There is also a nocturnal regurgitation of food in a dream: in your mouth numb food, while it can get into the airways, in connection with which there are signs of 'nocturnal cough', 'wet bag', 'night vomiting', etc. The third sign of the frequency achalasia cardia – pain that appear when swallowing or eating out. Typical chest pain, which often give the neck, jaw, interscapular region. Pain on swallowing at stage I – ii are associated with muscle spasms of the esophagus, and in stage iii – iv – with inflammation of the esophagus (esophagitis). At stage iv achalasia cardia pain almost disappear or fade into the background, giving way to increasing dysphagia and regurgitation. Almost all patients gradually lose weight, become weak, lose their ability to work. The disease occurs in waves, with relapses and remissions. Despite the benign nature of the disease, and untimely treatment of achalasia cardia may develop severe complications such as bleeding, perforation of the esophageal wall (perforation), inflammation of the mediastinum, and cachexia.
In some cases, against the backdrop of achalasia cardia develops cancer of the esophagus. Diagnosis achalasia cardia diagnosed achalasia cardia established on the basis of instrumental study. Crucial X-ray examination. Initially, do panoramic image of the chest and if it is visible Enhanced shadow of the esophagus with the presence in it of the liquid, then make a snapshot of the preliminary admission into the contrast medium (barium sulfate). The main radiological signs of achalasia Cardy is narrowing end of the esophagus with distinct smooth contours and extension of the esophagus, located above the constriction.