{"id":1107,"date":"2025-12-08T15:53:02","date_gmt":"2025-12-08T13:53:02","guid":{"rendered":"https:\/\/dralperfindikcioglu.com\/?page_id=1107"},"modified":"2026-03-06T10:57:00","modified_gmt":"2026-03-06T08:57:00","slug":"achalasia-treatment","status":"publish","type":"page","link":"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/","title":{"rendered":"Achalasia Treatment"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1757714501\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-171726876\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-larger flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Achalasia Treatment          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1757714501 {\n  padding-top: 15px;\n  padding-bottom: 15px;\n  background-color: #3c338e;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_119872848\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1590765418\">\n\n\t<div id=\"col-1228911530\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Achalasia is a rare but serious motility disorder characterized by the inability of the muscles at the lower end of the esophagus to relax and by impaired esophageal movements. This condition causes symptoms such as difficulty swallowing and food getting stuck in the esophagus.<\/p>\n<p>The question of what the symptoms of achalasia are is important for the early diagnosis of the disease. Difficulty swallowing, especially the sensation of sticking with solids and liquids, chest pain, regurgitation (food coming back up), and weight loss are the most common findings. Symptoms may progress over time.<\/p>\n<p>The question of how achalasia is diagnosed forms the basis of the diagnostic process. A definitive diagnosis is made with advanced imaging and functional tests such as an esophageal transit graph, endoscopy, and manometry. Manometry in particular is critical in evaluating lower esophageal sphincter pressure and peristalsis.<\/p>\n<p>The question of how achalasia treatment is performed varies according to the patient\u2019s symptoms and the stage of the disease. Surgical and endoscopic methods such as balloon dilation, botulinum toxin injection, POEM (peroral endoscopic myotomy), and Heller myotomy may be used. The aim is to facilitate food passage by reducing sphincter pressure.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Achalasia is a chronic disease characterized by motor dysfunction that develops as a result of the inability of the lower esophageal sphincter (LES) at the lower end of the esophagus to relax and the inability of the esophageal muscles to contract in a coordinated manner.<\/td>\n<\/tr>\n<tr>\n<td>Pathophysiology<\/td>\n<td>&#8211; Swallowed food accumulates in the esophagus due to the failure of the LES to relax and the loss of peristalsis.- Although the exact cause is unknown, it is associated with neuronal loss in the myenteric plexus.<\/td>\n<\/tr>\n<tr>\n<td>Frequency of Occurrence<\/td>\n<td>It is a rare disease (approximately 10-15 in 100,000 people); it can be seen at any age but is generally diagnosed between the ages of 25 and 60.<\/td>\n<\/tr>\n<tr>\n<td>Causes<\/td>\n<td>&#8211; Primary achalasia: The most common type, cause unknown- Secondary achalasia: Develops due to causes such as tumors (esophageal or gastric), Chagas disease (Trypanosoma cruzi infection)<\/td>\n<\/tr>\n<tr>\n<td>Main Symptoms<\/td>\n<td>&#8211; Difficulty swallowing (with solids and liquids)- Regurgitation (food coming back into the mouth)- Chest pain- Weight loss- Night cough and aspiration<\/td>\n<\/tr>\n<tr>\n<td>Diagnostic Methods<\/td>\n<td>&#8211; Esophageal manometry: Gold standard in diagnosis; shows that the LES does not relax and that peristalsis is lost- Barium esophagography: \u201cBird\u2019s beak\u201d appearance- Endoscopy: Performed to exclude obstructive lesions<\/td>\n<\/tr>\n<tr>\n<td>Type Classification (Chicago Classification &#8211; Manometric)<\/td>\n<td>&#8211; Type I (classic): Minimal contractile activity- Type II: Panesophageal pressurization (responds best)- Type III (spastic): Diffuse contractions (most resistant to treatment)<\/td>\n<\/tr>\n<tr>\n<td>Treatment \u2013 Endoscopic<\/td>\n<td>&#8211; Pneumatic dilation: The LES is widened with a balloon; effective but there is a risk of recurrence- Peroral endoscopic myotomy (POEM): Muscle incision performed endoscopically; minimally invasive and has a high success rate<\/td>\n<\/tr>\n<tr>\n<td>Treatment \u2013 Surgical<\/td>\n<td>&#8211; Heller myotomy: Laparoscopic cutting of the LES muscles- Usually performed together with an antireflux procedure (Dor fundoplication)<\/td>\n<\/tr>\n<tr>\n<td>Treatment \u2013 Pharmacological<\/td>\n<td>&#8211; Nitrates or calcium channel blockers (provide temporary symptomatic relief)- Botulinum toxin injection (especially in patients not suitable for surgery, short-term effect)<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>&#8211; Aspiration pneumonia- Esophageal dilation (megaesophagus)- Esophagitis- In the long term, the risk of esophageal cancer (especially squamous cell carcinoma) increases<\/td>\n<\/tr>\n<tr>\n<td>Monitoring and Follow-up<\/td>\n<td>&#8211; Symptom control and imaging after treatment- Redilation or surgery may be required in case of recurrence- Follow-up is important because long-term reflux may