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Stage I - spasm of the cardia is functional. Stage II - stable spasm of cordarone pills, evacuation from the esophagus slows down, signs of a slight expansion of the esophagus appear, peristalsis increases, antiperistalsis and regurgitation occur, stage III - organic cicatricial changes in the cardia occur, but spastic phenomena still persist.

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Erratic peristalsis and antiperistalsis occur. Inflammatory changes develop in the tissues. Stage IV - a sharp cicatricial narrowing of the cardia, expansion of the esophagus, atony and atrophy of its walls. Esophagitis, periesophagitis and mediastinitis develop. A. 3. Morgenstern (1968) divides the patients he observed according to buy cordarone online and radiological picture into two groups. The first group is type I achalasia. This is a process without significant expansion of the esophagus. The second group - type II achalasia with a pronounced expansion and lengthening of the esophagus.

The clinical picture of achalasia depends on the stage bice. The most common symptoms are the following. dysphagia, regurgitation, chest pain. There may be nausea, vomiting, weight loss. The acute onset of the disease is observed in 1/3 of patients, in the rest the disease develops gradually, imperceptibly at first. Patients note a slight difficulty in the passage of food through the esophagus, sometimes they regard this as a hindrance or awkwardness when swallowing. Only solid food is retained. Over time, liquid food also begins to linger. In some patients, selective, paradoxical dysphagia is observed, apparently associated with food allergies or a person's negative attitude towards food. Dysphagia may be aggravated by eating cold food. However, the degree of amiodarone does not depend on the duration of the history.

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Regurgitation of food, which occurs immediately after eating as a result of excessive bending of the body or due to the fact that the patient has taken a horizontal position, occurs due to food retention in the esophagus. In the initial period of the disease, when the tone of the esophagus is not yet completely lost, there may be esophageal vomiting. They are the result of strong contractions of the esophagus, sometimes after pressure on the abdomen. Patients develop various techniques to facilitate the passage of food.

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take it in small portions, wait a few minutes between sips, drink solid food with liquid. Sometimes the passage of food is facilitated by a sharp turn of the head to one side or down, pressing the chin to order amiodarone pills. Some patients themselves cause regurgitation if the food causes pain, heaviness, an unpleasant sensation in the chest. Regurgitation at night is most dangerous, as it can cause aspiration of esophageal contents. In some patients, signs of dysfunction of the autonomic nervous system can be detected. pain in the epigastric region associated with pyloric spasm, cyanotic or pale hands, wet palms. Some patients feel chilliness, palpitations, dizziness, etc.