Can grade C reflux esophagitis be cured?

Written by Wu Hai Wu
Gastroenterology
Updated on September 23, 2024
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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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Written by Zhu Dan Hua
Gastroenterology
1min 26sec home-news-image

What medicine is taken for gastritis and reflux esophagitis?

Gastritis and gastroesophageal reflux disease are relatively common in clinical settings. Generally, medications that reduce acid production, protect the mucous membrane, and improve gastrointestinal motility can be chosen for treatment. Of course, dietary advice includes consuming clean, easily digestible foods, cultivating good living and eating habits, and avoiding overeating and binge drinking. Gastritis is more commonly seen clinically, with most patients exhibiting symptoms of abdominal pain and bloating. Esophagitis primarily presents with nausea, belching, and burning pain, leading most patients to seek treatment from a gastroenterologist. The fastest diagnosis primarily relies on gastroscopy, which can reveal congestion and edema of the esophageal and gastric mucosa, and even the formation of erosion and ulcers, ruling out diagnoses like esophageal or gastric cancer. Therefore, the treatment of gastritis and esophagitis mainly relies on medications, which are selected after a complete gastroscopy. The typical course of treatment is about four weeks. If symptoms can be controlled, the dosage can be gradually reduced to maintain the minimal effective amount. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Wu Hai Wu
Gastroenterology
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Do you always need to take medication for reflux esophagitis?

Gastroesophageal reflux disease (GERD) doesn't necessarily require continuous medication. If symptoms are effectively relieved, and patients no longer experience recurrence for four to eight weeks following adjustments to their diet and lifestyle, then it might be considered appropriate to temporarily discontinue medication. However, if symptoms recur after these treatments, prompt pharmacological treatment should be administered to prevent worsening of the condition. Treatment might include the use of proton pump inhibitors such as omeprazole and lansoprazole to suppress gastric acid secretion, as well as antacids like aluminum magnesium carbonate and sucralfate to protect the gastric mucosa. Additionally, medications like mosapride or itopride may be used to enhance motility in the esophagus and gastrointestinal tract. (Medication should be taken according to medical advice.)

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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 Wu Hai Wu
Gastroenterology
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Is reflux esophagitis grade III serious?

Reflux esophagitis is generally classified into four grades according to the Los Angeles classification. Grade III indicates that the mucosal damage in the esophagus has merged, but it covers less than 75% of the esophageal circumference. Although grade III reflux esophagitis is not very severe, regular treatment is necessary. Treatment should be administered under the guidance of a doctor, and proton pump inhibitors may be considered to suppress gastric acid secretion and reduce the stimulation of gastric acid on the esophageal mucosa. Medications that protect the esophageal and gastric mucosa, such as aluminum magnesium carbonate and sucralfate, are also needed. In addition, medications that enhance esophageal and gastric motility, such as mosapride, can be taken. (Please consult a doctor before using any medication.)

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Written by Wang Hui Jie
Gastroenterology
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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.