cascade stomach & achalasia

[Guest guest]

Hello group,I have a long-term, 34yo male pt with Hashimoto's (interestingly the onset was post-appendectomy).  A few months ago he began

complaining of GERD after he had a cold with a cough this past summer. 

His coughing episodes were prolonged and spasmodic.  As I continued

to work with him, I thought he may have developed a hiatal hernia,

or at least a hiatal hernia syndrome, yet on Chapman reflex points it

was never positive.  Despite my negative findings on the Chapman points, I decided to try the hiatal hernia correction, which

never did anything. 

Finally, I ordered a barium x-ray and the results of which came back with achalasia

and cascade stomach.  I will also follow up with endoscopy.  My understanding

is that cascade stomach findings are rare.  Any thoughts / suggestions, experience?  Thanks.Igor Schwartzman, NDWhole Family Wellness Center  â˜Â  www.wfwcenter.com  â˜Â  Portland, Oregon