Guest guest Posted January 15, 2012 Report Share Posted January 15, 2012 I've joined this group about a month ago as a lurker,reading posts ,gathering information and reading stories of fellow sufferers of Achalasia. Well, I've learned alot and wanted to tell my story. Hopefully, myself and others will benefit from the shared information about this dreaded disease. About 3 years ago I noticed a change in my swallowing abilities. I prolonged getting it checked because I did not have any health insurance. After a tolerable year of waiting, a GI doctor sent me for an endoscopy. Results were normal. The Doctor suggested a manometry but again, I procrastinated due to lack of insurance. During that time, my symptoms got worse and worse until finally this past July, I managed to get an impaction in my LES and had to have an emergency endoscopy to unclog it. That was my turning point and finally had the manometry. The manometry confirmed that I had zero motility in my esophagus and that my LES was not functioning normally. It got so bad for me that I had to stand to eat even soft foods and had to push my stomach out to get food to pass into my stomach. Since the initial impaction in July, I had 2 more incidents with blockage but managed to unclog it on my own by drinking hot liquids and regurgitating food back up for sometimes a few days.Not eating for days really su..ed Eventually, some of he food managed to pass down. Totally horrible experience for me and my wife and kids to witness. Needless to say, I've been very distraught and unpleasant and has effected my relationship with my family. Although, they have been very understanding. Like many of you out there, avoiding social events and even spending Christmas eve home alone was very common. After doing some extensive research, I found a surgeon who fit the bill to help me. He has 23 years experience and is Director of minimally invasive surgery at New York Medical College and Westchester Medical Center in New York's Hudson Valley. His name is Dr.Ashutosh Kaul, MD. He has had hundreds of patients with this condition. I met with him to discuss the options for me and it was concluded that I was at the end stage of Achalasia. I needed the Heller Myotomy with Nissen Fundoplication. Fortunately for me, I think because I had modified my diet during the progression of the disease, my esophagus managed to stay intact and not dilate like many others might have. If I could give any advice here to anyone, don't try and force food down your esophagus and stick to really soft foods and liquids such as nutritional shakes. I make my own shakes using EAS soy protein bodybuilding powder in milk and add bananas, organic frozen fruit and blender it. I even add Benefiber to it. I have not eaten meat in well over 6 months.I also drink the Ensures, Boost etc. Fast forward to 3 days ago 1/12/12, I had the surgery at Westchester Medical Center, Valhalla, NY. The morning after the surgery, I was informed that they also discovered I had a hiatal hernia which Dr. kaul repaired. For those of you who are not familiar with hiatal hernias such as myself, it is when the stomach slides up into the thoracic cavity past the diaphram. After being informed of this, I immediately got on my Kindle and went online to learn more about hiatal hernias. The more I think about it,I think that I may have given myself the hernia by trying to unclog my blockage. Hmmm.? Ironically, the surgical procedure used to repair a hiatal hernia is either a Nissen or Dor Fundoplication. Interestingly, I also read on Wikipedia that on rare occasions, complications from Hiatal hernias could be Achalasia. Although there are no known causes for Achalasia, for myself, I always wondered what could have triggered my condition and concluded that it was probably stress. I asked my surgeon about any correlation between the HH's and Ach.. and he said no. I have to disagree with that but at this stage, it does not matter but it is something to consider. Well, here I am at home, 3 days after surgery writing this and not feeling too bad at all.Doctor said that after the 2nd day, when the anesthesia completely fades, the pain will be worse. Needless to say lots of discomfort and pain in my upper body but the meds help. I've had numerous instances of heartburn but was told it is common, They gave me Pepcid 2x daily and Maalox when needed in addition. All liquid diet for 6 days, then a strict soft diet for 2 months. My surgeon told me that after about 10 days I won't even know that I had surgery (I pray for that). If I miss anything I'll keep updating and I hope that I may have helped someone in this group. Best wishes and health to everyone, Wappingers Falls, Quote Link to comment Share on other sites More sharing options...
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