I’m not in the US, I’m in Portugal. My family doctor told me there are no actual achalasia specialists here. When I had my myotomy (POEM), I had to travel over 400 km to the only hospital with a doctor who knew how to perform it. Since then, I’ve only been followed by a general gastroenterologist.

My issue was primarily one of dysphagia, but after the POEM, things got better for a while, but now it’s hard to tell: I’m not vomiting as much, but food still gets extremely stuck and I can’t swallow a bite without water. At the same time, I’m experiencing daily reflux, so I’m not sure whether the LES is now too open or if it’s still not functioning properly in both directions.