Achalasia Cardia – Causes, Symptoms, and Expert Treatment in Hyderabad
Discover Achalasia Cardia symptoms, causes, and the latest treatment options available in Hyderabad with Dr. K V Dinesh Reddy, a top GI and esophageal surgery expert.

Achalasia Cardia is a rare but serious disorder of the esophagus that affects its ability to move food into the stomach. The condition results from the failure of the lower esophageal sphincter (LES) to relax, causing food and liquids to back up in the esophagus, leading to swallowing difficulties, discomfort, and even weight loss.
Although the condition can be long-term, modern Achalasia Cardia treatment options have made it possible to manage symptoms effectively and restore normal esophageal function, especially when diagnosed early.
What is Achalasia Cardia?
Achalasia is a motility disorder where the nerves in the esophagus degenerate over time. As a result:
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The esophageal muscles fail to contract properly
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The LES (lower esophageal sphincter) doesn’t relax during swallowing
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Food and fluids accumulate in the esophagus, stretching and damaging its lining
It affects adults of all ages but is most common in people between 25 and 60 years old.
What Causes Achalasia?
The exact cause remains unclear, but contributing factors may include:
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Autoimmune response damaging esophageal nerves
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Genetic predisposition
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In rare cases, infections like Chagas disease (outside India)
Symptoms of Achalasia Cardia
Patients may experience:
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Difficulty swallowing solids and liquids (dysphagia)
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Regurgitation of undigested food
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Chest pain or discomfort after eating
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Heartburn-like symptoms
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Coughing, especially at night
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Unexplained weight loss
These symptoms often worsen gradually, making early diagnosis challenging.
Diagnosis of Achalasia
Diagnosis typically involves a combination of the following:
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Barium swallow test – shows narrowing at the LES
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Upper GI endoscopy – rules out cancer or inflammation
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Esophageal manometry – measures esophageal muscle contractions and LES pressure (gold standard)
Achalasia Cardia Treatment Options
There is no permanent cure for achalasia cardia, but various treatments provide long-term relief:
1. Pneumatic Dilation
A balloon is inserted and inflated at the LES to force it open. This non-surgical option is effective but may need repeating.
2. Laparoscopic Heller’s Myotomy
A minimally invasive surgery that cuts the LES muscle to reduce pressure. Often combined with fundoplication to prevent acid reflux.
3. POEM (Peroral Endoscopic Myotomy)
An advanced endoscopic technique without external incisions. POEM is effective for both classic and spastic achalasia.
4. Medications or Botox Injections
Used in patients unfit for surgery. These options provide temporary relief.
Consult Dr. K V Dinesh Reddy – Specialist in Esophageal Disorders
For advanced Achalasia Cardia treatment in Hyderabad, Dr. K V Dinesh Reddy offers expert care through minimally invasive and endoscopic approaches. As a leading surgical gastroenterologist, he has successfully treated numerous patients using Heller’s Myotomy and POEM with excellent outcomes.
His patient-centered approach, precision in diagnostics, and adoption of cutting-edge techniques make him one of the most sought-after GI specialists in the region.
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