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.