This has to be the most detail I've seen regarding this condition, which I personally suffer from. Thank you

I had my surgery this past Monday! I feel like I have my life back now! Still having mini spasms as I heal but MY God, i have my life back!!! I had allcthenpre-tests laid out by the Dr to arrive at my diagnosis!

Thank you god this video. My 46 yr old wife was recently diagnosed with Achalasia and is awaiting surgery. She’s been given the choice of Hellas or POEM. You’re mention of shingles as a cause stopped me in my tracks. My wife has shingles a few years ago and this IS the time her issues started.Her case of shingles started as severe pain in her chest and stomach. She thought she was having a heart attack.

Thank you. Very well explained to help us that have this disorder, understand it better.

Dr. Sedarat performed my POEM. He is AMAZING!

Thanks for this. Makes me feel like I'm not alone in this. I'm terrified over having this illness and stuff. It's been years and I just got the courage to get the process going.

I am awaiting the results of my final test ,an Esophageal Manometry, to determine next steps. So far,everyone agrees it is Achalasia but what stage and what to do next is still up in the air. This video was the second one I watched after seeing the recommended video suggested by my GI doctor. This is a lot to digest (no pun intended). I am grateful reputable doctors are willing to share information with us laypersons. Thank you again!

Just had the poem surgery cause ive had this disorder for just over a year and its so nice to drink water without resistance. The first drink ive had after the procedure i couldn't stop smiling, its so relieving!

Thank you so much I got Achalasia 34 years ago while pregnant with my daughter it got really bad fast it almost killed me and my baby at 5mths pregnant I got the balloon stretch and it worked but had to get it again as symptoms returned after my child was born.it's causing really bad chest spasms and causing coughing and wheezing at night now it's unbearable.

Thanks for this info i kinda new a lot of this already , had my op in Oct 2018 , its a big game changer for us with this illness , great video .

This was great to watch, thank you! I haven’t seen such a great walkthrough as this. I really appreciate it

Amazing video!!! Really impressive...

Good job answering several questions

This video was so informative. He explained things so well.

Oh my heck! I've had problems with severe anemia. I was sent to a hematologist. No one told me it might be related to my achalasia. Thank you!

Loved your presentation dr S, thank you sooo much for explaining so clearly ❤️

Thank you so much for all your knowlege and for sharing it!

I had brutal hiccups to which I didn't know that hiccups was my body's way of forcing my LES open. I feel much better after my heller myotomy dor fundoplication.

Nice video! I Learned alot!

Amazingly informative. Thank you so much!!

Thank you. Looking into options now

Very informative thank you.

Great information, thank you....

I have been diagnosed with Type II Achalasia and my doctor recommended POEM. He suggested that I search around to get more information before making any final decision. After watching this video, I wish to thank Dr. Sedarat for basically covering every question and concern that I have in regards to POEM vs Heller Myotomy. Given that I have UES issues as well, POEM is most appropriate for my diagnosis. I don't look forward to reflux however the symptoms that I am living with today are not sustainable.

My child ended up having achalasia.she cant swolloe her food or drink anything due to regurgitation. She had lost wt in a wk and it took 5-4 ER visits. She had an ensophical-intestinal-series(barum given to see how far contrast gos down) it got stuck in her lower part of her insophagus. Now shes on an NPO (nothing by mouth) and now had to be tube fed for a few wks until we get a motility test to see what type of achalasia she has. If you feel you may have this i suggest an Endoscopy, thats how i found out. Good luck to everyone that is suffering from this

great lesson

I am very impressed with the doctors excellent and understandable (from a lay perspective) presentation. I live in Knoxville Tennessee and obviously have some form of Achalashia. I was wondering if there is a physician group or individual physician, anywhere close to my area, that you might recommend whom i might see for treatment?

I am far more informed after watching this video, thank you for taking the time. I have achalasia 1 and a small hiatus hernia.

Thank you Dr. This video was very informative. Now I realize I have Type 1 and I can get Poem to start off with, if it's not suggested them poem it is.

Wow! Thanks for letting me know, i have the surgery after few days.

Thank you so much for this video, I am having a poem procedure in 5 weeks and have been researching achalasia for the last 6 weeks and this is by far the most informative easy to understand video I’ve seen. Thanks again.

