newbe facing decisions

[Guest guest]

I'm really glad to have found this list and I've been reading through some of

the older posts. So, my question may seem super repetitive but it is earnest as

my treatment options begin to emerge.

My problem began about two years ago with some swallowing difficulty. Actually,

it never felt that food was stuck but something wasn't working. I'd eat a little

and then saliva production would start in earnest leading to

semi-vomiting-coughing anything to get rid of the constant uncomfortable

feeling. Sometimes crushing chest pains would arrive, but a cardiologist ruled

out heart problems. My diet, through trial and error, shifted to Ensure/Boost,

Lipton noodle soup, frozen yogurt usually with walnuts, and lots of chocolate

candy to keep me energized during the work day. And for some reason I find it

easier to drink Gatorade instead of water, which can trigger a reaction. My

weight, after a drop, has stabilized.

A new GI ordered a cat scan and a manometry, and conducted an endoscopy which

confirmed achalasia.

I met with a surgeon who is recommending a heller myotomy, and gave me good

reasons for it: unlike dilation it will last. I have an appt. coming up with my

GI to review my options which seem to boil down to HM or dilation.

I need to do something. This is wearing me down. On days when it seems really

difficult to eat and even drink anything, my energy level is low. I've managed

to adapt and keep up a good front, but worry that my lousy diet will bring its

own set of problems.

I'm 57 and despite this consider myself way lucky. I have no reason to complain.

I'm leaning toward surgery, in part because I'm employed with good insurance,

but if that changes, at my age, the options for insurance will evaporate so a

longer-lasting remedy, such as it is, seems like a better option. But that said,

I'm interested in any advice, especially any experiences with surgery that may

help me decide. Did the surgery really make a difference? Best regards --