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The fourth stage is inflammation of nearby tissues and deformity of the esophagus.

Taking into account the morphological signs and the clinical picture, the following stages of development of this pathological process are distinguished: The first stage of the esophagus does not expand, the violation in the passage of food is periodic; The second stage is a moderate expansion of the esophagus, dysphagia and a stable tone of the cardiac sphincter appear; The third stage of the esophagus is expanded at least twice, which is due to cicatricial changes and a significant narrowing of the esophagus.

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• There is another opinion according to which the development of the disease is associated with chronic inflammatory diseases that affect the lungs, hilar lymph nodes, and vagus neuritis.
• It should be noted that these stages of the pathological process can develop both within a month and several years. It all depends on the history and general health of the patient.

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The following symptoms are characteristic of achalasia cardia: dysphagia, regurgitation, chest pain, weight loss. Swallowing disorders (dysphagia) occur as a result of a slowdown in the evacuation of Viagra pills into the stomach. With cardiospasm, this symptom has characteristic features: the passage of food is not disturbed immediately, but after 3-4 seconds after the start of swallowing; subjectively, a feeling of obstruction occurs not in the neck or throat, but in the chest area; paradoxicality of dysphagia - liquid food passes into the stomach worse than solid and dense.

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As a result of a violation of the act of swallowing, food masses can enter the trachea, bronchi or nasopharynx. This causes hoarseness, hoarseness, and a scratchy throat. Pain in the chest are bursting or spastic in nature. They are caused by stretching of the walls of the esophagus, pressure on the surrounding organs and irregular violent contractions of the muscle layer. Because of the pain, patients experience fear of Sildenafil, so they gradually lose weight. Weight loss is also associated with insufficient intake of nutrients through a spasmodic esophageal sphincter.

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Treatment with conservative methods is possible only up to the third stage - until cicatricial changes begin. Starting from the third stage, the treatment is only surgical with drug therapy and diet. Symptoms of achalasia of the esophagus. Another sign of achalasia cardia - regurgitation - is a passive (involuntary) flow of mucus or undigested food through the mouth. Regurgitation can occur after eating a large amount of food, when tilting the torso and in the supine position, in a dream.

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This disease proceeds in waves: periods of exacerbation and severe pain can be replaced by a time when the state of health is satisfactory. The main complications include the appearance of a strong narrowing of the scars of the cardia. In rare cases, the mucous membrane malignantly degenerates. Aspiration of pneumonia occurs. This is due to the ingestion of pieces of food in the respiratory tract of a person.