Achalasia Cardia and Its Impact on Quality of Life: How to Cope

Achalasia cardia is a rare but serious disorder of the esophagus. It is a condition where the myenteric nerve plexus of the esophageal wall loses its ability to function properly.

In other words, we can say that in patients with achalasia cardia, the lower esophageal sphincter (LES), which is a muscle ring at the end of the esophagus fails to relax properly. As a result, it makes it difficult for foods and liquids to pass through the esophagus into the stomach.

This leads to discomfort while eating and greatly impacts the quality of life of individuals. The condition also interferes with the sleeping pattern of the patients and impacts their overall well-being.

How does achalasia cardia affect the daily lives of patients?

Currently, there is no permanent achalasia cardia treatment option. However, there are several approaches by which the condition can be managed.

Leaving the disorder unaddressed can lead to several complications that interfere with the daily activities of individuals, including the following:

1. Difficulty in swallowing: Patients often feel that something is stuck in the chest and throat, thereby making mealtimes quite uncomfortable.
2. Nutritional deficiencies: As individuals fail to take sufficient vitamins and minerals from food, they suffer from unintended weight loss.
3. Chest pain: The inability of the LES to pass down the food causes frequent chest pain, which feels similar to a heart attack.
4. Regurgitation of undigested food: The undigested food rises the esophagus into the stomach, especially when lying down, leading to coughing or choking.
5. Emotional distress: Living with the discomfort for a long time leads to anxiety and depression.

Coping strategies of achalasia cardia 

The first step to manage achalasia cardia is to consult an experienced surgeon who has the expertise to treat the disorder. While achalasia cardia treatment focuses on providing relief from the symptoms, long-term management involves lifestyle and dietary modifications.

1. Opt for softer food items

Choose soft and moist foods that are easier to swallow and digest. Dry, sticky and hard items can result in choking and worsen the condition. Also, make sure to thoroughly chew the food to reduce its risk of it getting stuck.

2. Eat smaller and frequent meals 

Eating large meals increases the risk of acid reflux and strains the esophagus. Hence, eat in smaller amounts multiple times during the day to avoid putting pressure on the LES.

3. Stay upright after eating 

Do not lie down right after eating. Sit down for 30-60 minutes to prevent regurgitation of the undigested food items.

4. Drink water while eating 

Make sure to sip water while having meals to ensure that the food goes down smoothly into the stomach.

5.Seek professional help 

Living with achalasia cardia can be emotionally draining. Seek professional help or talk with others with the same condition.

Conclusion

With the right achalasia cardia treatment and coping strategies, patients can lead a comfortable life. If you are struggling with achalasia cardia, speak to your doctor for the best approach to take control of your condition.