develop<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1228911530 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_119872848 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1352704434\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1396576376\">\n\n\n\t<div id=\"col-1815330103\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#3c338e;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-903247941\">\n\n\n\t<div id=\"col-1529244656\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1743270870\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"525\" height=\"776\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp 525w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel-271x400.webp 271w\" sizes=\"(max-width: 525px) 100vw, 525px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1743270870 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1529244656 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1147800245\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2081887798\" class=\"text\">\n\t\t\n\n<div>Prof. Dr. <strong>Alper F\u0131nd\u0131k\u00e7\u0131o\u011flu<\/strong><\/div>\n\n\t\t\n<style>\n#text-2081887798 {\n  font-size: 2rem;\n}\n@media (min-width:550px) {\n  #text-2081887798 {\n    font-size: 2.25rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-943230053\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-943230053 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<p>I was born in Istanbul in 1973. I completed my primary education at Erzincan \u0130n\u00f6n\u00fc Primary School and my secondary and high school education at Erzurum Anatolian High School. I completed my university education at Istanbul University Faculty of Medicine between 1992\u20131998. Afterwards, I completed my specialization between 1998\u20132003 at the Istanbul Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Clinic. I worked as a specialist at the same hospital for 1 year.<\/p>\n<p>Between 2004\u20132005, I fulfilled my military service at G\u00fclhane Military Medical Academy. In 2005, I started working as a lecturer at Ba\u015fkent University Faculty of Medicine, Department of Thoracic Surgery. I became an associate professor in 2014 and a professor in 2022.<\/p>\n<p><strong>I started working at Ac\u0131badem Hospital in 2024.<\/strong><\/p>\n<a href=\"\/en\/about-me\/\" class=\"button white is-outline\" style=\"border-radius:99px;\">\n\t\t<span>About Me<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" class=\"button success\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1147800245 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1815330103 > .col-inner {\n  padding: 30px 20px 0px 20px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n@media (min-width:550px) {\n  #col-1815330103 > .col-inner {\n    padding: 30px 30px 0px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1352704434 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_732346635\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1473431429\">\n\n\t<div id=\"col-1639812853\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#What_Is_Achalasia\" >What Is Achalasia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#What_does_achalasia_disease_change_in_our_body\" >What does achalasia disease change in our body?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#What_causes_achalasia_and_in_whom_is_it_seen\" >What causes achalasia and in whom is it seen?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#What_are_the_symptoms_of_achalasia\" >What are the symptoms of achalasia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#What_is_the_relationship_between_night_cough_and_achalasia\" >What is the relationship between night cough and achalasia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#How_is_achalasia_diagnosed\" >How is achalasia diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#Is_non-surgical_achalasia_treatment_possible\" >Is non-surgical achalasia treatment possible?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#How_is_laparoscopic_Heller_myotomy_surgery_performed\" >How is laparoscopic Heller myotomy surgery performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#Why_is_an_anti-reflux_procedure_necessary\" >Why is an anti-reflux procedure necessary?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#Is_the_POEM_method_or_surgery_better\" >Is the POEM method or surgery better?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#How_is_advanced-stage_achalasia_Sigmoid_treated\" >How is advanced-stage achalasia (Sigmoid) treated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#How_should_nutrition_be_after_surgery\" >How should nutrition be after surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#Does_achalasia_increase_cancer_risk\" >Does achalasia increase cancer risk?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/achalasia-treatment\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Achalasia\"><\/span>What Is Achalasia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Achalasia is a rare motility disorder that occurs as a result of the inability of the lower esophageal sphincter at the lower end of the esophagus to relax and the disruption of esophageal muscle movements. It progresses with difficulty swallowing, chest pain, weight loss, and the return of undigested food. Diagnosis is made with manometry, endoscopy, and radiological examinations. Balloon dilation, botulinum toxin injection, or surgical myotomy may be applied in treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_does_achalasia_disease_change_in_our_body\"><\/span>What does achalasia disease change in our body?