The Vagus Nerve and Achalasia

[Apey13]

Hi,

I was wondering if anyone knew the relation between the Vagus Nerve and Achalasia? I have had two episodes of pain in my sternum, then I hyperventilated and almost passed out, I was told this was due to my Vagus Nerve. I also have Achalasia and was just wondering if the two were ever put together and if the stimulation of the Nerve has helped Achalasia patients ?

Thank you

[Janetsplace2]

My husband has Achalasia is this caused by nervousness

[Apey13]

Thank you for your answer.

I am seeing a Neurologist next month for my Meniere's disease and will discuss this with him. I feel like, with all my issues, that there would be just one underlying cause so maybe he will have some answers.

Thanks again.

[Dr. Kokil Mathur]

Hi!
I am sorry to hear about your medical problems. Yes, electrical stimulation of vagus nerve can restore peristalsis in achalasia patients. Some need surgical myotomy in addition the electrical pacing of vagus nerve.
What you suffer from is probably a vasovagal syncope or a vasovagal attack. The complex group of symptoms are mediated by the vagus nerve. This nerve is irritated by prolonged standing, standing up suddenly, stress, pain, hunger, dehydration, intense emotion etc.  Neurocardiogenic or vasovagal syncope as it is also called usually has three phases—a prodrome, actual fainting and post episode phase. Urinary and fecal incontinence is also seen in some cases. If you can identify the triggers, you will be able to stop the fainting attacks. Since it does not always happen, go back to the few episodes and see what the trigger was. Try and avoid the trigger which may be as simple as standing up suddenly on an empty stomach. Sit down immediately and place your head between the knees. Let the episode pass.
Also this needs a detailed evaluation of heart and nervous system. A tilt table test, holter monitor, echocardiogram etc are done for confirmed diagnosis. Certain lifestyle changes such as raising the head end of bed while sleeping, avoiding sudden change in postures, avoiding an empty stomach, doing moderate isometric and aerobic exercises etc usually help. Certain medications can be given to increase the tone of the blood vessels. Treating the underlying cardiac or neurogenic cause also helps. Drink plenty of water, clear soups, juices (fresh), and herbal tea etc.  Please discuss the treatment in detail with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.