I have achalasia since 2016. I need a manometry but I hate all sympthoms. I miss eating like normal people.

Very interesting and precise.

Awesome, wish i would of watched this video before. I had hellers myotomy done 3.9.20 im still doing soft diet (which was better ecplained here, needless to say i have had more then soft foods) i guess its ok. Im alive to type this. After 2nd day post op nausea is rare, maybe 2 very short episodes. I have rheumatoid arthritis, but real, steady symptoms started immediately after my stroke. Good luck eceryone!!

Thank you so much for making this video. I am currently under doctors care at OSU Gastro for several issues. One being Pernicious Anemia with Sever B12 Deficiency along with Autoimmune Atrophic Gastritis, Hiatal Hernia along with other diagnoses. After my mother passed in 2007, from Gastric Cancer is when I was diagnosed with the listed. This past week I had a Manometry done due to having difficulties with swallowing liquid and solids, food getting stuck, extreme heartburn, regurgitating liquid and solids, waking in the middle of the night gagging to name a few. Thanks again for this video

I've been searching omg !! Chest , stomach , spasms feels like a house on my chest , can't swallow at all . Bronchus and Trachea shows a problem but doctor doesn't know . I found this out from health insurance paper . Several times a day I go through this and its scary 😪😪😪😪

Thank you so much , your detail was very useful for me,I am a General Physician In Iran with with fourty five years medical practice, topic chief complain is dysphagy with best wishes Dr Alireza

This was very comprehensive and informative. My condition is in decline and it’s time for next steps. I really appreciate the overview of options. Thank you.

Can you give information on how to treat retrosternal pain in Acalasia patients?

What is your opinion of gastric pull up surgery?

I'd like to know why folks are not told what type of A they have when they are diagnosed. And I'd like to know why all three types have spasms and what causes them. What percent of people are obese or overweight? Does the food delay create this problem? How long do the procedures last? How often should we follow up with doctors? Many people are told to come back when something is wrong. Thank you!

Sir, For this Achalasia disease there are not any way to medicine treatment?

How do u breath during surgery, normal general anesthesia there is tube ventilation

Very interesting and informative. I am meeting with a surgeon tomorrow re: having a POEM. I have been diagnosed as Type III and am very anxious to get relief and obtain my prior quality of life.

Thank you Dr. This was very clear. I had the monometry and I chocked on the test and my esophagus closed up completely. I am starting with Botox and see if it works I need the surgery. I also have lupus and fibromyalgia. Is it true that autoimmune disease can trigger it? I wish I could see you. I’m in MN. Thank you in advance 🙏🏼

I have this condition and surgery is what has been diagnosed, entry under chest area both sides, will they be able to reach the upper part of the esophagus where the food gets stocked throat area , who can I contact the Doctor ?

other than being really uncomfortable is this condition deadly? i have been dealing with difficulty swallowing like my throat muscles arnt strong enough to push the food all the way down. im on a liquid diet but even with that i still get an intense globus sensation after eating.

I had a problem similar to this but when I started taking vitamins individually, especially B1, B6 and B12 (I use B12 liquid) as well as calcium (liquid) every once in awhile for calcium - it went away. I didn't get a barium swallow but I almost did. I did also start taking magnesium citrate.

I heard about this disease out of the blue but the symptoms are spot on for what my husband has been suffering with since he was about 30, he’s now 41! Last night dinner was stuck in his esophagus for almost 30 minutes and he threw up several times. It scared our children so horribly and I almost called an ambulance. He could talk so I know he was breathing but I’m so scared to lose him. What can he do in the meantime until they identify what’s going on? Soft food, or more chewing? Liquids only?

So what's the bottom line after diagnosed? Surgery???

What can I do when the radiologist who performed the esophagram on me wrote that there was NOTHING wrong with my esophagus, whereas I am dangerously thin and have been on a liquid diet for months, I have Tardive Dyskinesia from being poisoned by cobalt from failed hip implements. The cobalt destroyed the nerves around my swallowing. Nothing goes down! Food from breakfast remained! I am terrified! How can I get treated if such a supposed professional is so completely off base with a life-threatening condition. I am 68! I had 5 years of botox. Last year's esophagrapm showed trouble in motility. Now I am supposedly healed?