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A normal swallowing process is a much more organized and complex operation than you think. The moment you swallow a bite, rhythmic waves descending from top to bottom begin in your esophagus. We call this peristalsis. These waves push the food downward like squeezing a tube of toothpaste. When the bite reaches the entrance to the stomach, the valve system located here, called the &#8220;lower esophageal sphincter,&#8221; which is normally closed, automatically relaxes, opens the door, and allows the food to enter the stomach. As soon as the process is over, it closes tightly again to prevent stomach acid from escaping upward.<\/p>\n<p>In patients with achalasia, this perfectly functioning system collapses at two points. First, the esophagus loses that rhythmic pushing force. In other words, the motor that will push the bite downward is broken. The second and main problem is that the door at the stomach entrance does not receive the &#8220;open&#8221; command. The patient swallows, the esophagus starts to fill, but the valve below stubbornly remains closed. As a result, food accumulates in the esophagus until it is forced downward by the effect of gravity. This situation causes the esophagus to widen and its form to deteriorate after a while.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_causes_achalasia_and_in_whom_is_it_seen\"><\/span>What causes achalasia and in whom is it seen?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is one of the questions for which we are still looking for a clear answer in the medical world. Our patients often ask, &#8220;Did I cause this? Did I eat wrong?&#8221; The answer is no, this is not your fault. Achalasia is a neurodegenerative process involving the loss of cells in the nerve network (ganglion cells) that control the esophageal muscles. In other words, the problem is not so much with the muscle itself as with damage to the nerves that give commands to that muscle.<\/p>\n<p>Although we do not have definitive evidence as to why this nerve damage begins, we have strong theories. It is thought that some people have a genetic predisposition. It is emphasized that viral infections added on top of this may be triggering factors. In addition, autoimmune mechanisms in which the body\u2019s immune system becomes confused and attacks its own nerve cells are also among the blamed factors. Whatever the cause, with our current medical knowledge it is not possible to reverse this nerve damage or revive the dead cells. Therefore, our treatment strategy is based not on correcting the cause but on managing the result. In other words, we aim to return life to normal by mechanically opening that door that does not open.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_achalasia\"><\/span>What are the symptoms of achalasia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The disease usually begins insidiously. Since complaints increase gradually, our patients may normalize the situation or dismiss it by saying, &#8220;It happened because I didn\u2019t chew well.&#8221; However, over time the picture becomes clearer. The most typical symptom is difficulty swallowing, which begins with solid foods and over time is also reflected in liquids. Not only the sensation of sticking, but also the pressure and pain felt behind the rib cage are common.<\/p>\n<p>Common symptoms seen in patients with achalasia are:<\/p>\n<ul>\n<li>Difficulty swallowing solid foods<\/li>\n<li>Difficulty swallowing liquids<\/li>\n<li>Pain in the middle of the chest after eating<\/li>\n<li>Food coming back into the mouth<\/li>\n<li>Unintentional weight loss<\/li>\n<li>Cough that wakes one from sleep at night<\/li>\n<li>Wetness or stains on the pillow<\/li>\n<li>Frequent recurring throat infections<\/li>\n<li>Bad breath<\/li>\n<li>A sensation of blockage while eating<\/li>\n<\/ul>\n<p>Especially the condition we call &#8220;regurgitation,&#8221; in which undigested food comes back into the mouth, is very socially challenging for patients. Unlike nausea or vomiting, because the food never reaches the stomach, it comes back into the mouth spontaneously without effort.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_relationship_between_night_cough_and_achalasia\"><\/span>What is the relationship between night cough and achalasia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This issue is very critical in terms of understanding the seriousness of the disease. Many patients cannot establish a connection between difficulty swallowing and night cough, and for years try to be treated for asthma or allergies in pulmonary disease outpatient clinics. However, the mechanism is very simple. The foods you eat during the day and that accumulate in the esophagus flow backward when you lie down in bed at night because the effect of gravity disappears.<\/p>\n<p>These food residues and saliva overflowing from the esophagus may enter your windpipe. We call this &#8220;aspiration.