Which severity level of reflux esophagitis is "abcd"?

Written by Wu Hai Wu

Gastroenterology

Updated on September 03, 2024

00:00

00:00

Reflux esophagitis is divided into four grades: ABCD, with grade A being the least severe and grade D being the most severe. Grade D indicates that the esophageal mucosa shows damage and fusion, involving at least 75% of the esophageal circumference. The symptoms of reflux esophagitis mainly include reflux and a burning sensation in the stomach, and some patients may also experience heartburn, nausea, vomiting, and other symptoms. Reflux esophagitis can occur during nighttime sleep in some patients and is caused by the chemical irritation of sensory nerve endings beneath the esophageal epithelium due to acidic or alkaline reflux material.

Other Voices

home-news-image

Written by Wang Hui Jie

Gastroenterology

1min 6sec

home-news-image

What are the symptoms of gastroesophageal reflux disease?

The following are some symptoms: The most common and typical symptom is heartburn. It mainly manifests as a burning discomfort or pain behind the sternum and below the xiphoid process. This usually occurs about an hour after eating and may extend upward from the lower end of the sternum to the neck and between the shoulder blades, often accompanied by nausea. Another common symptom is acid reflux, which generally occurs more often on an empty stomach. Another symptom is chest pain, mainly caused by irritation of the esophageal mucosa leading to spasms. There is also difficulty swallowing, which is quite common; initially, it is often caused by a stress-induced spasm. In later stages, it is mostly due to the proliferation of fibrous tissue forming scars, leading to esophageal narrowing. Some less common symptoms include stomach bloating, pharyngitis, cough, asthma, and others.

home-news-image

Written by Zhu Dan Hua

Gastroenterology

1min 16sec

home-news-image

Chronic gastritis and reflux esophagitis symptoms

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.

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.

home-news-image

Written by Wu Hai Wu

Gastroenterology

49sec

home-news-image

Which severity level of reflux esophagitis is "abcd"?

Reflux esophagitis is divided into four grades: ABCD, with grade A being the least severe and grade D being the most severe. Grade D indicates that the esophageal mucosa shows damage and fusion, involving at least 75% of the esophageal circumference. The symptoms of reflux esophagitis mainly include reflux and a burning sensation in the stomach, and some patients may also experience heartburn, nausea, vomiting, and other symptoms. Reflux esophagitis can occur during nighttime sleep in some patients and is caused by the chemical irritation of sensory nerve endings beneath the esophageal epithelium due to acidic or alkaline reflux material.

home-news-image

Written by Wu Hai Wu

Gastroenterology

51sec

home-news-image

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.