It is the failure of relaxation of lower esophageal sphincter (LES) on swallowing. The lower esophageal sphincter cut off the esophagus from the stomach. The failure is due to nerve damage of esophagus or damage of LES.So after eating instead of food going to stomach, due to the damaged sphincter food accumulates in the lower end of the esophagus. The risk is more in people with autoimmune disorders.
Clinical features
1) Dysphagia: patient usually complaints about difficulty in swallowing solid foods. And there is a sensation of food sticking in the esophagus at first intermittent later, continuous and later after every meal.And it is more with solid foods. Emotional stress and eating icy cold foods will aggravate dysphagia...
2) Regurgitation: after eating food regurgitates back at first immediately and sometimes retained for hours.
3) Chest pain: spontaneous retrosternal pain (heart burn) during the night and day.
4) Respiratory symptoms: cough, dyspnoea, pneumonia, bronchiectasis
5) Asymptomatic: sometimes the condition is discovered as the mediastinal swelling on routine chest.
X ray
Complications
1) Lung fibrosis
2) Carcinoma
3) Malnutrition
Treatment-
General measures- avoid spicy and ice cold foods. Since stress is an aggravating factor, mental relaxation is important.
Homeopathic treatment is based on symptomatology. Based on the aggravating and ameliorating factors and patient’s mental and physical peculiarities remedies are chosen. Usually, the prognosis is good.
Medicines like Ars alb, iris vers, Phosphorus, Nat mur etc
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