&#8221; This condition causes you to wake up suddenly at night with a feeling of choking and severe coughing attacks. More dangerously, these food particles can go down into your lungs and cause pneumonia or chronic lung damage. If you have an unexplained persistent cough and difficulty swallowing, the source of the problem may not be your lungs but your esophagus.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1639812853 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_732346635 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_477106812\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-28511516\">\r\n\r\n\n\t<div id=\"col-140618302\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(218, 61, 96);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1420494667\">\r\n\r\n\n\t<div id=\"col-1480952227\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2942457674\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-4005497478\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1480952227 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-179165801\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1183649965\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_1183649965 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-179165801 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-179165801 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-140618302 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_477106812 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_466902509\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-668510137\">\n\n\t<div id=\"col-1447850468\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"How_is_achalasia_diagnosed\"><\/span>How is achalasia diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In a patient presenting with a complaint of difficulty swallowing, we need to perform a series of tests to confirm the diagnosis and exclude other possible diseases. Because similar complaints can also be seen in reflux disease or esophageal tumors. For this reason, we approach with suspicion and act with evidence.<\/p>\n<p>The methods used in the diagnostic process are:<\/p>\n<ul>\n<li>Endoscopy<\/li>\n<li>Barium esophagography<\/li>\n<li>High-resolution manometry<\/li>\n<li>Computed tomography<\/li>\n<\/ul>\n<p>Endoscopy is our first-step procedure. By seeing the inside of the esophagus with a lighted camera, we check whether there is a mechanical obstruction, tumor, or irritation. In patients with achalasia, seeing food residues inside the esophagus and noticing that the entrance to the stomach is closed gives us the first clue. In a barium study, an X-ray is taken while the patient drinks a contrast liquid. The thinning of the lower end of the esophagus into a &#8220;bird\u2019s beak&#8221; appearance is very typical for achalasia.<\/p>\n<p>However, the test we consider the &#8220;gold standard&#8221; for a definitive diagnosis today is High-Resolution Manometry (HRM). In this test, a thin catheter is passed through your nose and the pressures inside the esophagus are measured. This test tells with millimetric precision whether the valve relaxes during swallowing and whether there is contraction in the body of the esophagus. It not only makes the diagnosis, but also allows us to determine which subtype of the disease it is (Type 1, 2, or 3), which is of vital importance for predicting treatment success.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_non-surgical_achalasia_treatment_possible\"><\/span>Is non-surgical achalasia treatment possible?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most natural reaction of our patients is to avoid the operating table and seek a solution with simpler methods. There are some non-surgical methods that have been applied in the past and still today, but there are serious limitations regarding their permanence and effectiveness:<\/p>\n<p>Drug therapy is generally the first route tried. Drugs such as nitrates or calcium channel blockers can provide temporary relief by relaxing the valve muscles. However, the effect of these drugs is very short-lived, they need to be taken before every meal, and side effects such as headache and low blood pressure often overshadow the benefit they provide.<\/p>\n<p>Another method is Botulinum toxin injection. Botulinum toxin is applied to the muscles endoscopically, and relaxation is achieved by causing paralysis of the muscles. Although it seems like an effective method, its effect lasts an average of 6 months. Repeated injections, on the other hand, harden the tissue in that area (fibrosis), making the permanent operation that will need to be performed in the future much more difficult and risky.<\/p>\n<p>Balloon dilation is another option. A balloon is inflated endoscopically and the muscle fibers are attempted to be torn. However, this procedure is a &#8220;blind&#8221; one. You cannot fully control how much tearing the balloon will create. It may be insufficient or, worse, it may tear the esophagus full-thickness (perforation), leading to a life-threatening condition requiring emergency surgery. Statistics show that the vast majority of patients who undergo balloon treatment eventually need surgery anyway. For this reason, today we do not recommend these temporary methods as a first choice in candidates suitable for surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_is_laparoscopic_Heller_myotomy_surgery_performed\"><\/span>How is laparoscopic Heller myotomy surgery performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>At the point modern medicine has reached, the most effective, safest, and most satisfactory treatment for achalasia is Laparoscopic Heller Myotomy (LHM) surgery. This surgery is a mechanical solution that perfectly corrects not the cause of the disease but its result.