Reflux gastritis and reflux esophagitis are not the same.

Written by Wang Hui Jie
Gastroenterology
Updated on September 07, 2024
00:00
00:00

It's different. Gastroesophageal reflux disease (GERD) refers to the abnormal reflux of stomach or duodenal fluids into the esophagus, causing a series of symptoms. Under endoscopy, severe esophageal inflammation and erosion can be seen, along with ulcers, fibrosis, etc. Prolonged episodes can lead to the development of Barrett's esophagus. On the other hand, reflux gastritis generally refers to bile reflux gastritis, which as the name suggests, is caused by the reflux of bile into the stomach. Endoscopically, swelling of the gastric mucosa can typically be seen, along with the presence of residual bile in the stomach, bile staining, and intestinal metaplasia, among others. Both conditions have clinically similar symptoms, including heartburn, acid reflux, and pain.

Other Voices

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
57sec home-news-image

Can grade C reflux esophagitis be cured?

Patients with Grade C reflux esophagitis can be cured; there is no need for excessive anxiety. Grade C indicates that the lesions of the esophageal mucosa are confluent but involve less than 75% of the esophageal circumference. Treatment for patients with Grade C reflux esophagitis requires regular medication, and the course of treatment may be relatively long. Consider using proton pump inhibitors to suppress gastric acid secretion and aluminum magnesium carbonate to protect the esophageal and gastric mucosa. Medications that enhance esophageal and gastric motility, such as mosapride, can also be considered. The choice, dosage, and administration of specific drugs should be under the guidance of a doctor. (Please use medication under the guidance of a doctor.)

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 12sec home-news-image

Is reflux esophagitis serious?

Reflux esophagitis can be observed during an endoscopy as changes in the esophageal mucosa, including hyperemia, edema, erosion, and ulcers. The severity is graded based on the size of the erosion and ulcers, with smaller areas indicating milder conditions and larger areas indicating more severe conditions. An endoscopy can definitively diagnose reflux esophagitis, whose main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. The treatment primarily involves acid suppression, protection of the stomach lining, and promoting gastric motility, with a treatment duration of about six to eight weeks. Dietary considerations include avoiding smoking and drinking alcohol, not consuming strong tea or coffee, and avoiding spicy, stimulating, fried, and barbecued foods that are difficult to digest.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
42sec home-news-image

What should I do if reflux esophagitis causes vomiting and choking?

Patients with reflux esophagitis who experience vomiting and choking is relatively rare. Once vomiting and choking occur, it is necessary for the patient to urgently lie on their side, quickly expel the contents of the stomach and mouth, and they may drink some water to keep the respiratory and digestive tracts clear. If the patient still experiences choking after these measures, it is recommended to urgently visit a hospital for treatment. The specific treatment plan will be determined by a doctor based on the situation. The main symptoms of reflux esophagitis include reflux and a burning sensation in the stomach, which are the most common and typical symptoms for patients.

doctor image
home-news-image
Written by Xu Qing Tian
Otolaryngology
1min 5sec home-news-image

Is reflux esophagitis related to nasal discharge reflux?

Gastroesophageal reflux disease (GERD) and nasal discharge reflux are usually not directly related. GERD is caused by excessive gastric acid secretion due to chronic gastritis and gastric ulcers in patients, which refluxes into the esophagus and throat, causing reflux esophagitis. Nasal discharge reflux, on the other hand, is mainly related to chronic sinusitis in patients, both of which can cause inflammation and discomfort in the patient's throat. For patients with GERD, the main treatment involves controlling acid suppression through medication. Common medications include proton pump inhibitors and comprehensive gastric acid relaxants. Additionally, for patients experiencing nasal discharge reflux, diagnosis is primarily through nasal endoscopy and paranasal sinus CT scan. For patients with sinusitis, treatment usually requires medications and surgery to open the sinus passages to improve symptoms and achieve healing.

doctor image
home-news-image
Written by Wang Hui Jie
Gastroenterology
1min 1sec home-news-image

Can reflux esophagitis be cured?

Reflux esophagitis can be cured, however, the recurrence rate of reflux esophagitis is more than 80%, and generally requires maintenance treatment. The treatment principles are acid suppression, enhancing the pressure of the lower esophageal sphincter, and protection of the mucosa. Next, let's specifically introduce non-drug treatments. Dietary therapy is very important, mainly involving reasonable dietary intake and good eating habits, which play a significant role in prevention. Another is positional therapy, mainly avoiding lying down immediately after meals, as well as quitting smoking and alcohol, reducing negative pressure, and taking some related medications or undergoing surgical procedures, etc. Generally, a combination of treatments is used to improve efficacy, and the treatment course should not be less than three months.