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Esophagitis
What to eat with esophagitis?
For patients with esophagitis, it is recommended that they eat an easily digestible, clean diet, but they should eat smaller, more frequent meals and not overeat. After eating, patients should pay attention to their body position; it is advised not to lie down flat immediately after eating. Instead, sit for half an hour or engage in light activity before lying down once any significant bloating has improved. For food, it is suggested that patients eat easily digestible, clean foods such as rice noodles and pasta, and avoid high sugar and high-fat intake. If symptoms are still pronounced, oral medications can be added, such as those that protect the intestinal mucosa, protect the stomach mucosa, and improve gastrointestinal motility. For most patients, the above treatments can provide some relief and control of symptoms like regurgitation and heartburn in esophagitis. (The use of medications should be under the guidance of a doctor.)
Esophagitis examination methods
Currently, for the examination of esophagitis in clinical practice, imaging studies are primarily used, including barium swallow tests and upper gastrointestinal endoscopy. Barium swallow tests are more commonly used in primary care hospitals, while upper gastrointestinal endoscopy is more frequently used in county-level and higher hospitals. Under barium swallow exam, it is possible to observe the disordered mucosal folds of the damaged esophagus, sometimes small niches and narrowing of the esophageal lumen can be seen. Under endoscopy, inflammatory changes in the esophageal mucosa can be detected.
Is esophagitis prone to recurrence?
Reflux esophagitis can recur frequently. Generally, mild reflux esophagitis can often be cured through adjustments in diet and lifestyle habits as well as medication treatment, and it will not recur. If it is moderate to severe reflux esophagitis, the effectiveness of medication may be insufficient, leading to persistent recurrence. Additional factors such as dietary and lifestyle habits, including smoking, drinking alcohol, consuming spicy foods, excessive fatigue, etc., can also cause recurrence. The presence of certain diseases can further exacerbate the occurrence of reflux esophagitis, such as dysfunction of the lower esophageal sphincter, hiatal hernia, and insufficient gastric motility, all of which may lead to recurrent symptoms.
Can esophagitis be cured?
Common causes of esophagitis include reflux of stomach acid and inflammation caused by excess stomach acid. Esophagitis can be healed through dietary control and medical treatment. However, it is prone to recurrence, for example, with increased stomach acid, worsening of chronic gastritis or acid reflux, and lack of attention to diet, among other factors. Therefore, we advise patients to avoid irritating foods and appropriately consume medications that protect the mucosa and suppress stomach acid.
What are the symptoms of esophagitis?
The causes of reflux esophagitis are varied, including dysfunction of the lower esophageal sphincter, esophageal hiatal hernia, gastric emptying disorders, psychological factors, and external stimuli such as medications or alcohol. Often, patients also exhibit insufficient gastric motility and excessive stomach acid. Common symptoms include upper abdominal bloating, belching, heartburn, acid regurgitation, a burning sensation or pain behind the sternum, and sometimes chest pain during eating. Some patients may experience irritative dry cough, which is often more pronounced at night or when lying down, but it tends to ease when standing up due to the irritation caused by acid reflux.
What is good to eat for esophagitis?
For esophagitis, first pay attention to dietary hygiene. Meals should be regular, and consume soft, easily digestible foods, such as noodles, rice soup, and vegetable soup. Avoid dry, hard, cold, overly hot, and gas-producing foods, such as bean products, milk, and nuts. Also, eat fresh vegetables and adequately supplement plant-based fiber, reduce the intake of high-fat foods, and avoid smoking, alcohol, strong tea, coffee, and other irritant foods. Make sure to eat on a schedule, in small, frequent meals.
What should you avoid eating if you have esophagitis?
There are many foods that should be avoided with esophagitis, as any food that irritates the esophagus and worsens the condition should be avoided. First are dry, hard, cold, overly hot, or gas-producing foods, such as nuts, walnuts, as well as milk, soy milk, bread, and other foods that produce a lot of gas. Also, avoid smoking, alcohol, strong tea, coffee, and other irritating foods. Focus on consuming nutritious and easily digestible foods, maintain a regular eating schedule, and pay attention to food hygiene, ensuring meals are timely and in proper amounts.
Can esophagitis be treated with surgery?
Esophagitis is relatively common in clinical settings, and the treatment plan generally involves medical therapy rather than surgery as the first choice. However, if complications such as obstruction, bleeding, or even cancer occur, surgical treatment is usually undertaken. For medication selection, one can choose drugs that protect the mucous membrane, reduce acid, and improve gastrointestinal motility. It is important to pay attention to diet and post-meal posture in daily life, avoid binge eating, eat smaller and more frequent meals, and avoid intake of high-sugar, high-fat foods, opting instead for a light, easily digestible diet. Post-meal posture involves not lying down immediately after eating, especially for a nap, and it is recommended that patients sit for half an hour before lying down to rest to prevent reflux. Most patients can control the symptoms of esophagitis with active medical treatment and dietary adjustments, and do not need surgical treatment. (Please use medications under the guidance of a professional physician.)
Can esophagitis cause chest tightness?
Esophagitis generally does not cause symptoms of chest tightness, as the inflammation in the esophagus typically leads to symptoms of the digestive system, and does not cause disorders of the respiratory or circulatory systems. Clinically, common symptoms of esophagitis include a burning sensation, along with difficulty swallowing and pain behind the breastbone. When the esophagitis is severe, it can lead to a narrowing of the esophageal lumen, causing a choking sensation when swallowing food, and possibly inducing vomiting. The inflammation can cause bleeding, which may manifest as vomiting blood or black stools.
Esophagitis type A
Esophagitis can be classified into four levels of severity: grade A, B, C, and D, with grade A being the mildest and grade D the most severe. For patients with grade A esophagitis, it is recommended that they pay attention to their diet and medication. Dietarily, it is advised that patients consume easily digestible meals, eat smaller portions more frequently, and avoid overeating. Medicinally, options include acid inhibitors, mucosal protectants, and medications that reduce stomach acid. The treatment course is 2 to 4 weeks, and if symptoms can be controlled, the dosage may be appropriately reduced. Clinically, esophagitis is relatively common with typical symptoms being nausea and heartburn, especially heartburn, which is the most frequent. This presents as a burning pain in the esophageal and anterior chest area, generally related to eating, and usually occurs after meals.