<\/p>\n<p>The operation is performed under general anesthesia. There is no need to open the abdomen from top to bottom as in the past. The camera and fine surgical instruments are inserted through 5 tiny holes (ports) opened in the abdominal wall. The laparoscopic method, that is, closed surgery, keeps the patient\u2019s comfort at the highest level. The surgeon clearly visualizes the region where the esophagus meets the stomach. Here, the muscle layer that remains contracted and does not allow food passage is carefully cut without damaging the mucosal layer above it (the inner lining of the esophagus). This procedure is like cutting and loosening the neck of a tight sweater. When the muscles are cut, that tight knot is resolved and the path for food passage is opened wide.<\/p>\n<p>The success rate of this operation is quite high. More than 90% of patients are completely relieved of difficulty swallowing after surgery. The hospital stay is usually 2-3 days, and patients can return to their normal lives in a short time. Since there are no large incisions in the abdominal area, postoperative pain is minimal and cosmetic results are excellent.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_is_an_anti-reflux_procedure_necessary\"><\/span>Why is an anti-reflux procedure necessary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is the point to which we as surgeons show the greatest sensitivity and which our patients most need to know. In achalasia surgery, when we cut those tight muscles, we are actually disabling the body\u2019s natural &#8220;doorkeeper.&#8221; Yes, we opened the door and food now goes down to the stomach comfortably. However, because the door remains constantly open, it is only a matter of time before acid in the stomach escapes upward into the esophagus (reflux).<\/p>\n<p>If we only cut the muscles and leave it at that, the patient gets rid of the difficulty swallowing but this time is left alone with severe reflux that poisons life. Reflux does not only create a burning sensation; in the long term it irritates the lower end of the esophagus, paving the way for wounds, strictures, and even cancer risk. That is why, as an indispensable part of the Heller Myotomy procedure, we add what we call &#8220;Dor Fundoplication.&#8221;<\/p>\n<p>In this procedure, we lay the upper part of the stomach (fundus) over the esophageal area we have cut like a patch and suture it. This creates a loose but functional new valve mechanism. While this method does not prevent foods from going down, it prevents stomach acid from escaping upward. This strategy both solves the swallowing problem and protects the long-term health of the esophagus.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1447850468 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_466902509 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2039902779\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-568227942\">\r\n\r\n\n\t<div id=\"col-10683418\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(60, 51, 142);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1217845122\">\r\n\r\n\n\t<div id=\"col-62119818\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1884459035\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-2837288072\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-62119818 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-660463356\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_923484415\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_923484415 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-660463356 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-660463356 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-10683418 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2039902779 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_914275317\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-486697330\">\n\n\t<div id=\"col-1208890619\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Is_the_POEM_method_or_surgery_better\"><\/span>Is the POEM method or surgery better?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In recent years, with technological developments, a new method called POEM (Peroral Endoscopic Myotomy) has become popular. In this procedure, the muscles are cut from the inside by entering only through the mouth with an endoscope, without any skin incision. Although it sounds very attractive, just as every method has its advantages and disadvantages, POEM also has aspects that need to be considered:<\/p>\n<p>The biggest advantage of POEM is that it leaves no scar on the skin and is especially very effective in patients who have previously undergone unsuccessful surgeries or in spastic type achalasia (Type 3). However, the biggest disadvantage of POEM is that the anti-reflux mechanism (fundoplication) we just mentioned cannot be performed with this method. The valve muscles are cut, but no new barrier can be put in place.