Odynophagia: symptoms, causes, diagnosis, treatment, prevention

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If during a meal a person has pain in the chest area, then perhaps he suffers from a disease called loneliness. Determine whether this is possible only by contacting a specialist for advice.

Behind this phenomenon is often a disease, one of the symptoms of which is loneliness. It can happen to a healthy person when he unsuccessfully swallowed something. In this case, pain symptoms during swallowing are rare.

Reasons for

The precedent for the appearance of loneliness creates a violation of this kind:

  1. If the wave movement of the esophagus during food passage is disconcerting. The food lump moves through the esophagus due to certain coordinated movements of the esophageal tube. If this is automatic, for a person, the action gets malfunctioning, then the food can advance with difficulty, assemble in one section. This leads to its stretching and pain. In case this disorder is already a consequence of a disease of the esophagus, if at the moment of discomfort to drink a little water, then the problem does not go away. Sometimes even a sip of water can increase pain.
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  2. Another cause triggering loneliness is the destruction of the mucosa of the esophagus by the erosion of or inflammatory processes. The esophagus is usually exposed to negative phenomena in its lower part. This happens when acid is thrown from the stomach into the initial parts of the esophagus. The acidic environment is not specific for the cavity of the esophagus and acts irritatingly on its mucous surface.
  3. The cause of number three may be difficulty in passing a food coma from the esophagus to the stomach. Obstacle can create an esophageal sphincter due to such phenomena:
    • formed scar on the sphincter,
    • spasms in this area.

The listed factors causing loneliness in turn can be triggered by such diseases:

  • with esophageal onslaught,
  • with esophageal perforation,
  • with gastroesophageal reflux disease,
  • with infectious esophagitis,
  • with esophageal ulcer,
  • with mucous( chemical or thermal) burnthe esophagus.

Symptoms of loneliness

The main symptom of the disease is pain in the chest area at the time of ingestion of food.

For example, a malignant tumor in the area of ​​the esophagus will add to the general picture a symptom - the pain in the chest will be constant, and if you ingest food, it becomes worse. Oncology is characterized by general malaise.

Odynophagia can be accompanied by minor symptoms that are important for the doctor to correctly determine the nature of the underlying disease that caused pain while swallowing. This can be such a sensation:

  • in the neck or lower jaw area feeling uncomfortable,
  • in the shoulders sensation of tingling,
  • in the epigastric region disturbing pain,
  • in the back discomfort in the form of aches,
  • in children:
    • reddening of face,
    • cough,
    • salivation in increased amounts.

Diagnosis

To determine if a health problem is a single-phage disease, a number of diagnostic actions must be performed:

  • specialist details the patient in detail about all the symptoms of the disease:
    • at what point there is pain,
    • what other additional signs and problems accompany the phenomenon,
    • what diseases the patient suffers;
  • :
    • manometry,
    • fluoroscopy,
    • esophagoscopy,
    • radiography,
    • esophagothicography,
    • ultrasound,
    • probing,
    • computed tomography,
    • endoscopy,
    • blood test( general),
    • auscultation,
    • urine analysis.

Methods of treatment

The main purpose is the normalization of nutrition. Patient recommended:

  • frequent fractional food intake,
  • weight normalization,
  • diet, which does not include:
    • fatty foods,
    • fried dishes,
    • sharp and smoked products,
    • and also do not drink coffee;
  • food should be taken in liquid form.

Preparations

For a patient, if necessary, the doctor can prescribe medication:

  • antacids - can remove the negative effect of stomach acid, neutralizing it;
  • if pain is intense, atropine is used;
  • is often recommended for drugs that have lidocaine;
  • sometimes nitroglycerin is prescribed for rapid withdrawal of symptoms,
  • of antispasmodics is recommended no-spa,
  • is also sedative at the doctor's discretion.

Operations

This type of treatment is used in the case of a patient diagnosed with cancer of the esophagus. Such surgical interventions can be performed: the

  • esophagus is removed and replaced with a part taken from the intestine;
  • cut off part of the esophagus( in the lower part) and part of the stomach, which abuts the esophagus and is damaged.

Stenting the esophagus

Stenting can be performed to restore the passage of the esophagus. Assign a procedure in cases of:

  • affection of the walls of the esophagus through chemical or thermal burn,
  • if the esophagus is squeezed by tumors located on its outer side;
  • for malignant lesions of the stomach or esophagus,
  • if after surgery a narrowing of the esophagus has occurred.

Prevention

To prevent single-ph of the following:

  • avoid irritating action on the esophagus mucosa,
  • the food thoroughly, avoid swallowing large chunks;
  • to prevent the prevention of diseases that cause single-phage:
    • not to eat very hot and very cold food,
    • adhere to dietary food,
    • to quit smoking,
    • with the slightest suspicion of tumor disease to do the diagnosis, so as not to miss the onset of malignant pathology.
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