Algorithm of examination of patients having sense of a lump in the throat in gastroenterological in-patient hospital
In the article the medical examination results of 94 patients are discuss. The study was conducted within the framework of the proposed diagnostic algorithm. The absolute majority of patients were diagnosed with an esophageal disease (GERD - 88.3%, esophageal dyskinesia - 75.5%, while in 69.1% of cases both conditions were present together). Psychodiagnostic examination has identified a high percentage of psychological adaptation disorders (91.5% of patients), accompanied by vegetative dysfunction (85.2% of patients). The results allowed to conclude that the origin of this symptom is an important combination of predisposition to neurotic reactions and esophageal diseases. The proposed algorithm improves the quality of diagnosis and facilitates the selection of etiologically based treatment.