Title: Dyskinesia of the esophagus | Competently about health on iLive
Headings: Dyskinesia of the esophagus
Health
Dyskinesia of the esophagus
Classification of esophagus dyskinesia
Hypermotor disorders of the peristalsis of the thoracic esophagus
Segmental esophagospasm (the "esophagus of the nutcracker")
Diffuse esophagospasm
Nonspecific motor disorders of the esophagus
Hypomotor disorders of the peristalsis of the thoracic esophagus
Cardiospasm
Achalasia cardia
What do need to examine?
How to examine?
What tests are needed?

Content: [ 10 ], [ 11]
Nonspecific motor disorders of the esophagus
Nonspecific violations of the motor function of the esophagus occur against the background of its preserved peristalsis. The main symptoms are as follows: periodic occurrence of pain in the upper middle third of the sternum of varying intensity, usually during eating, swallowing, and not spontaneously. Typically, the pain is not long, can go on independently or after taking antacids or a sip of water; Dysphagia is rare. With fluoroscopy, one can observe non-impulsive non-hyperstatic contractions of the esophageal wall that arise when swallowing. Hypermotor dyskinesia of the esophagus must be differentiated first of all with esophagus cancer, cardiac achalasia, gastroesophageal reflux disease and coronary artery disease. To determine the exact diagnosis, use is made of fluoroscopy of the esophagus, esophagoscopy, pH-metry and esophagus manometry, a test with the introduction of hydrochloric acid into the esophagus , a grinding test with inflation in the esophagus of a rubber canister under esophagothoimagrafic, X-ray, electrocardiographic control (test provokes the appearance of hypermotor dyskinesia of the esophagus). Hypomotor disorders of the peristalsis of the thoracic esophagus
Primary hypomotor disorders of peristalsis of the esophagus are rare, mainly in elderly and senile patients and chronic alcoholics. They may be accompanied by a deficiency of cardia and play a role in the development of reflux esophagitis.