Is reflux esophagitis serious in lab results?

Written by Wu Hai Wu

Gastroenterology

Updated on November 16, 2024

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Reflux esophagitis of grade LA B is not very severe, indicating one or more esophageal mucosal injuries, approximately five millimeters in length, but without confluence lesions. Patients with reflux esophagitis should take medication regularly, must undergo periodic gastroscopy, and the selection of specific medications and their dosage should be under the guidance of a doctor. Commonly, proton pump inhibitors can be used to suppress gastric acid secretion, and medications like aluminum hydroxide magnesium carbonate can be used to protect the gastric and esophageal mucosa. Additionally, drugs like mosapride and itopride can be used to promote esophageal motility, as well as gastric motility.

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Written by Wang Hui Jie

Gastroenterology

1min 6sec

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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.

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Written by Zhu Dan Hua

Gastroenterology

1min 26sec

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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

42sec

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What should I do if reflux esophagitis causes vomiting and choking?

Patients with reflux esophagitis who experience vomiting and choking is relatively rare. Once vomiting and choking occur, it is necessary for the patient to urgently lie on their side, quickly expel the contents of the stomach and mouth, and they may drink some water to keep the respiratory and digestive tracts clear. If the patient still experiences choking after these measures, it is recommended to urgently visit a hospital for treatment. The specific treatment plan will be determined by a doctor based on the situation. The main symptoms of reflux esophagitis include reflux and a burning sensation in the stomach, which are the most common and typical symptoms for patients.

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Written by Zhang Shu Kun

Traditional Chinese Medicine

38sec

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How to distinguish between plum pit qi and gastroesophageal reflux disease (GERD)

Plum pit qi and gastroesophageal reflux disease (GERD) can initially be distinguished by their symptoms. For example, plum pit qi primarily presents with a sensation of a foreign object in the throat, which cannot be coughed up nor swallowed down. On the other hand, GERD may lead to vomiting, gastrointestinal indigestion, and it is likely to cause symptoms such as throat pain. Therefore, distinguishing between the two based on their symptoms can be very effective. Regardless of whether it is plum pit qi or GERD, it is crucial to seek timely treatment to prevent the condition from worsening and becoming more difficult to cure.

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Written by Wu Hai Wu

Gastroenterology

1min 3sec

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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.)