Can you drink sugar water after vomiting from reflux esophagitis?

Written by Wu Hai Wu
Gastroenterology
Updated on September 30, 2024
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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
Gastroenterology
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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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Written by Si Li Li
Gastroenterology
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What are the symptoms of reflux esophagitis?

The common symptoms of reflux esophagitis include chest pain, bloating in the upper abdomen, belching, acid reflux, nausea, vomiting, etc. If these symptoms occur, it is recommended to go to the hospital for a gastroscopy. If the gastroscopy reveals damage or ulcers on the mucous membrane of the esophagus, it can be diagnosed as reflux esophagitis. Reflux esophagitis is classified into four grades based on the size of the mucosal damage. Grade A is the lowest and as the grade increases, it indicates a higher severity of the condition. Once the diagnosis is confirmed, standardized treatment should be administered. The treatment mainly includes acid suppression, promoting gastric motility, and protecting the mucosa. The general course of treatment lasts about eight weeks, after which the symptoms can disappear, and the disease can be cured.

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Written by Wu Hai Wu
Gastroenterology
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What is the cause of ear pain in reflux esophagitis?

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 Wang Hui Jie
Gastroenterology
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Symptoms of gastroesophageal reflux disease

The symptoms of gastroesophageal reflux esophagitis are quite typical and include a range of symptoms. The most typical symptom is heartburn, primarily referring to a burning discomfort or pain felt behind the sternum or beneath the xiphoid process, usually occurring about an hour after eating, often accompanied by nausea. Another common symptom is acid regurgitation, which tends to occur more frequently on an empty stomach. Additional symptoms include chest pain, mainly due to the irritation of the esophageal mucosa by refluxed digestive juices, causing esophageal spasm and resultant pain. Difficulty swallowing is also a common symptom, initially mainly due to stress-induced spasms leading to swallowing difficulties. In later stages, it is often due to the proliferation of fibrous tissue forming scars that cause esophageal narrowing, resulting in swallowing difficulties. Other common symptoms include bloating, pharyngitis, cough, asthma, and more.

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Written by Wu Hai Wu
Gastroenterology
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What should I do if reflux esophagitis causes a fever?

Reflux esophagitis, if accompanied by fever, might indicate the possibility of an infectious disease. It is necessary to further determine whether there is an infection and its location. Complete blood count and C-reactive protein tests can be conducted. At the same time, a follow-up gastroscopy should be done to observe the condition of the esophageal lesions, and histopathological examinations might be necessary when needed. Patients with reflux esophagitis require active treatment to suppress gastric acid secretion, and can also use gastroprotective agents, such as magnesium trisilicate and sucralfate. Prokinetic drugs like mosapride and itopride are also needed for treatment. Dietary adjustments should focus on a bland diet, avoiding spicy and irritating foods.