What is the cause of ear pain in reflux esophagitis?

Written by Wu Hai Wu
Gastroenterology
Updated on September 05, 2024
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Patients with gastroesophageal reflux disease generally do not experience ear pain. If a patient does have ear pain, it is advised to visit an ENT (ear, nose, and throat) doctor at a hospital to determine the cause. The main symptoms of gastroesophageal reflux disease include reflux and a burning sensation in the stomach. These symptoms are the most common and typical, often occurring about an hour after a meal, and some patients may experience reflux during night sleep as well. Additional symptoms can include heartburn, nausea, chronic cough, asthma, etc. However, generally speaking, it does not cause ear pain.

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Written by Si Li Li
Gastroenterology
1min 13sec home-news-image

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.

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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.

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Written by Wang Hui Jie
Gastroenterology
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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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Written by Wu Hai Wu
Gastroenterology
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Is reflux esophagitis grade LA-A severe?

Reflux esophagitis grade LA-A is not very severe. It is the lowest grade in the classification of reflux esophagitis, indicating that one or more areas of the esophageal mucosa are damaged, but the length of the lesions is less than five millimeters. If reflux esophagitis grade LA-A is present, the use of proton pump inhibitors, which suppress gastric acid secretion, can be considered for treatment to reduce the damage and irritation to the esophageal mucosa from excessive gastric acid secretion. Additionally, medications such as aluminum-magnesium carbonate and sucralfate can be used to protect the esophageal and gastric mucosa. The specific choice of medication and the dosage should be used under the guidance of a clinical physician.

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Written by Wu Hai Wu
Gastroenterology
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How to deal with reflux esophagitis causing palpitations and a feeling of panic?

Patients with reflux esophagitis, if experiencing palpitations or a feeling of heart flutter, are advised to complete an electrocardiogram to rule out the possibility of heart disease. If heart disease causing these symptoms has been ruled out, then one may visit the hospital and consider taking oral proton pump inhibitors to suppress stomach acid secretion, reducing the erosive impact of acid reflux on the esophagus. Additionally, one can take protective agents for the stomach and esophageal mucosa, such as magnesium trisilicate, etc. The specific choice of medication and dosage should be used under the guidance of a doctor. Patients with reflux esophagitis should avoid alcohol, strong tea, coffee, etc.