Please note that these services are not intended for any emergency medical situations. If you are having a life-threatening or serious condition that may require hospitalization, including, but not limited to, high-grade fever; low or high blood pressure; active serious infection, including, but not limited to, COVID; chest pain; shortness of breath; severe pain; or stroke-like symptoms, please call 911 immediately or go to a nearby emergency center as quickly as possible.
If you do not have a physician's order for labs or non-invasive radiology services, you may request it through our network of affiliated physicians/providers in selected states for an additional non-refundable fee, as listed (asynchronous consultation). Please note that an asynchronous consultation or physician-order service for diagnostics is not available for radiology tests requiring IV contrast. Patients needing a diagnostic study with IV contrast must complete an online visit with our physician first and, likely, will also need to have a lab test for their kidney function before a diagnostic study with IV contrast can be scheduled.
Once you request our provider or physician's order service, you will receive an email from us inquiring more details about your medical history. Based on the information you provide, one of our affiliated physicians or providers will make a determination about processing the order for the requested service. In some cases, as determined by our affiliated medical team, you may be required to provide additional clinical information or may be asked to have a more detailed online visit (an additional fee may apply) before your order can be processed. Please note that in some situations, or based on available clinical information, our team may even decide not to process the requested diagnostic order service and rather may recommend you to seek immediate medical attention in person or go to the nearest urgent care or ER. In that case, any advanced payment for the diagnostic service(s) will be refunded, but the physician's consultation or order request fee will remain non-refundable.
Please also note that any post-diagnostic service follow-up visit(s) or treatment(s) is not covered in this service fee and the ordering physician is not responsible to provide any continued care unless you sign-up for that service separately. Depending on your situation or test results, you may be advised to seek consultation with either primary care or a specialist physician (local or online) for further work-up and treatment. If you are unsure or have any questions, please call our customer support service before placing an order.
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Achalasia refers to esophageal achalasia, a rare motility disorder that happens due to the defective nervous transmission of the smooth muscles of the esophagus- the food pipe. Your esophagus consists of smooth muscles which contract and relax (peristalsis) to push your food from the mouth to the stomach. The lower part of the esophagus has a ring of smooth muscles called the lower esophageal sphincter (LES) that acts like a gate that can open to allow the food to go down in the stomach and close so that the acidic contents from the stomach do not come back to the esophagus. In achalasia, the peristaltic movements of the esophagus are impaired, the LES remains tight and relax inadequately to let the food go down. Hence, the food remains in the esophagus, and also, some of the stomach contents can regurgitate back in the esophagus. Symptoms include difficulty in swallowing food, regurgitation, heartburn, and pain in the chest. Surgical and non-surgical treatments are available, although none cure the disease. Primary Achalasia can occur by itself or may result from other esophageal disorders like cancer, in which case it is called secondary achalasia.