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Well I misunderstood the diagnosis a bit. My doctor does not think I have Achalasia. I have a tight LES, but the doctor feels that the Botox treatment plus relaxing and doing yoga will help. She wants me to do a barium swallow test before the Botox injection to get a better feel for exactly what is going on. I guess my esophagus functions but it does not with Achalasia. I have the heartburn symptom but not the swallowing difficulty and regurgitation that most people with this disease have.