Which department should I go to for esophagitis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 25, 2024
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Esophagitis is a disease of the digestive system and can be treated at the Department of Gastroenterology. Generally, it requires routine examinations such as barium meals of the esophagus or endoscopy. Through the examination of the barium meal, one can observe the disordered folds of the damaged esophageal mucosa, sometimes small niches and narrowing of the esophageal lumen can be seen. Upper gastrointestinal endoscopy can reveal inflammatory changes in the esophageal mucosa. For milder cases of esophagitis, medication can be used primarily to inhibit the secretion of stomach acid and for anti-inflammatory purposes. More severe cases may require hospitalization for infusion therapy.

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Written by Zhu Dan Hua
Gastroenterology
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Esophagitis should be seen in the Gastroenterology department.

For esophagitis, we generally recommend that patients visit the department of gastroenterology. As the name suggests, esophagitis refers to inflammatory changes in the esophagus, which can have many causes such as diet, medications, and acid reflux, among others. Endoscopy is the gold standard for diagnosing esophagitis; under endoscopy, we can observe congestion, edema, and even erosions in the esophageal mucosa. Severe esophagitis can also present as ulcerations. Clinically, most cases of esophagitis present with heartburn and acid reflux, especially heartburn, which is characterized by a burning pain in the esophageal area. This is usually related to diet and symptoms can worsen after eating, leading most patients to seek care from a gastroenterologist. Additionally, a small portion of patients may experience other gastrointestinal symptoms such as burping and nausea. Thus, it is recommended for patients with esophagitis to undergo a thorough endoscopic examination at a gastroenterology clinic.

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Written by Zhu Dan Hua
Gastroenterology
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Esophagitis type A

Esophagitis can be classified into four levels of severity: grade A, B, C, and D, with grade A being the mildest and grade D the most severe. For patients with grade A esophagitis, it is recommended that they pay attention to their diet and medication. Dietarily, it is advised that patients consume easily digestible meals, eat smaller portions more frequently, and avoid overeating. Medicinally, options include acid inhibitors, mucosal protectants, and medications that reduce stomach acid. The treatment course is 2 to 4 weeks, and if symptoms can be controlled, the dosage may be appropriately reduced. Clinically, esophagitis is relatively common with typical symptoms being nausea and heartburn, especially heartburn, which is the most frequent. This presents as a burning pain in the esophageal and anterior chest area, generally related to eating, and usually occurs after meals.

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Written by Zhai Guo Dong
Gastroenterology
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How is esophagitis treated?

Esophagitis is clinically common due to acid reflux and various physical and chemical irritants that cause inflammation. Therefore, we often recommend treatments that suppress stomach acid and protect the gastric mucosa. Additionally, if there are physical and chemical irritants, patients should avoid using or accidentally consuming certain medications, foods, or other chemicals that could cause esophagitis.

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Written by Ren Zheng Xin
Gastroenterology
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Can esophagitis cause coughing?

Esophagitis generally does not cause coughing, as coughing is a symptom of respiratory diseases. Esophagitis mostly causes symptoms of the digestive system, such as heartburn, particularly when eating food, accompanied by painful swallowing, and pain behind the sternum. Severe esophagitis can lead to the narrowing of the esophageal lumen, difficulty swallowing, and may also present with vomiting. Esophagitis can also cause bleeding; bleeding of the mucous membranes can lead to vomiting blood or black stools. Recurrent esophagitis causes a decrease in appetite and impairs absorptive functions, leading to weight loss.

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Written by Ren Zheng Xin
Gastroenterology
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Esophagitis examination methods

Currently, for the examination of esophagitis in clinical practice, imaging studies are primarily used, including barium swallow tests and upper gastrointestinal endoscopy. Barium swallow tests are more commonly used in primary care hospitals, while upper gastrointestinal endoscopy is more frequently used in county-level and higher hospitals. Under barium swallow exam, it is possible to observe the disordered mucosal folds of the damaged esophagus, sometimes small niches and narrowing of the esophageal lumen can be seen. Under endoscopy, inflammatory changes in the esophageal mucosa can be detected.