if you have food stuck at the bottom of your oesophagus is to drink a large amount of water while standing in the shower wait for a bit then double over and attempt to expel the content its worked for me in the past and has surprised me just whats been stuck and for how long it was stuck there. Hope this helps. Good luck with your condition.

    Regards

    Jim

  • Posted

    Hi Chris,.

    Ive had achalasia for well over forty years. Ive commented on various postings in this forum and having taken in most carefully what youve written. It is doubtless that you are suffering terribly however I have some reservations that it is in fact achalasia you are suffering from. I sincerely believe that your condition does of course show all the signs of achalasia but the gravity of changes you write about together with the number of times a dilation has been performed (without success) instinctively tells me (as a sufferer) that achalasia is not the root cause in your case. You also talk about the restriction identified near your stomach having been discovered. The principal restriction in achalasia is commonly at the sphyncter in the oseophegus of the upper gullet region prior to where your food would commonly enter the digestive tract before reaching the stomach itself. Unless Im totally mistaken I believe there is about 30ft of intestianal tract in the average adult prior to the stomach cavity and it sounds to me that your food is passing much further down towards the stomach but building up. In most cases of achalasia as you eat, the food build up is fairly quick and brings on a point of panic or distress so that immediate regurgitation becomes the sufferers only option if they have no self controlling method of swallowing by the use of forcing the food down with an intake of liquid, cold,. warm tepid or whatever. If you have pain in your mid chest cavity area at the edge of your breastbone it is the trapped food causing it hence indigestion \"the inability to digest food correctly as it travels through the digestive tract\" occurs.

    Indeed you have differing opinions of your condition and it is hardly surprising but sincerely I honestly dont think it is achalasia at the root of your problem.

    Sincerely

    Mike

  • Posted

    Thanks for all the replies. Unfortunately I am writing this reply from a hospital bed as I have been admitted as an emergency as I have been unable to eat or drink in nearly 9 days.

    I am sat on a drip awaiting a manometry test in the morning. If Alchalasia is confimed from the manometry testing, then they have advised me that they will perform the Hellers immediately. If it is not alchalasia, then they are talking about botox injections into the eosphagus itself.

    I will also be left with a tube feeding me tomorrow. I will keep you all updated.

  • Posted

    Chris,.

    Sincere best wishes and God bless you. I do hope everything goes well for you from here on.

    Mike

  • Posted

    Hello Chris,

    Just wanted to say that I hope they have managed to sort things out for you and that you are starting to feel better.

    Regards

    Dean

  • Posted

    Hi Chris,

    i am due to have an operation next wek and i just wantedto find out ow you are doing so far.

    my case is the same as yours and i definetely have alchalasia.

    please let us know how you doing.

    regards

    mamphela

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.