Achalasia Cardia

Achalasia Cardia

Achalasia is a disorder of the esophagus . The tube carries food from the mouth to the stomach . This affected the ability of the esophagus to move food toward the stomach .

Causes -

1 Damage to the nervous of the esophagus

2 Cancer of the esophagus or upper stomach and a parasite infection that causes change disease may have symptoms like those of achalasia..

3 Achalasia is a rare disorder it may occur at any age but most common in middle aged or older adults..

Symptoms

1 Backflow ( regurgitation) of food

2 chest pain which may increase after eating or may be felt in the back neck and arms. .

3 Cough

4 Difficulty swallowing liquids and solids

5 Heartburn

6 Unintentional weight loss ..

Investigation ...

1 Esophageal Manometry ..

2 Esophagogastrodudenoscopy...

3 Upper GI X Ray ...

Dosha -
Vata , Pitta  pradhana
Rx...

Ayurvedic treatment...

Sodhana

1 pachana with patoladi kwath 20 ml TID 3 to 5 days...

2 Snehna with Tiktaka Ghirtha

3 Svedana - Mridu baspa sevda

4 Virechana - Avipathi churna 30 to 60 gm with milk

5 Takrdhara in patients having stress ..

Shamana Chikitsa

1 Bhunimbadi kawth 20 ml TID after meals

2 Sutshekhar ras 2 vati BD before meals

3 Indulekha Ghirtha 10ml BD after meals....

4 Giloy Satva 500mg BD after meals

Pathya ( Indications)

1 Head end of bed should be elevated

2 eating smaller meals

3 losing weight if needed

4 wearing loose fitting clothes

5 Shatavari yasthimadhu ksheerapaka ..

Apthya ( Contraindications)
.
1Avoid alcohol , smoking , tobacco

2 Avoid spicy food , fatty or acidic food that trigger heartburn

3 Not eating close to bedtime

4 Avoid drinking of water just before meals

5 Avoid day sleeping after meals

6 Avoid heavy meals at night time

7 Don't take anything in between meals except liquid

8 Suppression of the natural urges

9 Excessive or scanty and also taken too early or late

10 Avoiding NSAID , Aspirin ,.....