Clinic And Diagnostics: The Most Frequent Complaint Is

Clinic and diagnostics: the most frequent complaint is the heartburn or sensation of burning in areas, behind a breast or on a course of all gullet; after a heartburn there is a - pain. Symptoms arise or amplify at a trunk inclination forward (a symptom " a boot"), are caused by influence on the inflamed mucous membrane of a gullet - of gastric or intestinal juice with bile. Attacks of pains can be connected with strong spastic reductions of a gullet that confirms radiological and ezofagoto-nokimograficheskoe research. Pains can in a back-, between shovels, in a neck, jaws, upwards on a gullet, in the left half of thorax. It is almost always marked . At at night can occur - food weights and gastric juice in respiratory ways that causes strong cough. Disease is connected with insufficiency of the switching mechanism physiological and consequently the conditions promoting return receipt of contents from a stomach in a gullet (a prone position, a trunk inclination forward), cause occurrence of the basic symptoms.

Survey Of The Patient In Vertical Position Gives

Survey of the patient in vertical position gives representation - about asymmetry areas. At presence a belly wall it is possible to define the sizes and the hernia form At define a surface, a consistence hernial -, intestines rumbling, at - a sound (, ). Manual research external from the channel make in horizontal position of the patient after reposition of a contained hernial bag. The doctor a forefinger, a skin , gets to a superficial aperture the channel, . inside and a little above from In norm the superficial aperture the channel at men passes a finger-tip. At easing of a back wall the channel it is possible to get freely a finger-tip for a horizontal branch bones that it is not possible to make at well expressed back wall formed cross-section of a stomach. Being in the channel the finger of the doctor at a tussiculation of the patient feels - transfer pushes of an internal - a symptom a push. Both investigate the channel. It is necessary to investigate bodies ( seed , and its appendage).