Medical encyclopedia return home healthsearch health guide multimedia encyclopedia the body guide images digestive syste upper gastroint... Achalasia - ser... viagra how long take effect More features printer-friendly version achalasia definition achalasia is a disorder of the tube that carries food from the mouth to the stomach (esophagus), which affects the ability of the esophagus to move food toward the stomach. Alternative names esophageal achalasia causes a muscular ring at the point where the esophagus and stomach come together (lower esophageal sphincter) normally relaxes during swallowing. viagra coupon In people with achalasia, this muscle ring does not relax as well. generic viagra without prescription The reason for this problem is damage to the nerves of the esophagus. diabetes viagra or viagra Cancer of the esophagus or upper stomach and a parasite infection that causes chagas disease may have symptoms like those of achalasia. pharmacy price for viagra Achalasia is a rare disorder. where can you buy real viagra It may occur at any age, but is most common in middle-aged or older adults. This problem may be inherited in some people. Symptoms backflow (regurgitation) of food chest pain, which may increase after eating or may be felt in the back, neck, and arms cough difficulty swallowing liquids and solids heartburn unintentional weight loss exams and tests physical examination may show signs of anemia or malnutrition. pharmacy price for viagra Tests include: esophageal manometry esophagogastroduodenoscopy upper gi x-ray treatment the approach to treatment is to reduce the pressure at the lower esophageal sphincter. can you use viagra without having ed Therapy may involve: injection with botulinum toxin (botox). viagra generic This may help relax the sphincter muscles, but any benefit wears off within a matter of weeks or months. Medications, such as long-acting nitrates or calcium channel blockers, which can be used to relax the lower esophagus sphincter surgery (called an esophagomyotomy), which may be needed to decrease the pressure in the lower sphincter widening (dilation) of the esophagus at the location of the narrowing (done during esophagogastroduodenoscopy) your doctor can help you decide which treatment is best for your situation. pharmacy price for viagra Outlook (prognosis) the outcomes of surgery and nonsurgical treatments are similar. Sometimes more than one treatment is necessary. no prescription viagra pharmacies Possible complications backflow (regurgitation) of acid or food from the stomach into the esophagus (reflux) breathing food contents into the lungs, which can cause pneumonia tearing (perforation) of the esophagus when to contact a medical professional call your health care provider if: you have difficulty swallowing or painful swallowing your symptoms continue even with treatment for achalasia prevention many of the causes of achalasia are not preventable. However, treatment of the disorder may h. viagra online no prior prescription