Achalasia without eating problems

[Guest guest]

I have recently been diagnosed with achalasia, after barium swallow, EGD,and

manometry. However, my doctor is very puzzled because I do not have any eating

problems. My only symptom is that I regularly have nocturnal regurgitation which

wakes me up throwing up undigested food. My doctor (who is experienced in

achalasia) tells me he has never come across a case like this and although he

recommends treatment either by surgery or dilation, he thinks the choice to go

ahead with this is not straightforward as I have no problem eating, and with

raising the head of my bed, sleeping on a lot of pillows and not eating late, I

have reduced the nocturnal regurgitation to occurring only once or twice every

few weeks (though the choking sensation is still most unpleasant). So I am

wondering if anyone else on this list has had achalasia whose only real symptom

is nocturnal regurgitation, and if so what treatment has been recommended.