I have achalasia. I have developed breathing problems due to this. I have had various treatments done. Am trying to manage this condition. Am I allowed to have a tummy tuck if I have this condition? Can it be harmful?

See that's another thing I find that most of the GI doctors think people are having acid reflux but its not

I feel like I've had this for 7 years ....I thought I was allergic to something or crazy....checking burping would last 35 min and was horrible. I think this is it. But then again I'm no doctor and have no insurance ha

Dr. A PT can have re flux if the PT don’t had a hernia in the esophagus ? How fast we can had the next laparascopy for the fix the abd hernia or herital as soon the pron is done?

Thanks a lot dr.ur vedio explains us today what actually aschelesia is.my mother is going tp attend for surgey ..v r very much worried how it vll be..pl prey soon she vll recover from this problem..plzzz God ....she just notice that problem..six months before..v r going for surgery better not to get delay ..As per doctors advice..thanku very much dr.

is POEM performed at any hospital? or is it just UCLA?

hi i have acchylasia and had the poem surgery years ago when it first came out and i had some relief but not for long i developed a hiatal hernia and was removed when i had another surgery where they took the stomach and wrapped it around the esophagus and created a little flap to let the food go down i have very little peristalsis thats where the muscles squeeze and let the food go down i am on a soft diet ensure 3 x a day and soft foods in blender. I am basically going to have this diet for the rest of my life. the next step is to remove the esophagus and be on a feeding tube so i follow my diet.

Esophaguctomy +gastric pull up your opinion?

I’ve had all of these tests in 2020- 2021than had a esophageal dilation but apparently not the help I need I only wish it were that easy. I have these both along with several other symptoms this started in February 2020 stopped for nearly a year than returning the same week after getting over COVID-19 in August 2021. No doctor where Im from can diagnose or help me.

Thank you

Is botox injection contraindicated for those that are immunocompromised? I'm a 2nd year med student and we just started on our GI block this last week.

I am going to UCLA health soon for an esophagus specialist. I had bulimia and now im better but I have the constant taste of rotten fat and off of other research it may be achalasia. Is this true or what else could this be?

Thank you very much for presenting in a very simple and beautiful way. I have been suffering from this problem for about three to four years but when from August 2021 the food drinks swallowing became almost uneventful and the weight started to decrease abnormally (from August 2021 to September 2022 the weight decreased from 75kg to 62kg) after repeated push by GP, after endoscopy and Barium X- ray test I know that I have Achalasia. I don't know what type but it said Botox can do injection. Will it be good for me? It would be helpful to know. thank you. What can someone say, who has taken such treatment and how are you now? I will be grateful if you share me a bit.

Yep. He covered just about everything but stents.

I was only diagnosed with Achalasia a few days ago. I hadn’t thought that my symptoms were serious so I’m in shock really. I wish I’d seen this video beforehand as I didn’t know there are three types and in wasn’t told which one I have, I’m waiting for two appointments, one with a surgeon to discuss the next step, and another one for Botox injections as a stop gap while I’m waiting. Thank you so much for this video. It is excellent! One thing you didn’t mention is the possibility of having both acid reflux AND Achalasia? I’ve been treated for acid reflux for about three years having had endoscopies etc. Now after further tests including manometry, I have a diagnosis of Achalasia! Is that possible? Or can reflux possibly develop into Achalasia?

thank you!

Am already done with the test procedure and now I am scheduled for surgery on 25 this month i hope it will be successful insha Allah

Can we say that if the myotomy extends beyond 1 cm on the stomach ( usually required ) an anti- reflux procedure ( wrap ) has to be added to myotomy . Lap myotomy is comparable to POEM though its efficacy is less than POEM in type 3 achalasia. Whereas reflux is higher in Poem than Heller.

Just diagnosed with Jackhammer Esophagus. Pain is 10/10. Dysphagia. No regurgitation at all. Almost no acid reflux, maybe 1 Tums a month and all gone. 30+ pounds lost. I'm just not going to risk the feeling of a heart attack more than once a meal.

Any risk in poem treatment?

I had heller.have had it.years. achalasia too have bad spasms. I call attacks..because hurts so bad..still can't swallow eating sometimes.

