http://reference.medscape.com/medline/abstract/22791463

Since I've spent a bit of time researching this condition, I have come across this interesting study. The problem with achalasia is that the lower esophageal sphincter fails to relax when food is swallowed. The study found that carbonation lowers the pressure in the distal esophagus allowing it to open and allow the food or beverage to enter the stomach.

I've already been told to drink Water with meals to help push food through, so I'm going to test this theory and start my meals with a few sips of Perrier. It's 100% natural, the carbonation is very soft. I do drink it from time to time as a "mocktail" with lite cran-pom and lime juice over ice when I'm being social and the carbonation has never been a problem. My nut and doctor have both said that 0 calorie carbonation is an issue of comfort than anything else. Since my band is empty, it's really a non issue at this point.

I'm really concerned about the distention of the proximal esophagus when I eat or drink anything (manometry test used only 1.5 oz saline and it distended) and the cardiac irritation that ensues. If I can mitigate this while my doctors sort out all the various issues and come up with a treatment plan, I hope I can at the very least eat more comfortably and not feel like my heart is jumping out of my chest.

I have an appointment with the GI doc this afternoon.

let us know how it goes!

best of wishes and good luck

Thanks B! Will post in the morning.

I attached one of the result pages from my manometry. I have zero muscle function in the esophagus. My doctor is referring me to a renowned thoracic surgeon for evaluation. He is astounded that the disease has progressed so fast, never seen this before. He did recommend drinking carbonated beverages to help open the LES and it has seemed to help.