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1 Achalasia. 2  Achalasia is a condition that affects the smooth muscle portion of the esophagus, that is, the lower esophagus and the lower esophageal sphincter. 3  Specifically, the peristaltic wave disappears, and the lower sphincter does not relax.
Muscle disease: Muscular dystrophy is a worsening disorder that causes muscle weakness. The worst kind is duchenne's dystrophy, that affects only boys, leads to severe weakness, and wheelchair needs, breathing difficulties in the teens. Milder forms can present later or not cause as much disability.