All types of hyperkinesia are better recognized if fluoroscopy is performed using 1-2 teaspoons of barium acid C / 2 teaspoons of citric acid per 1/3 cup of creamy barium suspension.
Insufficiency of the cardia and gastroesophageal reflux is detected in the position of the patient on the back or on the stomach or in an upright position, but with a strong anterior inclination.
Usually a simple trick is used. the patient is offered to drink a portion of the contrast mass in an upright position and, after the evacuation of barium sulfate from the esophagus to the stomach, take a horizontal position on the back. The return of barium sulfate into the esophagus indicates reflux. Deep breathing, straining, raising straightened legs, swallowing movements contribute to reflux. A modified Carvalo technique (water siphon test) is also used. the patient lies on his right side at an angle of 45 ° and puts his left hand behind his head, and takes nitrofurantoin pills of water at room temperature in his right hand. He is asked to slowly drink this water through a polyethylene tube, without raising his head from the trochoscope.
Sometimes, after the first sips of water, you can notice how the barium suspension with swallowed water returns from the stomach to the esophagus. In response, uxi is observedesophageal motility. However, peptic esophagitis is an almost constant companion of cardiac insufficiency. This, of course, enriches the x-ray picture. the expansion of the lumen of the esophagus, restructuring of the relief of the mucous membrane, uneven outlines, weakening of peristalsis, the appearance of non-peristaltic contractions are determined.
Treatment of esophageal dyskinesia.
Assign anticholinergic and anticholinesterase agents. Patients should be advised to avoid those positions in which there is an insufficiency of the function of furadantin pills, i.e., gastroesophageal reflux occurs. Physical exercises are contraindicated, all types of work associated with abdominal tension, torso tilt. It is recommended to sleep with a high raised headboard. In the event of peptic complications - therapy with antacids and astringents.