Achalasia treatment involves PD, POEM to reduce LES pressure. Learn about options, recovery, and the advanced surgical services offered at LIV Hospital.
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Treatment and Management
Achalasia treatment focuses on relieving symptoms by permanently reducing the high pressure of the Lower Esophageal Sphincter (LES) to allow food to pass into the stomach. While there is no cure for the underlying nerve damage, successful intervention stops food stagnation, alleviates pain, and improves the patient’s quality of life. Treatment strategies range from medications to highly advanced surgical procedures performed at centers like LIV Hospital.
These treatments are performed endoscopically (using a scope inserted through the mouth) and offer permanent or long-lasting relief without open surgery.
Surgical intervention provides the most durable and long-lasting relief by permanently cutting the LES muscle.
Recovery is focused on managing initial discomfort and ensuring the successful long-term function of the repaired LES.
Medications are generally reserved for patients who are not candidates for procedural interventions (like dilation or surgery) or as a temporary bridge to more permanent treatment. They work by temporarily relaxing the smooth muscles of the LES.
After treatment, patients experience immediate relief from dysphagia.
LIV Hospital is committed to post-operative excellence. Our multidisciplinary team, including dieticians and motility specialists, provides comprehensive recovery plans tailored to minimize pain, manage reflux risk, and help patients transition back to a comfortable diet.
Long-term success requires consistent monitoring to check for symptom adequacy and potential complications.
Send us all your questions or requests, and our expert team will assist you.
Treatment options include oral medications (Nitrates), endoscopic procedures like Pneumatic Dilation (PD) and temporary Botox injections, and surgical interventions like Laparoscopic Heller Myotomy (LHM) or the advanced endoscopic surgery, POEM.
The procedures themselves take 1-2 hours. Initial recovery (hospital stay) ranges from a few hours (PD) to 2-4 days (LHM). Most patients return to light work within 5 to 14 days. However, full internal healing and dietary adjustment can take several months.
Achalasia is rarely managed long-term with medications alone. Most patients require a definitive procedure, such as POEM or Laparoscopic Heller Myotomy, as these offer the most durable relief by physically modifying the LES muscle.
The primary medications are Nitrates and Calcium Channel Blockers, taken before meals to relax the LES. They are typically used only temporarily or when other, more definitive procedures are not possible due to their limited effectiveness and side effects.
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