<\/p>\n<p>Research and clinical experience show that postoperative reflux rates are significantly higher in patients who undergo POEM compared to laparoscopic surgery. Reflux is a serious risk, especially for young patients with a long life expectancy. As thoracic surgeons, we see the combination of LHM and Dor Fundoplication as a more balanced and protective approach that both solves the swallowing problem and keeps reflux under control. POEM, on the other hand, remains in our hands as a strong &#8220;rescue&#8221; option, generally in cases recurring after surgery or in special situations not suitable for surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_is_advanced-stage_achalasia_Sigmoid_treated\"><\/span>How is advanced-stage achalasia (Sigmoid) treated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If the disease is left untreated or neglected for many years, the esophagus becomes excessively widened and elongated due to food accumulation. It reaches such a point that it is no longer a straight tube but takes the shape of a curved &#8220;S&#8221; letter. We call this &#8220;Sigmoid Achalasia&#8221; or end-stage disease. At this stage, the esophagus has virtually turned into a bag and has completely lost its ability to contract.<\/p>\n<p>In these patients, a standard myotomy (muscle-cutting) procedure may sometimes be insufficient. Because even if you open the lower valve, the esophagus is so misshapen and so curved against gravity that food cannot flow into the stomach under its own weight. In this case, complete removal of the esophagus (esophagectomy) may be recommended in some centers. However, this is a very major and risky operation.<\/p>\n<p>Our approach is to preserve the organ as much as possible. In these advanced-stage patients, we may apply a special technique called &#8220;Esophagogastrostomy.&#8221; In this method, we open a wide side-to-side window between the lower part of the esophagus and the stomach. Thus, by bypassing the narrowed area, we allow foods to pass directly into the stomach through a wide opening. This procedure saves the patient from losing the esophagus and seriously increases quality of life. It is a vital &#8220;rescue surgery&#8221; for these advanced-stage patients.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_should_nutrition_be_after_surgery\"><\/span>How should nutrition be after surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Undergoing surgery is only one part of the process. Afterwards, getting used to a new diet reinforces the success of the treatment. Immediately after surgery, we usually start with liquid foods and gradually move to soft foods and finally to solid foods. However, there are some golden rules that should be observed for life:<\/p>\n<p>The nutritional rules our patients should pay attention to are:<\/p>\n<ul>\n<li>Eating meals very slowly<\/li>\n<li>Chewing bites very well<\/li>\n<li>Consuming water during meals<\/li>\n<li>Avoiding eating while standing<\/li>\n<li>Eating while sitting upright<\/li>\n<li>Stopping eating at least 3 hours before bedtime<\/li>\n<\/ul>\n<p>In addition, it is necessary to stay away as much as possible from foods that may trigger reflux. Although these foods may vary from person to person, there are generally known triggers:<\/p>\n<p>Foods that should be avoided or consumed carefully are:<\/p>\n<ul>\n<li>Very fatty foods<\/li>\n<li>Fried foods<\/li>\n<li>Hot and intense spices<\/li>\n<li>Chocolate<\/li>\n<li>Mint and mint products<\/li>\n<li>Carbonated drinks<\/li>\n<li>Alcohol<\/li>\n<li>Caffeinated beverages<\/li>\n<li>Citrus fruits<\/li>\n<li>Foods with tomato sauce<\/li>\n<\/ul>\n<p>Do not let this list scare you; over time you will get to know your body and discover for yourself what is good for you and what is not. The important thing is to accept that eating is no longer a race but a process to be savored.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_achalasia_increase_cancer_risk\"><\/span>Does achalasia increase cancer risk?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although this question worries our patients, it is an issue that must be discussed honestly. Yes, in patients with untreated achalasia, the risk of esophageal cancer is slightly higher than in the general population. The reason for this is the chronic inflammation and irritation created by food accumulating in the esophagus for years. In addition, uncontrolled reflux that may develop after treatment can also affect this risk.<\/p>\n<p>However, there is no need to panic immediately. This increase in risk exists proportionally, but the absolute number is still low. The presence of risk should not frighten us but rather push us to be cautious. For this reason, we surgeons do not cut our ties with our patients no matter how successful the surgery may be.<\/p>\n<p>The things that should be done in long-term follow-up are:<\/p>\n<ul>\n<li>Annual doctor check-up<\/li>\n<li>Endoscopy at certain intervals<\/li>\n<li>Immediate consultation if complaints recur<\/li>\n<li>Monitoring reflux symptoms<\/li>\n<\/ul>\n<p>Regular endoscopic check-ups even 10-15 years after surgery make it possible to catch a possible cellular change at a very early stage. Early diagnosis saves lives. Our main philosophy in achalasia treatment is not only to solve the swallowing difficulty of that day, but also to secure our patient\u2019s esophageal health decades later.