Chronic gastritis and reflux esophagitis symptoms

Written by Zhu Dan Hua
Gastroenterology
Updated on September 06, 2024
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Chronic gastritis and gastroesophageal reflux disease (GERD) manifest clinically with typical symptoms including abdominal pain, bloating, nausea, heartburn, and acid reflux, generally starting with gastrointestinal symptoms and often with a prolonged history. In cases presenting with abdominal pain, this generally occurs in the upper abdomen and can be characterized as dull, distending, or burning pain. These symptoms are usually related to diet, and some patients may feel better after eating. There is generally no associated nighttime pain, fever, or jaundice. GERD typically presents with heartburn and acid reflux, which are commonly seen in clinical settings. The symptoms are usually more noticeable after eating, especially after a full meal, and do not usually occur at night. The pain, generally a burning sensation, occurs in the precordial and esophageal areas and can be episodic, spontaneously resolving. There may occasionally be nausea, and even a tendency to vomit. Diagnosis of GERD primarily relies on gastroscopic examination.

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Written by Wu Hai Wu
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Can you drink sugar water after vomiting from reflux esophagitis?

Patients with gastroesophageal reflux disease can drink sugar water after vomiting, as sugar water is not spicy or irritating. Patients should avoid spicy foods, chocolate, coffee, strong alcohol, and strong tea, and should consume low-fat foods. It's also important for patients to eat frequent small meals rather than large ones, especially during dinner, and to avoid lying down immediately after eating. They should also consistently take their prescribed medication and go for regular check-ups.

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Written by Wang Hui Jie
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Reflux gastritis and reflux esophagitis are not the same.

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.

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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.)

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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.

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How to exercise and take care of reflux esophagitis.

If you suffer from gastroesophageal reflux disease (GERD), you should eat small, frequent meals, consume more low-fat foods, quit smoking and drinking, not eat too much for dinner, and avoid lying down immediately after eating. It is important to adhere to medication and have regular check-ups. If you experience a burning sensation behind the breastbone, and symptoms such as black stools, persistent pain that cannot be relieved, etc., you should seek medical attention promptly. Specific examination methods and medication should be carried out according to the doctor's instructions. Additionally, you should consume easily digestible foods and avoid spicy and irritating foods.