The leading method of treatment of esophageal dyskinesia is the observance of a special diet, consisting in frequent fractional meals. Portions of food should be small, and cooked meals should be sparing (both mechanically, and chemically, and thermally). In other words. food should be liquid or pureed, warm and not spicy. From the patient's diet, foods rich in coarse vegetable fiber, acidic and carbonated drinks should be excluded. For feeding infants who are bottle-fed, it is recommended to use anti-reflux nutritional mixtures to order ditropan the symptoms of regurgitation and vomiting. Non-drug therapy consists in the prevention of jumps in intra-abdominal pressure. patients should in every possible way avoid overeating, lifting and carrying heavy loads, as well as physical exercises, consisting in all kinds of inclinations of the body.
The main goal of complex drug therapy is to restore normal motility of the esophageal tube and combat smooth muscle spasm. Anticholinergic drugs (represented, for example, by platifillin and atropine), nitrates (represented by mononitrates and isosorbide dinitrates) and slow calcium channel blockers (nifedipine) can cope with this task. All of these medicines should be taken half an hour before meals. Antidepressants and sedatives (for example, amitriptyline) are used to normalize the emotional state of patients, which is characterized by extreme instability and rapid mood swings.
There is still no consensus on the advisability of using prokinetics - drugs that stimulate the motility of the gastrointestinal tract. Therapy of complications (most often this is reflux esophagitis) is carried out with cytoprotectors, antisecretory drugs and antacids. Surgical treatment is resorted to buy oxybutynin pills in extreme cases. in the presence of severe forms of esophageal dyskinesia that are not amenable to dietary drug therapy. There is evidence that in patients with an emotionally stable state, the success of surgical treatment is much higher.