I'm also suffering from Achalasia and is this possible for me to contact to dr. Ali Reza, i want to show him my berium xray and want to take his advice & suggestions, i don't want operation, it will be very helpful for me, can you please provide any way to contact him?

I had it. Then had a fundoplication 1998. Still having good results.

I’ve been diagnosed and have been suffering for months. I’ve chosen the POEM but my question is: Has anyone who is in this comment section having this issue has weight loss surgery? I’ve had the sleeve and when I’m in the waiting room at the GI Surgeon the amount of people getting seen for this issue that has also had weight lose surgery is concerning to me. Thank you!

Hi ...i have 14 year old boy...who have this disease at stage 2 right now....any treatment for this

Thanks for this info and my dr told me that more then likely i got it from a Mosquito bite when i lived up in Barrow Alaska and then have been told by other people who aren’t drs lol that mosquitos don’t cause this

I have a disease that belongs to the same family of esophageal diseases. It is called ineffective esophageal motility. I dont have dysphagia, but i am out of breath all the time due to prolonged gastric content exposure in esophagus. It was brought on by a viral infection. Basically it is a condition of a damaged vagus nerve. It is hell on earth. Nerves are the hardest tissue to heal. I have no idea how i should live like that, gasping for air all day. :( My symphaties for all people with neurogastro diseases.

Doctor, could not this condition which I experience on and off, be caused by Spinal issues... You don't address that possibility. I suffer with a number of spinal issues (too numerous to delineate here, but includes but not limited to: DDD , Dextroscoliosis , L1 & L2 disc herniations into the spinal canal AND into the front stomach area, Facet Joint arthritis almost throughout the entire spine,etc.). I have come to learn that the SPINE is the secret to health . My cervical spine is affected as well: C3-C7 disc bulges , DDD, and Military Neck. These conditions affect the VAGUS Nerve - the Mother of all Nerves in the Body - affecting many organs (as I/m sure you Know). As I research more and more on my Own, CErvical Instability contributes and causes soooo many problems. Tinnitus, Sinusitis, GERD, IBS (git that too for many years), TMJ, ear and teeth pain, occipital pain to the bridge of my nose, etc.... The spasms are felt in my chest, my stomach, my Diaphragm , rib cage (TY9-T10 disc is herniated), and the scoliosis (at 25 degrees sustained due to a 1 inch shorter right leg resulting from a fractured femur sustained in 1966 {I'm 69 now}. Too many doctors offer only Bandaids and meds to treat symptoms, and not treating the Causes....

I am curious if accupuncture can help instead of surgery.

My gastroenterologist said that 90% of POEM patients end up with GERD.

I've had the Heller- Myautomi, with return of Symptoms I'm now going to have the Botox Treatment after 2 ballooned Treatments,# 1 Helped..but #2,Didn't do Any Good! Should I ask about the " Poem" Treatment also? Witch One Would be the Better?..👨‍⚕️👩‍⚕️🏥🔪..What Say You?..👓👍

Hello, everyone, praying for you all, in the mighty, name of Jesus Christ, our Lord and Savior of the world, amen 🙏❤

What is acalashia

دکتر علیرضا میشه بگین من اسید ریفلاکس دارم یا این مریضی از کجا بدونم ؟ با چه تستی جوت بعضی وقتها احساس میکنم غذا تو گلوم گیر میکنه

I have achalasia and I find I have gained weight instead of lost. Along with my PCOS and love of delicious food (which very well both contribute to weight gain), I am able to eat so much food and not be full. My doctor explained this to me as eating food and the food not entering my stomach, therefore not signifying to my brain to stop eating because my stomach is empty. So instead of a meal sitting in my stomach where it belongs, it sits in my dilated esophagus and my brain thinks I’m starving despite having just eaten. WTH! Also, I must be really “special” since 1-2/100,000 people have achalasia, and my uncle has achalasia too! Oh yeah, my surgeon thought I was kidding about my last name..

I am patient of acelesia cardia

The manometry was not nice at all.

These fucking Drs do their videos and put their info, but when you try to reach them they're never available and never respond back to you

Not the POEM… yes the POEM.

The subject is most interesting. The delivery of this presentation not so hot. Dr. Seems to be under section or hungover.

u did great but you could work on your mood it realy annoys me how u talk it feels like you just dont even care

Thank you