Is reflux esophagitis grade LA-A severe?

Written by Wu Hai Wu
Gastroenterology
Updated on March 01, 2025
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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.

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Written by Si Li Li
Gastroenterology
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What foods are good for gastroesophageal reflux disease?

For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.

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Written by Wu Hai Wu
Gastroenterology
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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.

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Written by Wu Hai Wu
Gastroenterology
49sec home-news-image

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 Zhu Dan Hua
Gastroenterology
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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.

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Written by Si Li Li
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Does reflux esophagitis cause mucus in stool?

The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.