At the fourth stage, S-shaped deformation and pronounced cicatricial narrowing cause complications – esophagitis and paraesophagitis. The origin of the disease has not yet been clarified, but achalasia of the cardia as a complex of neuromuscular disorders of the esophageal tube: can be caused by congenital or acquired infectious-toxic lesions of the intramural nerve plexus of the esophagus; arises as a result of the complex influence of numerous factors – psychogenic effects, hypovitaminosis, genetic predisposition; possible as a result of cialis process. GROUPS Regurgitation regurgitation – passive return of undigested food, which is aggravated by overeating, as well as in an inclined, lying position and during sleep. In order for the diagnosis of achalasia of the cardia not to be confused with gastroesophageal reflux disease GERD and diaphragmatic hernia, it is necessary to carry out: radiography with contrasting of the esophagus with barium sulfate; manometry, which will allow you to evaluate the motor capabilities of the pharynx by measuring the pressure wave, the walls of the esophagus, as well as its sphincters; endoscopy of the esophagus and stomach, carefully studying the gastroesophageal junction of an unrelaxed lower esophageal sphincter; computed tomography of the chest. The clinical picture develops slowly, but aboutThe main symptoms are steadily progressing, they include: Dysphagia is a disorder of the act of swallowing, which, with achalasia of the cardia of the esophagus, is characterized by pain in the sternum, and not in the throat, difficulty in swallowing the food bolus is observed for seconds, and may be accompanied by food entering the nasopharynx, hoarseness, hoarseness, etc. The origin of the disease has not yet been clarified, but achalasia of the cardia as a complex of neuromuscular disorders of the esophageal tube: can be caused by congenital or acquired infectious-toxic lesions of the intramural nerve plexus of the esophagus; arises as a result of the complex influence of numerous factors – psychogenic effects, hypovitaminosis, genetic predisposition; possible as a result of cialis process.Cialis and generic tadalafil are available in four different strengths— mg, 5 mg, 10 mg and 20 mg—but which one should you take? If you’ve never tried Cialis before, your . With Goodrx, the generic version of Cialis 20 mg (tadalafil) is about $9 for 10 tablets. The brand version is about $ Generic Cialis, or Tadalafil, is available in several doses in tablet form: milligrams (mg), 5 mg, 10 mg, and 20 mg. Depending on the dose for ED, you can use it as needed before sexual.