07/10/2026
Achalasia Cardia: When Food Struggles to Reach the Stomach
Achalasia cardia is a condition in which the lower oesophageal sphincter (gastroesophageal junction) does not relax properly when food reaches the end of the oesophagus. As a result, food can have difficulty passing into the stomach, leading to symptoms such as difficulty swallowing, regurgitation and a sensation of food getting stuck.
In this reel, Dr. Manoj A. Vyawahare, Senior Consultant Gastroenterologist & Interventional Endoscopist at LGI Hospitals, explains the available treatment approaches for achalasia.
Treatment options may include pneumatic balloon dilatation, laparoscopic surgery (Heller myotomy), or Per-Oral Endoscopic Myotomy (POEM). During POEM, the tight muscle at the gastroesophageal junction is cut internally through an endoscopic approach, helping reduce the resistance and improve the passage of food into the stomach.
The right treatment depends on factors such as the type of achalasia, symptoms, investigations and individual patient factors. Early evaluation by a gastroenterologist can help determine the appropriate treatment.
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