烧心?胃痛?不一定是胃食管反流(GERD),可能是贲门失弛缓症(achalasia)

贲门失弛缓症（achalasia）又称贲门痉挛。其主要特征是食管缺乏蠕动，食管下端括约肌（LES）不松弛，造成的高压和对吞咽动作的松弛反应的减弱，使食物无法进入胃内，堵在食管上端。临床表现为咽下困难、食物反流和下端胸骨后不适或疼痛。 很罕见。十万人中可能只有一例，且病因迄今不明。

如何诊断? 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，请参考:  Achalasia

What is Achalasia?

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

所有跟帖： 

• 我的一个朋友最近聚会的时候就说到了她有了这个问题，吃医生的药，全身无力，经查，药有副作用。 -happycow222- ♂ (0 bytes) () 10/02/2014 postreply 19:16:03

• 能具体说说是哪种药吗？ -恶俗老狼- ♂ (0 bytes) () 10/02/2014 postreply 19:29:34

• 我问问再答复你。 -happycow222- ♂ (0 bytes) () 10/02/2014 postreply 19:44:06

• 因为贲门失弛缓症的治疗药物多是镇静剂。 -好好先生*- ♂ (0 bytes) () 10/03/2014 postreply 10:55:51

• 根除要靠手术治疗 -好好先生*- ♂ (0 bytes) () 10/03/2014 postreply 10:56:29