Presentation

Virtually all patients with achalasia complain of dysphagia and most complain of regurgitation. The dysphagia is typically for both liquids and solids. A small percentage, however, have dysphagia for solids only. Dysphagia is most often localized to the chest, although some point to the neck as the level at which they feel that food sticks. Although regurgitation may occur during or immediately after eating, it commonly occurs after a substantial delay. Delayed regurgitation of recognizable food that occurs hours after eating suggests only a limited set of diagnostic options. Aside from achalasia, hypopharyngeal (Zenker's) or esophageal diverticula are the most likely alternative diagnoses. Less often, regurgitation due to gastroesophageal reflux in the presence of hypochlorhydria may present in a similar manner. Other presentations include weight loss, nighttime cough, and aspiration pneumonia.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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