One of the types of surgery for cardiospasm is esophagocardiomyotomy. Its essence: dissection of the muscular membrane of the lower part of the esophagus, followed by the formation of a diaphragmatic flap and suturing it to the muscular edges of the esophagus. In the later stages of the disease, esophagomyotomy should not be used, since the esophagus is already pathologically changed, the contraction of its walls is weak or absent. In view of this, complete removal of stromectol is used, followed by plasty with a gastric transplant. How is achalasia of the cardia manifested in children.
Achalasia cardia, if left untreated, can develop into cancer of the esophagus and cancer of the cardioesophageal junction (tubular section of the stomach 20 mm above and below the esophageal-gastric junction). Cancer of stromectol junction is more dangerous than cancer of the esophagus or stomach. An enlarged esophagus with achalasia puts pressure on the organs of the chest cavity, as a result - cardiovascular diseases.
In children, this disease is observed very rarely and mainly after 5 years. Manifested by vomiting during or after eating, screaming, crying. Babies spit up food and during sleep, cough at night. There is difficulty in swallowing food. Sometimes the disease in children is aggravated by bronchitis, pneumonia. Constant non-compliance with the diet leads to growth retardation of the child, anemia.
Grind undried ginseng root, pour a liter of ivermectin pills. We insist a month, constantly shaking. We filter, take 30 drops three times a day 40 minutes before meals. The course is a month. Finely chop the dry leaves and stems of Chinese magnolia vine, pour a few spoons into a glass container. Fill it up with 200 ml. alcohol and put in a dark cool place for 15 days. We filter and use 30 drops before meals. The course is a month. Grind 15 gr. quince seeds, pour 400 ml. boiling water. Boil over low heat for 15 minutes. We filter. We drink 100 gr. decoction 3 times a day before meals.
Dysphagia in achalasia cardia occurs when both solid and liquid foods are consumed. This makes it possible to distinguish it from mechanical dysphagia caused by organic narrowing of the esophagus in cancer and esophageal stricture. Esophageal stricture is a narrowing, a decrease in the lumen of the esophagus of various nature. , as well as other diseases in which difficulty in passing food occurs only when eating solid food.
Chest pain (pain in the lower and middle thirds of the sternum) is present in about 60% of patients. They occur when the esophagus is full of food and disappear after regurgitation or passage of food into the stomach. Pain can be associated with a spasm of the smooth muscles of the esophagus and then appear not only during meals, but also after unrest, psycho-emotional stress. The pain can be localized behind the sternum, in the interscapular space and often radiates. Irradiation - the spread of pain outside the affected area or organ. in the neck, lower jaw, etc. As a rule, pains of this type are stopped by nitroglycerin, atropine, nifedipine, blockers of slow calcium channels.
There is an alternative point of view, according to which dysphagia in achalasia has the following character: swallowing of only solid food is disturbed, and the reverse pattern (disturbance of swallowing only liquid food) practically does not occur. In most cases, with achalasia of the cardia, the manifestations of Stromectol pills dysphagia gradually increase, although this process can be extended for quite a long time.
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Characterized by complaints of pain in the lower and middle third of the sternum.
In children Achalasia of the cardia in children is manifested by the presence of regurgitation, dysphagia when swallowing solid and liquid food, sudden vomiting without nausea before it appears, while the vomit consists of unchanged food.
In patients with achalasia, hiccups occur more often than in patients suffering from dysphagia due to other causes.
Occasionally, patients experience heartburn caused by the processes of enzymatic breakdown of Stromectol in the esophagus itself with the formation of a large amount of lactic acid.
Other symptoms As the disease progresses, symptoms of so-called congestive esophagitis may appear: rotten belching, nausea, increased salivation, bad breath (these symptoms are associated with prolonged stagnation and decomposition of food in the esophagus).
Weight loss can reach 10-20 kg or more. Most often, weight loss is associated with a conscious reduction in food intake due to fear of pain and dysphagia after eating.
Weight loss is a typical symptom, especially at stages 3-4 (with a significant expansion of the esophagus), often characterizes the severity of the disease.
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