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Patients with achalasia of the cardia are shown dispensary observation of a gastroenterologist with the implementation of the necessary diagnostic procedures. Achalasia of the cardia of the esophagus is a chronic disease characterized by impaired patency of the esophagus caused by the absence or insufficiency of reflex relaxation of the lower esophageal sphincter and the formation of a narrowing of the alimentary canal in front of tadalafil 5 mg pills. The disease is accompanied by an expansion of the above-located areas and a disorder of peristalsis, manifested in the form of chaotic contractions of smooth muscles of different amplitudes.
At the first stage, the violation of the passage of cialis is not permanent, it is caused by a short-term violation of the relaxation of the lower esophageal sphincter (annular smooth muscle structure for regulating the passage) during the act of swallowing, as well as a moderate increase in basal tone. On the second, the increase in basal tone is stable, and violations of the relaxation of the cardiac sphincter during swallowing are more pronounced, while there is a moderate expansion in the esophagus above the site of spasm. The third stage is characterized by the formation of stenosis (narrowing) as a result of cicatricial changes in the esophagus in front of the stomach, as well as the formation of a significant expansion above the cardia (at least 2 times). At the fourth stage, S-shaped deformation and pronounced cicatricial narrowing cause complications - esophagitis and paraesophagitis.
Achalasia of cialis pills of the esophagus has 4 stages:
It is necessary to distinguish between achalasia and chalazia
Chalazia cardia is an expansion of the cardial part of the esophagus caused by underdevelopment of the neuromuscular apparatus of the esophagocardial junction or straightening of the angle of entry of the esophagus into the stomach - the so-called angle of His. Learn more
The main manifestation of chalazia cardia is the inability to swallow dense food in the absence of visible obstructions and narrowing of the esophagus. subcompensatedwhen the tone of the walls of the esophagus and its shape are preserved; decompensated, characterized by the loss of tone by the walls of the esophagus, as well as its curvature and significant expansion above the site of stenosis formation.
The origin of the disease has not yet been clarified, but achalasia of the cardia as a complex of neuromuscular disorders of the esophageal tube: can be caused by congenital or acquired infectious-toxic lesions of the intramural nerve plexus of the esophagus; arises as a result of the complex influence of numerous factors - psychogenic effects, hypovitaminosis, genetic predisposition; possible as a result of cialis process.
Regurgitation ( regurgitation) - passive return of undigested food, which is aggravated by overeating, as well as in an inclined, lying position and during sleep. Pain in the neck, sternum and behind the sternum (between the shoulder blades) - they are usually caused by spastic contractions of smooth muscles or a large accumulation of food in the dilated esophagus. Heartburn, resulting from the partial digestion of the food bolus directly in the expansion of the esophagus.
The clinical picture develops slowly, but aboutThe main symptoms are steadily progressing, they include: Dysphagia is a disorder of the act of swallowing, which, with achalasia of the cardia of the esophagus, is characterized by pain in the sternum, and not in the throat, difficulty in swallowing the food bolus is observed for 3-4 seconds, and may be accompanied by food entering the nasopharynx, hoarseness, hoarseness, etc.
In order for the diagnosis of achalasia of the cardia not to be confused with gastroesophageal reflux disease (GERD) and diaphragmatic hernia, it is necessary to carry out: radiography with contrasting of the esophagus with barium sulfate; manometry, which will allow you to evaluate the motor capabilities of the pharynx by measuring the pressure wave, the walls of the esophagus, as well as its sphincters; endoscopy of the esophagus and stomach, carefully studying the gastroesophageal junction of an unrelaxed lower esophageal sphincter; computed tomography of the chest.