Friday, January 16, 2009

More Achalasia advice that I stole from someone else

I admit it, I am a thief...I stole this advice from someone else’s site...I just thought it was good and decided that if I added it to my site it might reach a few more people....OK I know that there aren’t that many people out there to whom it will be appropriate, but hey, does that make it any less relevant? My own feelings on the suggestions are in brackets and italics

Outlined below are support suggestions from sufferers of Achalasia. Those quoted are from all stages of the disease and have had a variety of treatment options. Please read the information below and even print it out to discuss with your friend or family member who is suffering with this disease. A frank discussion can help both of you manage the illness more effectively.

While reading the information below, please keep in mind that Achalasia will affect the patient for the rest of their life. It is not only chronic, but it is a degenerative illness. Therefore, surgery and other treatments are not cures, but rather “stop-gap measures” to help the patient have a better quality of life.

Things to do or say

  • Listen to the A. patient's explanation & believe it & try to understand it (they find it unbelievable that they cannot drink, too!). (Oh yes, I do...!)
  • Supply cookies/biscuits without saying how bad it is for your diet, it is often the only food that goes down. Find out what foods work. (Biscuits = good, apples = bad and no, it makes no difference if you chew them well)
  • Be patient – eating is a slow process. (very slow...)
  • If sharing a meal, make sure that there’s extra water on the table in case the patient forgets. (In my experience, this is a huge help)
  • If you want to (or have to) dine out suggest a place to dine that has a big variety of foods not just a fast food place where you may be limited. (Another helpful thing) Remember it is easy to start to withdraw when you can’t go out and share meals with your friends.
  • Do listen when we need to talk about our concerns, and be compassionate when we're not feeling good. We know you don’t have the answers. We may just need to vent. (Oh yes!)
  • Laugh together, but not at our predicament. We already feel a bit freakish.
  • Remember, this is not a problem with the throat – getting food past the throat is the easy bit...
What NOT to do or say
  • Please don’t say "I thought you couldn't eat that" when the person with A is having a "good" day (why are there good days and bad days? Doesn’t make sense, but it seems to be true).
  • Please don’t offer unsolicited advice (for example, insisting there is a problem as a result of drinking soda, etc…).
  • Please do NOT tell them about Slim-Fast, Ensure, any diet drink and ask if blending food works. Achalasia affects swallowing both liquids and solids. They have probably tried everything.
  • Don’t pretend you know what it’s like to have the stuck feeling, and how to get rid of it. This is different. (Sorry, but this really is true!!!)
  • Don’t pat them on the back while they are having trouble swallowing– it’s not choking. Talking is a problem (or may not be possible) when they are having trouble….it’s all about concentrating on getting it down. (Oh yes, and it hurts so that’s why I go red in the face and look like I am going to cry)
  • Don't let the first thing out of your mouth be “Aunt Susie didn't swallow well and she had this terrible heartburn. But she got better with the right medication and I am sure yours will be fine too.” Sorry Achalasia is not GERD.
  • Don’t be upset when they can’t tell you what they can and cannot eat at times. It’s down to not even knowing. Believe it - this is a weird disease with apparently no rhyme or reason.
  • Finally, sorry, but however long you wait, it isn’t getting better and isn't going to get better without treatment... .

Here are some suggestions for words to type into Google so that you know the basics.

Achalasia, Heller Myotomy, Manometry,
Dysphagia

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