Primary Localisation Of A Belly-ache, And Then Later

Primary localisation of a belly-ache, and then later - pain joining - in area hernias it is characteristic more for sharp diseases of bodies of a belly cavity, than for the - restrained hernia. Sudden occurrence of an acute pain in areas with development of a peritonitis at sick of a stomach ulcer is characteristic for ulcer perforation. Primary localisation of a pain in right with under the right shovel, in right , the greatest morbidity and pressure of muscles in right -, positive symptoms of Grekova - Ortnera, Murphys are characteristic for a sharp cholecystitis. Pain occurrence initially in areas or round a navel with the subsequent moving of a pain in right the area, the greatest morbidity and pressure of muscles of this area are characteristic for an acute appendicitis Consecutive occurrence in the beginning signs of intestinal impassability, then a peritonitis and after changes in hernia area allow to treat a pain in the field of a hernia, increase in the sizes and pressure of a hernia as displays of false infringement.

Development Of A Cancer Of A Gullet In

Development of a cancer of a gullet in patients (at 4 - 7 %) is noted, especially at considerable expansion of a gullet and long stagnation in it , and also at patients with - a gullet, hernias apertures of a diaphragm and with a congenital short gullet owing to presence at them - chronic are Always suspicious on possibility - is long not healing gullet ulcers (especially Barret's ulcer; sm "Peptichesky ulcers - of a gullet") One of the factors conducting to occurrence of a cancer of a gullet are cicatricial after chemical burns. a gullet consider as a precancer. Occurrence in these patients is long not healing , , fistulas, a fast weight loss are the indication to removal the changed gullet gullet Deenergizing at a total plasticity a thick gut at burn eliminates possibility in connection with liquidation In the presence of gullet polyps always there is a real danger of their regeneration, therefore a gullet polyp it is necessary to remove. As precancer disease consider a syndrome (a syndrome of Plammera - Vinsona) which is shown by an anaemia, , an atrophy of mucous membranes, and later an oral cavity mucous membrane, drinks and a - gullet Consider that it can arise at the exact maintenance in food of iron and vitamins, especially vitamins - B2 and With.

At Radiological - Research Of A Thorax -

At radiological - research of a thorax - of patients with reveal additional the right contour , presence of level of a liquid in a projection back , a gas bubble of a stomach. The basic radiological sign - narrowing of terminal department of a gullet with accurate, equal and elastic contours ("a flame of the turned - candle", "a mouse tail") Folds of a mucous membrane - in the field of narrowing are kept the First drinks of barium can to arrive freely in a stomach, then contrast weight is long is late in a gullet. Over a baric suspension define a layer of a liquid and the food rests. Gullet expansion over a place of its narrowing is expressed in various degree At a number of patients mark lengthening and a gullet curvature. a gullet at all patients it is sharply broken: reductions are weakened, have spastic character and insufficient amplitude. At development changes of a relief of a mucous membrane of a gullet are visible: granularity, a thickening and tortuosity of folds. allows to confirm the diagnosis , - to reveal its complications and to spend the differential diagnosis with - other diseases accompanied .