Swallowing Problems »
Swallowing problems overview
The swallowing tract extends from the mouth to the stomach. The act of
swallowing normally occurs in three phases. In the first phase, food or liquid
is contained in the mouth by the tongue and palate (oral cavity). This phase is
the only one we can control.
The second phase of swallowing begins when the brain makes the decision to
swallow. At this point, a complex series of reflexes begin. The food is thrust
from the oral cavity into the throat (pharynx). At the same time, two other
events occur: A muscular valve at the bottom of the pharynx opens, allowing food
to enter the swallowing tube (esophagus), and other muscles close the airway
(trachea) to prevent food from entering the airways. This second phase of
swallowing takes less than half a second.
The third phase of swallowing begins when food enters the esophagus. The
esophagus, which is about nine inches long, is a muscular tube that produces
wav...
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I was 25 when I was first diagnosed with achalasia. It began with difficulty swallowing and progressed to migraine headaches. My initial doctors knew right away what was happening in my esophagus and said I would be a good candidate for a Heller Myotomy with a fundoplication wrap which is a surgery to slice the sphincter muscle and wrap it around my stomach so that the sphincter remains open to allow the passage of food. While the surgery is costly, the effects are phenominal. I was a good candidate for the Heller Myotomy with fundoplication wrap because of my age, health, and active lifestyle. After three years of passing out, loosing considerable amounts of weight (down from 120 to 80 pounds and very unhealthy) and awful migraines, a gastroenterologist began with a Botox treatment that allowed me to last for two weeks. (I was too far gone for balloon dilation.) Then, I had the surgery. This surgery saved my life. I am a certified teacher, a mother, and a survivor of achalasia. While I still have the achalasia, I can now swallow and digest food because my sphincter is permanently open. I have a whole new respect for food and healthy living! Published: December 04 ::