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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Is reflux esophagitis related to staying up late?

Gastroesophageal reflux disease (GERD) may not be closely related to staying up late. However, patients with GERD should still pay attention to rest, balance work and leisure, and try to minimize staying up late. The occurrence of GERD is considerably related to one's diet. If a patient consumes strong tea, coffee, spirits, spicy or irritating foods, or high-fat foods, it could easily trigger an episode of GERD or worsen the symptoms in patients. The primary symptoms of GERD include heartburn, belching, nausea, etc. Treatment involves suppressing stomach acid secretion and promoting gastrointestinal motility.

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Written by Si Li Li
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How to treat reflux esophagitis?

Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.

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Does reflux esophagitis cause mucus in stool?

The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.

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Written by Wu Hai Wu
Gastroenterology
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The difference between gastritis acid reflux and gastroesophageal reflux disease

The difference between gastritis acid reflux and gastroesophageal reflux disease (GERD) lies in that the main cause of GERD may be the relaxation of the lower esophageal sphincter, allowing stomach contents and gastric acids to reflux into the esophagus, thus leading to GERD. Patients with gastritis acid reflux experience an increase in gastric acid secretion due to gastritis, which leads to acid reflux. The treatment principles for gastritis acid reflux and GERD are roughly the same, involving the use of proton pump inhibitors to suppress gastric acid secretion and increase the pH value inside the stomach. Medications that promote gastrointestinal motility are also needed, such as domperidone, mosapride, and itopride, all of which are quite effective. Additionally, a light diet is recommended. (Please use medications under the guidance of a doctor.)

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Written by Si Li Li
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What are the symptoms of reflux esophagitis?

The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.