Eckardt Score Calculator
The standard measure of achalasia symptoms
The Eckardt score is the 4-question scale doctors worldwide use to grade achalasia symptoms and to judge whether treatment has worked. Answer for a typical week. It is for information only — not a diagnosis.
Patient tool · Achalasia
Your Eckardt score — the standard measure of achalasia symptoms
The Eckardt score is the 4-question scale doctors worldwide use to grade achalasia symptoms and to judge whether treatment has worked. Answer for a typical week. You can download or email your results at the end.
For information only — not a diagnosis. Swallowing difficulty has several possible causes, some serious, so new or worsening symptoms should always be assessed by a doctor regardless of your score.
Frequently asked questions
What is a good Eckardt score?
A score of 3 or less is generally considered good symptom control, and is the target most clinicians aim for after achalasia treatment. Scores above 3 usually mean symptoms are active and undertreated.
How is the Eckardt score calculated?
Each of four symptoms — difficulty swallowing, regurgitation, chest pain, and weight loss — is rated 0 to 3 for severity over a typical week. The four ratings are added together for a total score out of 12.
What does a high Eckardt score mean?
Scores above 6 suggest severe, uncontrolled achalasia symptoms that are affecting nutrition and daily life, and usually warrant prompt referral for treatment such as laparoscopic Heller myotomy.
Is this Eckardt score calculator a diagnosis?
No. It is a symptom-tracking tool for information only. A formal diagnosis of achalasia requires testing such as high-resolution manometry, barium swallow, or endoscopy, arranged through your doctor.
Medically reviewed by Dr. Kashif Irshad, MD, MSc, FRCSC · Last updated August 2026
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