燒心?胃痛?不一定是胃食管反流(GERD),可能是賁門失弛緩症(achalasia)

賁門失弛緩症（achalasia）又稱賁門痙攣。其主要特征是食管缺乏蠕動，食管下端括約肌（LES）不鬆弛，造成的高壓和對吞咽動作的鬆弛反應的減弱，使食物無法進入胃內，堵在食管上端。臨床表現為咽下困難、食物反流和下端胸骨後不適或疼痛。 很罕見。十萬人中可能隻有一例，且病因迄今不明。

如何診斷? How is achalasia diagnosed?

Three tests are most commonly used to diagnose and evaluate a swallowing problem:

• Barium swallow. The patient swallows a barium preparation (liquid or other form) and its movement through the esophagus is evaluated using X-ray.
• Endoscopy. A flexible, narrow tube called an endoscope is passed into the esophagus and projects images of the inside of the esophagus onto a screen.
• Manometry. This test measures the timing and strength of esophageal (pump) contractions and lower esophageal sphincter (valve) relaxation.

更多的信息，請參考:  Achalasia

What is Achalasia?

來源: http://health.clevelandclinic.org/2014/10/when-you-think-you-have-acid-reflux-but-its-not-video/

所有跟帖： 

• 我的一個朋友最近聚會的時候就說到了她有了這個問題，吃醫生的藥，全身無力，經查，藥有副作用。 -happycow222- ♂ (0 bytes) () 10/02/2014 postreply 19:16:03

• 能具體說說是哪種藥嗎？ -惡俗老狼- ♂ (0 bytes) () 10/02/2014 postreply 19:29:34

• 我問問再答複你。 -happycow222- ♂ (0 bytes) () 10/02/2014 postreply 19:44:06

• 因為賁門失弛緩症的治療藥物多是鎮靜劑。 -好好先生*- ♂ (0 bytes) () 10/03/2014 postreply 10:55:51

• 根除要靠手術治療 -好好先生*- ♂ (0 bytes) () 10/03/2014 postreply 10:56:29