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We have been dealing with a defectologist ever since. There were courses by a psychologist who taught him to buy ozobax more or less and express emotions. With behavior, everything is bad, does not obey, practically not controlled, negativism. Tantrums. In the spring we visited a psychiatrist, they put us on a slight delay. But they test mostly intellectually, and with iq everything is ok, even very much.

I personally believe that the development of him somewhere in the three years. Reading, numbers, everything remains the same, it surprises everyone of course, but we do not develop this area specifically so as not to "clog". The biggest problem by far is behavior and irritability. Because of this, we left the kindergarten for the holidays earlier than expected. The educators complained that he did not obey, that he did not do the assignment, that he denied the kindergarten regime, and all this with strong emotions. So we have a break from everything. garden, classes (there, too, with tantrums).

Hypersensitive esophagus is a disease of the esophagus that includes this complex of symptoms, including chest pain and heartburn. There is a connection between GERD and this pathology, because this pathology most often occurs due to existing gastroesophageal reflux. If you want to read about hypertensive cerebral crisis, follow the link. Gastroenterologist of the highest category Doctor of lioresal pills Sciences Vasiliev Vladimir Aleksandrovich.

Diseases of the esophagus, stomach and duodenum. Possibilities of introducing and using modern and effective methods of diagnosis and treatment of diseases of the esophagus, stomach and duodenum (gastroesophageal reflux disease, Barrett's esophagus, achalasia, esophageal disorders, dyspepsia, chronic gastritis) in the gastroenterological practice of the city of baclofen. Gastroesophageal reflux disease (GERD) In my opinion, it can be explained by the many reasons for the development of GERD and the lack of treatment effect in some patients.

Possibilities of using new, basic methods for diagnosing non-erosive GERD. - registration of non-acidic (weakly acidic or alkaline reflux), more often manifested by regurgitation and chronic cough using combined pH-inpedance monitoring - esophageal pH-impedance-monitoring - high-resolution manometry - diagnosis of laryngopharyngeal reflux (comfortable and accurate method) with the determination of naso- and oropharyngeal pH according to a special measurement system (pH fluctuations in the oral cavity and nasopharynx for 48 hours every 0.5 seconds) for the diagnosis of extraesophageal manifestations of lioresal pills the reasons for the lack of effect from the use of proton pump inhibitors (PPIs) by a gastroenterologist. - misdiagnosis (dysmotility of the esophagus or functional heartburn, nocturnal acid breakthroughs, duodenogastroesophageal non-acid reflux after taking PPIs and/or food - laryngopharyngeal reflux - resistance to PPIs - features of the CYP2C19 genotype - incorrect intake of PPIs - use of low doses of PPIs.

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Possibilities of using new methods of treatment of GERD. - laparoscopic installation of a magnetic ring (LINX system) in the projection of the lower esophageal sphincter in case of violation of its function (the technique allows you to maintain the tone of the lower esophageal sphincter, preventing reflux) - the use of increased (double, triple, quadruple) doses of PPIs. - the use of increased (double, triple, quadruple) doses of PPIs with proven indications for prescribing them for a number of diseases and conditions. 1) eradication of Helicobacter pylori (Hp) 2) trial empirical treatment for two weeks as a diagnostic test 3) with retrosternal pain, likely due to reflux and/or severe reflux esophagitis, in the absence of an effect on standard PPI doses in patients with GERD 4) laryngopharyngeal reflux.

Our Mission

Consultation, diagnostics, treatment of chronic diseases of the digestive system. esophagus, stomach, duodenum, colon, gallbladder, pancreas, liver, combined pathology.

Our Vision

Achalasia (diffuse spasm of the esophagus, nonspecific or ineffective esophageal motility against the background of hypotension or hypertension of the lower esophageal sphincter - LES). In my opinion, the low effectiveness of the treatment of achalasia forces us to search for new methods of treatment. Possibilities of using modern methods for diagnosing achalasia. - high-resolution manometry using special catheters with sensors Possibilities of using new methods for the treatment of achalasia. - pneumaticOther dilation - endoscopic or surgical myotomy - the use of drugs, taking into account the three types of achalasia (according to the 2011 Chicago classification of achalasia, three types of achalasia are distinguished).

Keith Rickard, MS, LCP, MBA

Disorders of the esophagus (functional, hypersensitive esophagus, functional heartburn) Possibilities of using modern methods for diagnosing esophageal disorders (functional, hypersensitive esophagus, functional heartburn).

Jerry McDonald, MA

Dyspepsia (functional) From my point of view, increased attention to dyspepsia is explained not only by the absence of morphological changes in the gastric mucosa during diagnosis, but also by the need to search for new causes of development and increase the effectiveness of dyspepsia treatment.

William Warnes, MD

- EFGDS (endoscopy of the esophagus with the exception of non-erosive GERD and reflux according to pH monitoring) Possibilities of using modern methods of treating esophageal disorders (functional, hypersensitive esophagus, functional heartburn) with the ineffectiveness of proton pump inhibitors. - effective tricyclic antidepressants (low doses of imipramine, amitriptyline) - effective selective serotonin reuptake inhibitors - SSRIs in the treatment of functional heartburn.

Adam Buhman-Wiggs, PhD, LP

Possibilities of using modern methods for diagnosing dyspepsia (functional).

Kristin Robinson, BA, PHR

New mechanisms of etiology and pathogenesis of dyspepsia are considered.

Samantha Adams, LMSW

Heartburn Pain behind the sternum Gastroesophageal reflux Reverse promotion of stomach contents Violation of the digestive tract.

David Weber, LCPC, LCAC, NCC, SATP, PTC

What diagnosis you need to undergo, the attending physician will tell you. You may be assigned. Endoscopic research methods Esophagogastroduodenoscopy (EFGDS) CT scan of the esophagus X-ray of the esophagus.

Andrew Palacio Psy.D., LMLP

The information on this page is provided for your information only. To prescribe treatment, consult a doctor. Treatment of hypersensitive esophagus - all doctors 306.

Margaret Myers, LSCSW

Margaret Myers, LSCSW

Project Director