Protection... "By the dragons light, on this (month) night, I call to thee to give me your might, by the power of three, I conjure thee, to protect all that, surrounds me, so mote it be, so mote it be!!! DANCAST84@aol.com Protection... Read more of Protection Spells at White Magic.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Cane Syrup

In the original edition, good treacle was recommended as a lax...

Inward Rotation Method

When the point is found to be buried in the mucosa, the best...

Strychnine

Emetic; keep quiet and darken the room. Chloral or bromide of ...

The Surgical Form Of The Deep Cervical And Facial Regions And The Relative Position Of The Principal Bloodvessels And Nerves

While the human cervix is still extended in surgical position...

Position For Bronchoscopy And Esophagoscopy

The dorsally recumbent patient is so placed that the head an...

Saliva

See Digestion; Nourishment. ...

List Of Instruments

The following list has been compiled as a convenient basis f...

Neck Twisted

This arises from the undue contraction of some of the muscles ...

Fatty Heart

The cause of deposits of fat around the heart or in between i...

Scald Head

of children, where there is a discharge of yellow and watery ...

Pulse Counting The

Most valuable information as to the nature and progress of dis...

Menorrhagia Excessive Menstruation

If the menstrual flow is apt to terminate in hemorrhage, it i...

Use Of The Long Cord

It is often desirable to bring the entire parts of the patien...

Restlessness

In slight cases, where the patient simply cannot sleep for tos...

Erysipelas

This troublesome disease is also known as St. Anthony's Fire, ...

Freshness Of Fruits And Vegetables

Most people do not realize the crucial importance of freshnes...

Toothache

It is difficult to determine the cause of toothache, and more...

Vaccination Trouble

When a child is suffering after vaccination, we should have hi...

Second Stage

The spatular end of the laryngoscope should now be tipped ba...

The Ear

Structure of the Ear. Next after sight, hearing is our most i...



Paralysis Of The Esophagus





Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The passage of liquids and solids through the esophagus is a purely
muscular act, controlled, after the propulsive usually voluntary start
given to the bolus by the inferior constrictor, by a reflex arc having
connection with the central nervous system through the vagus nerve.
Gravity plays little or no part in the act of deglutition, and alone
will not carry food or drink to the stomach. Paralysis of the
esophagus may be said to be motor or sensory. It is rarely if ever
unassociated with like lesions of contiguous organs.

Motor paralysis of the esophagus is first manifested by inability to
swallow. This is associated with the accumulation of secretion in the
pyriform sinuses (the author's sign of esophageal stenosis) which
overflows into the larynx and incites violent coughing. Motor
paralysis may affect the constrictors or the esophageal muscular
fibers or both.

Sensory paralysis of the esophagus by breaking the continuity of the
reflex arc, may so impair the peristaltic movements as to produce
aphagia. The same filling of the pyriform sinuses will be noted, but
as the larynx is usually anesthetic also, it may be that no cough is
produced when secretions overflow into it.

Etiology.--1. Toxic paralysis as in diphtheria.
2. Functional paralysis as in hysteria.
3. Peripheral paralysis from neuritis.
4. Central paralysis, usually of bulbar origin.
Embolism or thrombosis of the posterior cerebral artery is a
reported cause in two cases. Lues is always to be excluded as the
fundamental factor in the groups 3 and 4. Esophageal paralysis is not
uncommon in myasthenia gravis.

Esophagoscopic findings are those of absence of the normal
resistance at the cricopharyngeus, flaccidity and lack of sensation of
the esophageal walls, and perhaps adherence of particles of food to
the folds. The hiatal contraction is usually that normally
encountered, for this is accomplished by the diaphragmatic
musculature. In paralysis of sensation, the reflexes of coughing,
vomiturition and vomiting are obtunded.

Diagnosis.--Hysteria must not be decided upon as the cause of
dysphagia, until after esophagoscopy has eliminated paralysis.
Dysphagia after recent diphtheria should suggest paralysis of the
esophagus. The larynx, lips, tongue, and pharynx also, are usually
paralyzed in esophageal paralysis of bulbar origin. The absence of the
cricopharyngeal resistance to the esophagoscope passed without
anesthesia, general or local, is diagnostic.

Treatment.--The internist and neurologist should govern the basic
treatment. Nutrition can be maintained by feeding with the
stomach-tube, which meets no resistance to its passage. Should this be
contraindicated by ulceration of the esophagus, gastrostomy should be
done.





Next: Lues Of The Esophagus

Previous: Diverticulum Of The Esophagus



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1146