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Impedancemetry is considered the most reliable way to recognize gastroesophageal reflux with a simultaneous assessment of its type - depending on the pH value, acid, alkaline or slightly acid reflux is distinguished. In severe anemic syndrome, an additional fecal occult blood test is performed. To exclude cardiovascular pathology in the presence of complaints of a cardiological profile, it may be necessary to consult a cardiologist and conduct gastrocardiomonitoring - a combined daily monitoring of gastric acidity and Holter ECG.
Treatment of hernia of the esophageal part of viagra pills. With a small hernia, medical tactics are usually limited to buy viagra online of gastroesophageal reflux, aimed at stopping inflammation, normalizing pH, restoring normal motility and mucous membranes of the upper gastrointestinal tract. The therapeutic regimen includes proton pump inhibitors and histamine receptor blockers, with increased acidity, antacids are prescribed - aluminum and magnesium hydroxides, carbonate and magnesium oxide. The patient must observe a sparing daily regimen, refrainavoid smoking and alcohol, avoid stress and excessive physical exertion. With severe pain behind the sternum, it is recommended to give the headboard an elevated position.
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With the low effectiveness of drug therapy, dysplasia of the mucous membranes of the esophagus and the complicated course of hernia of the esophageal opening of the diaphragm, surgery is the best way out. Depending on the size and location of the hernial sac, the nature of pathological changes in the esophageal wall, the presence of complications and concomitant diseases, various methods of surgical treatment of hiatal hernias are used. Possible complications and consequences.
Of the complications of hiatal hernia, the greatest threat is aspiration pneumonia, which develops when large volumes of stomach contents enter the respiratory tract. Aspiration pneumonia accounts for almost a quarter of all reported cases of severe lung infection. Frequent irritation of the respiratory tract by small portions of regurgitated gastric contents leads to chronic tracheobronchitis. Also of concern are cardiovascular complications caused by irritation of the vagus nerve by a large hernia. Against the background of diaphragmatic hernia, reflex angina pectoris may develop, and with spasm of the coronary vessels, the risk of myocardial infarction increases.
Lack of treatment of a hernia of the esophageal opening of the diaphragm provokes the occurrence of complications and increases the degree of oncological risk. The long-term consequences of a hernia of the esophagus and the progressive course of reflux esophagitis include. The long course of gastroesophageal reflux in hernia creates the prerequisites for dysplastic and metaplastic changes in the epithelial tissue of the mucous membranes of the esophagus. An example of metaplasia with a high probability of malignancy is Barrett's esophagus, which is characterized by the replacement of the normal squamous epithelium of the esophageal wall with a columnar epithelium characteristic of the intestine, as well as the cardial and fundic sections of the stomach.
Hernia of the esophageal opening of the diaphragm. treatment without surgery.
Adequate selection of therapeutic schemes and regular prevention of exacerbations of sildenfil esophagitis can achieve long-term remission and prevent complications. With a small hernia and a good response to drug therapy, there is a chance to achieve a full recovery. Lack of treatment, on the contrary, provokes the occurrence of complications and increases the degree of oncological risk. The best prevention of hiatal hernia in the absence of clinical signs is the rejection of bad habits, a balanced diet and regular physical education. The training program should include specialized exercises to strengthen the abdominal wall.
In order to prevent recurrence of hiatal hernia, it is important to order sildenfil online identify and treat diseases of the digestive system, ensure the normal functioning of the gastrointestinal tract and limit the consumption of foods that irritate the mucous membranes. The ban includes spicy, fatty, fried and salty foods, rich broths, smoked meats, alcohol, tomatoes, radishes, cabbage, onions, legumes and citrus fruits, as well as wholemeal bread and cereals rich in fiber. Also, do not get carried away with chocolate, gourmet hard and moldy cheeses, red meat and cream cakes.