Achalasia secondary prevention

Jump to navigation Jump to search

Achalasia Microchapters


Patient Information


Historical Perspective




Differentiating Achalasia from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


History and Symptoms

Physical Examination

Laboratory Findings

X Ray




Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Achalasia secondary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Achalasia secondary prevention

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical

US National Guidelines Clearinghouse

NICE Guidance

FDA on Achalasia secondary prevention

CDC on Achalasia secondary prevention

Achalasia secondary prevention in the news

Blogs on Achalasia secondary prevention

Directions to Hospitals Treating Achalasia

Risk calculators and risk factors for Achalasia secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]


Many of the causes of achalasia are not preventable. However, treatment of the disorder may help to prevent complications.

Secondary Prevention

Lifestyle changes

  • Achalasia patients need to eat slowly, chew very well, drink plenty of water with meals, and avoid eating near bedtime.
  • It is helpful to sleep with the head elevated by raising the head of the bed or using a wedge pillow.
  • Proton pump inhibitors may help prevent reflux damage after surgery by inhibiting gastric acid secretion. [1]
  • Foods that can aggravate reflux, including ketchup and other tomato products, citrus fruits, chocolate, mint, alcohol, and caffeine, should also be avoided.

Follow-up monitoring

  • Even after successful treatment of achalasia, swallowing may still deteriorate over time. [1]
  • It's important to check every year or two with a timed barium swallow because some may need pneumatic dilations, a repeat myotomy, or even esophagectomy after many years.
  • Some doctors recommend pH testing and endoscopy to check for reflux damage, which may lead to a stricture or cancer of the esophagus if untreated.


  1. 1.0 1.1 Gockel I, Müller M, Schumacher J (2012). "Achalasia--a disease of unknown cause that is often diagnosed too late". Dtsch Arztebl Int. 109 (12): 209–14. doi:10.3238/arztebl.2012.0209. PMC 3329145. PMID 22532812.

Template:WS Template:WH