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 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.

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Written by Wu Hai Wu
Gastroenterology
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Can I occasionally eat ice cream with reflux esophagitis?

Patients with gastroesophageal reflux disease (GERD) can occasionally eat ice cream. However, it is advisable for those with GERD to eat less high-fat food and avoid alcohol, strong tea, coffee, chocolate, etc. It is recommended to eat small, frequent meals and avoid overeating. Consuming fresh vegetables and fruits is encouraged, but patients should not have a heavy dinner or lie down immediately after eating. After taking medicine, it’s beneficial to stand and move around. Patients should maintain a regular diet, adhere to their medication schedule, and undergo regular endoscopic check-ups. Generally, GERD is not very severe.

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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 Wu Hai Wu
Gastroenterology
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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 Wu Hai Wu
Gastroenterology
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Can gastroesophageal reflux esophagitis be detected by a CT scan?

Reflux esophagitis generally cannot be detected on a CT scan unless it is very severe, at which point it may be evident on a CT. Diagnosis of reflux esophagitis is primarily through gastroscope examination, where damage and erosion of the esophageal mucosa can be observed. Patients with severe reflux esophagitis may experience symptoms such as acid reflux, heartburn, and a burning sensation behind the sternum. Additional diagnostic methods include upper gastrointestinal barium meal imaging and tissue pathology biopsy. An electrocardiogram can also be performed to rule out the possibility of conditions such as angina.