Oesophageal achalasia

This is a condition whereby the nerves controlling the rhythmic peristalsis that allows food to travel down the oesophagus are absent or diminished. This causes food to stick in the oesophagus which leads to pain.

The orthodox world has no specific cause for this isolated symptom, although it can be associated with serious neurological problems such as multiple sclerosis or motorneurone disease. Vitamin E deficiency may be related.

The Eastern philosophies consider this to be a severe loss of energy in the throat chakra, usually caused by a block in the lower energy centres.

Severe emotional stress is often associated, although it may be deeply buried and require hypnotherapy to illuminate.

In itself the condition is unpleasant, leading to pain and halitosis , but if not treated the individual will lose their appetite and malnutrition will ensue. Orthodox treatment includes investigation with barium swallows and endoscopy, often associated with special dilating techniques, cutting of the oesophageal muscles at the lower end of the oesophagus or even removing part of the tube. Before this, antispasmodic drugs will be recommended and should only be used after the alternative recommendations have failed.


A sudden or persistent inability to swallow or oesophageal pain should be reviewed by a throat or gastric specialist.

Persistent ingestion of food allergens may cause a mind-body reaction leading to the oesophagus refusing entry into the system. Food allergy testing by bioresonance or blood testing might well be appropriate.

Consider underlying stresses, especially anger, and if none are apparent consider hypnotherapy to illustrate the cause and to help relax the spasm in the muscles.

The homeopathic remedy Cimicifuga 6 every 15min may be of benefit in an acute case. Higher potencies may be recommended but such conditions should be treated by a competent holistic practitioner.

If surgical treatment is necessary . pain may be persistent. Unlike tears in other parts of the body, the pain is often described as a cramp rather than a sting. This can be very severe and may even mimic more serious problems, such as a heart attack.

A persisting pain with no obvious reason needs to be investigated because conditions such as cancer may give rise to this discomfort. Oesophageal spasm can occur through anxiety or persisting oesophageal reflux .


Oesophageal pain without an obvious reason needs to be examined by a throat or bowel specialist who may choose to use a scope.

The homeopathic remedies Magnesia Phosphoricum or Cuprum, both at potency 6, can be taken every 15min in an acute spasm.

Oesophageal reflux

The refluxing of stomach acid into the lower part of the oesophagus may occur from overeating but most frequently is associated with a hiatus hernia. For treatment of this condition .

Oesophageal stricture

Stricture of the oesophagus presents as pain or an inability to swallow. A build up of mucus or vomiting immediately after swallowing food or drink may be an early sign. Strictures may be acute, caused by a spasm of the oesophagus that is, in turn, often caused by swallowing something too hard, which causes a small nick in the oesophageal membrane. More serious conditions of stricture occur as a result of cancer or long-term reflex oesophagitis, secondary to a hiatus hernia.

Oesophageal pain

Pain in the oesophagus can occur simply from swallowing a solid bolus of food such as a boiled sweet, the oesophageal muscle then cramps but this pain passes swiftly. If a tear or cut occurs, the


See Dysphagia.

Persistent or sudden discomfort must be reviewed by a throat or gastric specialist.