Also, if patients are not holding onto their food, they are likely to develop malnourishment, and that in itself will contribute to a heightening of their inability to control their symptoms.
Anxiety with achalasia also needs to be addressed, as this adrenal stimulation is also a trigger.
My own research and then implementation with patients has led to individual symptoms being either controlled and reduced or virtually eliminated altogether.
By treating the Achalasia patient as an individual, and finding the source triggers, results were much improved.
Also, I do feel there is too much emphasis on introducing fibre, to keep the bowels going, if a patient has spasms, the fibre with stimulate achalasia symptoms. So by reducing fibre and supporting the bowel motility through other means, one of the achalasia triggers was removed or at least greatly reduced.
Achalasia support is available at Eat To Live, with individual programmes designed for the individual.