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div class=\"accordion\">\n\t<div id=\"accordion-2962281871\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2962281871-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-does-achalasia-disease-occur-and-which-mechanism-is-affected?\" aria-expanded=\"false\" aria-controls=\"accordion-2962281871-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why does achalasia disease occur and which mechanism is affected?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2962281871-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2962281871-label\">\n\t\t\t\n<p>Achalasia occurs as a result of the inability of the muscles at the lower end of the esophagus to relax and the inability of the esophageal muscles to contract in a coordinated manner. Although the exact cause is unknown, the loss of nerve cells is the main factor.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1008777605\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1008777605-label\" class=\"accordion-title plain\" href=\"#accordion-item-with-which-symptoms-do-achalasia-patients-generally-consult-a-doctor?\" aria-expanded=\"false\" aria-controls=\"accordion-1008777605-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>With which symptoms do achalasia patients generally consult a doctor?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1008777605-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1008777605-label\">\n\t\t\t\n<p>The most common symptom is difficulty swallowing. In addition, symptoms such as chest pain, vomiting after eating, weight loss, and the return of acidic fluids to the mouth may be seen.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-643411717\" class=\"accordion-item\">\n\t\t<a id=\"accordion-643411717-label\" class=\"accordion-title plain\" href=\"#accordion-item-with-which-tests-is-the-diagnosis-of-achalasia-confirmed?\" aria-expanded=\"false\" aria-controls=\"accordion-643411717-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>With which tests is the diagnosis of achalasia confirmed?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-643411717-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-643411717-label\">\n\t\t\t\n<p>Esophageal manometry is the gold standard in diagnosis; it measures the muscle movements of the esophagus. In addition, barium esophagography and endoscopy are imaging methods that support the diagnosis.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-809525366\" class=\"accordion-item\">\n\t\t<a id=\"accordion-809525366-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-difference-between-achalasia-and-reflux-disease?\" aria-expanded=\"false\" aria-controls=\"accordion-809525366-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the difference between achalasia and reflux disease?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-809525366-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-809525366-label\">\n\t\t\t\n<p>In reflux, stomach acid escapes upward, whereas in achalasia food descending into the esophagus cannot pass into the stomach. Achalasia is characterized by difficulty swallowing and a widened esophagus, while in reflux burning and regurgitation are at the forefront.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1785854915\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1785854915-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-does-balloon-dilation-work-in-the-treatment-of-achalasia?\" aria-expanded=\"false\" aria-controls=\"accordion-1785854915-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How does balloon dilation work in the treatment of achalasia?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1785854915-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1785854915-label\">\n\t\t\t\n<p>Balloon dilation provides relaxation of the muscle by a widening procedure applied to the lower esophageal muscle. It is effective in relieving symptoms and can be applied as an alternative to surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1753875424\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1753875424-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-heller-myotomy-performed-in-achalasia-patients?\" aria-expanded=\"false\" aria-controls=\"accordion-1753875424-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is Heller myotomy performed in achalasia patients?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1753875424-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1753875424-label\">\n\t\t\t\n<p>In this surgical method, the lower esophageal sphincter muscle is cut and relaxed. It is generally performed laparoscopically and is highly successful in terms of permanent symptom control.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3716325250\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3716325250-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-advantages-does-the-poem-(peroral-endoscopic-myotomy)-method-offer-in-achalasia?\" aria-expanded=\"false\" aria-controls=\"accordion-3716325250-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What advantages does the POEM (Peroral Endoscopic Myotomy) method offer in achalasia?