Q: My mom is a patient of achalasia cardia and she has gone with dialation treatment twice in 14 months. The doctors have now put her in achalasia cardia grade 3rd. What does this mean? Is there any permanent remedy for it? Can you please suggest any exercise or yoga, which can lower the risk?

A:In achalasia cardia there is a spasm at the lower end of the oesophagus. This causes difficulty in swallowing. Dilatation avoids surgery but the results of dilatation are inferior to those of surgery. I am not sure what the doctors mean by grade three, but you should ask them about surgery. Surgery can now be done by laparoscopic means.