So, spasms in the esophagus can occur in humans quite often. Although in most cases they pass, and the patient recovers, still the disease should not be left unattended. Diet modifications and medical treatment as prescribed by a doctor help restore a healthy condition of aldactone pills. Why does esophageal spasm occur? symptoms and treatment Link to main publication.
Esophagospasm is a neuromuscular disease of the esophagus, accompanied by spastic contractions of its wall without disturbing the opening of the cardia to the pharynx. Historical reference. The first report on diffuse spasm of the esophagus belongs to Baille (1799). Esophagospasm is diagnosed in 4-8% of all cases of functional diseases of the esophagus. Om is more often observed in women of middle and advanced age.
Diffuse spasm of the esophagus is a dysmotility of the esophagus, in which periodically there are uncoordinated spastic contractions of the smooth muscles of the esophagus while maintaining the normal tone of the lower esophageal sphincter and its reflex opening during swallowing.
Segmental esophagospasm (nutcracker esophagus) - develops if the amplitude of muscle contractions of aldactone is more than 2 times higher than normal. The process of coordination of contractile contractions of the muscles of the esophagus is not disturbed. Primary (idiopathic) esophagospasm - organic changes in the nervous system. Secondary (reflex) esophagospasm - accompanies such diseases as GERD, esophagitis, hiatal hernia, gastric ulcer, duodenal ulcer, cholelithiasis, in which the esophageal mucosa is damaged. The main manifestations of esophagospasm are chest pain and dysphagia (swallowing disorders).
Some authors, in addition, distinguish hyperkinetic and hypokinetic variants of the disease, presented in the following classification (Trukhmanov A.S., 1997). 1. Violations of the peristalsis of the thoracic esophagus.
Hypokinetic variants of esophageal dyskinesias in origin are mainly secondary to buy spironolactone pills esophageal pathology. They are accompanied by GER GER - gastroesophageal reflux In detail of varying severity and its complications such as esophagitis, aspiration pneumonia, frequent bronchitis, etc. Primary weakening of muscle tone and peristalsis of the esophagus sometimes occurs with long-term diabetes mellitus, against the background of taking M-cholinolytics, calcium antagonists.
The etiology of diffuse spasm of the esophagus is unknown. Depending on the mechanisms of violation of the motor activity of the esophagus, two variants of esophagospasm are distinguished. Hyperkinetic variants of esophageal dyskinesia are accompanied by an increase in the tone and motility of spironolactone both during swallowing and outside it. Age predominantly between 30 and 70 years of age.
Heartburn occurs in 20% of patients. Daily monitoring of pH in the lower third of the esophagus reveals episodes of GER, as evidenced by a drop in pH below 4. The total number of refluxes, the number of episodes lasting more than 5 minutes, the duration of the largest episode, the average duration of reflux, the total study time during which the pH value was below 4.
It is possible to use the method of intraesophageal impedansometric diagnostics of the motor function of the esophagus. Required Research. general blood analysis. Additional Research. biochemical blood test (total protein, glucose, ALT, AST, amylase, alkaline phosphatase).
Non-drug treatment involves the prevention of increased intra-abdominal pressure. patients should avoid performing frequent bending of the torso, lifting weights, overeating. Surgical treatment It is carried out only in some patients with a severe course of the disease and with the ineffectiveness of complex dietary drug therapy. Emotionally stable patients have the best results of surgical treatment. Diffuse spasm of the esophagus treatment.