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3716325250-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3716325250-label\">\n\t\t\t\n<p>This technique, applied endoscopically through the mouth, offers a non-surgical alternative. The recovery period is short and it may be especially effective in advanced stages.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1553686433\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1553686433-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-should-nutrition-be-arranged-in-achalasia-patients?\" aria-expanded=\"false\" aria-controls=\"accordion-1553686433-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How should nutrition be arranged in achalasia patients?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1553686433-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1553686433-label\">\n\t\t\t\n<p>Patients should eat slowly with small bites and consume plenty of water. Soft, easy-to-swallow foods should be preferred. It is also recommended not to eat before going to bed.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2664196519\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2664196519-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-complications-may-develop-if-achalasia-is-not-treated?\" aria-expanded=\"false\" aria-controls=\"accordion-2664196519-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What complications may develop if achalasia is not treated?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2664196519-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2664196519-label\">\n\t\t\t\n<p>In the long term, the esophagus may widen and become tortuous, making food passage difficult. In addition, the risk of infection, weakness, weight loss, and rarely esophageal cancer increases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-796808524\" class=\"accordion-item\">\n\t\t<a id=\"accordion-796808524-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-achalasia-create-psychological-effects?\" aria-expanded=\"false\" aria-controls=\"accordion-796808524-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Does achalasia create psychological effects?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-796808524-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-796808524-label\">\n\t\t\t\n<p>Psychological effects such as fear of eating, social isolation, and anxiety may develop. Therefore, psychological support may also be required to improve the quality of life of patients.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3508386921\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3508386921-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-achalasia-treatment-take?\" aria-expanded=\"false\" aria-controls=\"accordion-3508386921-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How Long Does Achalasia Treatment Take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3508386921-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3508386921-label\">\n\t\t\t\n<p>The duration of achalasia treatment varies according to the method chosen. Endoscopic procedures such as balloon dilation and botulinum toxin injection usually take a few minutes and the patient can be discharged on the same day. Surgery (Heller myotomy) may take 1\u20132 hours, and the hospital stay may be 2\u20134 days. However, with long-term follow-up and repeated interventions if necessary, the treatment process may extend over years.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3354998960\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3354998960-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-one-go-to-for-achalasia?\" aria-expanded=\"false\" aria-controls=\"accordion-3354998960-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should One Go to for Achalasia?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3354998960-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3354998960-label\">\n\t\t\t\n<p>For the diagnosis and treatment of achalasia, the Gastroenterology department should first be consulted. When surgical intervention is required, the patient is referred to the General Surgery department.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1208890619 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_914275317 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<div id=\"gap-675522602\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-675522602 {\n  padding-top: 45px;\n}\n<\/style>\n\t<\/div>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1106,"parent":1086,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1107","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1107","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/comments?post=1107"}],"version-history":[{"count":4,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1107\/revisions"}],"predecessor-version":[{"id":1143,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1107\/revisions\/1143"}],"up":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1086"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media\/1106"}],"wp:attachment":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media?parent=1107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}