K22.0: Achalasia of cardia

Your cardia is constricted.

The oesophagus or gullet connects the mouth with the stomach. It is a muscular tube. The muscles in the oesophagus move food into the stomach. The oesophagus is usually closed by a sphincter muscle at the junction to the stomach. This is meant to prevent the stomach contents and gastric acid being regurgitated into the oesophagus. Only during swallowing does the oesophagus briefly open its sphincter muscle to the stomach.

The sphincter muscle between the gullet and stomach is controlled by nerves. These nerves are no longer working for you. The sphincter muscle is thus no longer able to relax well. The chyme now accumulates in front of the cardia. As a result, the lower gullet in particular expands. The pressure in the lower gullet also increases.

It is possible that swallowing food may be difficult for you and that you will often have to drink a lot after eating. Sometimes the food is also regurgitated up into the gullet. That can occur especially when you are lying down. You may often have bad breath. Some people also feel full very quickly and feel pressure at the junction of the ribcage and abdomen.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).