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Call 800.483.3245Erratic 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.