CERTIFICATE OF ACHALASIA CARDIA

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ACHALASIA CARDIA:-

        Essentials of Diagnosis:-
  • Dysphagia, initially intermittent with food appar- ently sticking at the level of xiphoid cartilage, asso- ciated with retrosternal discomfort. • Regurgitation immediately following ingestion and delayed regurgitation in chronic cases. • Cough and dyspnoea due to pressure of dilated oesophagus on trachea and bronchi. • Aspiration of material to tracheobronchial tree may cause bronchiectasis, lung abscess or pulmonary fibrosis. • X-ray shows conical tapering of distal oesophagus and fluoroscopy shows ineffectual and purposeless peristalsis with dilatation.
   

ACHALASIA CARDIA:-

        Essentials of Diagnosis:-
  • Dysphagia, initially intermittent with food appar- ently sticking at the level of xiphoid cartilage, asso- ciated with retrosternal discomfort. • Regurgitation immediately following ingestion and delayed regurgitation in chronic cases. • Cough and dyspnoea due to pressure of dilated oesophagus on trachea and bronchi. • Aspiration of material to tracheobronchial tree may cause bronchiectasis, lung abscess or pulmonary fibrosis. • X-ray shows conical tapering of distal oesophagus and fluoroscopy shows ineffectual and purposeless peristalsis with dilatation.
Treatment:- -Anticholinergics to relieve spasm of oesophagus. Tab Probanthine or Buscopan, one tablet thrice daily 1⁄2 hour before meals. -Nifedipine 10 mg thrice daily is beneficial. -To avoid irritant substances like salicylates. NSAIDs. Alcohol, spicy food, gulping of food and swallowing unchewed food particles should be avoided. -Avoid lying down for 2-3 hours after taking food. -Oesophageal dilatation using pneumatic bag under fluoroscopic guidance. -Oesophago-cardio-myotomy may be required in a few cases. https://www.spartanmemes.com/english/blogs/achalasia-cardia/ WEBSITE :-  WWW.SPARTANMEMES.COM

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