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 Zhang Shu Kun
Traditional Chinese Medicine
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Which part to massage for esophagitis

Esophagitis can be treated by massaging the Laogong acupoint, which can promote blood circulation and relieve mental tension. Alternatively, the Daling acupoint can improve gastric motility and aid symptoms of indigestion effectively. Furthermore, esophagitis can also be managed by massaging the Zhongwan acupoint, a commonly used point for spleen and stomach disorders, capable of treating various symptoms. The Zhongwan acupoint is located on the upper abdomen, on the anterior midline, at the midpoint between the lower end of the sternum and the navel. Therefore, it is essential to massage daily, approximately 10 to 15 minutes each time, with gentle clockwise motions.

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Written by Zhu Dan Hua
Gastroenterology
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Does esophagitis cause chest pain?

Patients with esophagitis can experience pain in the anterior chest area, known as heartburn, which manifests as burning pain in the anterior chest or esophageal region. It usually occurs in episodic attacks, so it is generally believed that esophagitis can cause chest pain, which needs to be differentiated from chest pain caused by coronary heart disease. The diagnosis of esophagitis mainly relies on gastroscopy. For some typical patients, it is recommended that they complete a gastroscopy in a timely manner. Under gastroscopy, inflammatory changes in the esophageal mucosa can be observed, manifested as congestion, edema, erosion, or even ulcer formation. The treatment of esophagitis mainly involves adjusting medication choices and dietary adjustments. Dietary recommendations include a light diet, and medications may include those that reduce acid and protect the mucosa and improve gastrointestinal motility. A typical course of treatment would be two to four weeks, and most patients can achieve relief. (The use of medications should be carried out under the guidance of a doctor.)

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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 Zhu Dan Hua
Gastroenterology
1min 19sec home-news-image

How is esophagitis treated?

The treatment of esophagitis primarily consists of dietary adjustments and the selection of medications. Dietary recommendations suggest that patients consume clean, easily digestible foods, avoid binge eating, and refrain from the intake of pickled foods, cultivating good lifestyle and eating habits. Medication options include acid-suppressing, mucosal-protecting, and gastrointestinal motility-improving drugs, with an initial treatment duration of two to four weeks. Esophagitis is relatively common in clinical settings, typically seen in gastroenterology outpatient clinics, with symptoms such as nausea, heartburn, nausea, and belching being more common. Among these, heartburn is a typical symptom, characterized by a burning pain in the esophageal or pre-chest area, usually episodic and related to diet, with symptoms often occurring after meals. Diagnosis relies primarily on gastroscopy, thus it is recommended that patients considered to have esophagitis undergo timely gastroscopic examination to further clarify the condition. (The use of medications should be carried out under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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Can esophagitis cause chest tightness?

Esophagitis generally does not cause symptoms of chest tightness, as the inflammation in the esophagus typically leads to symptoms of the digestive system, and does not cause disorders of the respiratory or circulatory systems. Clinically, common symptoms of esophagitis include a burning sensation, along with difficulty swallowing and pain behind the breastbone. When the esophagitis is severe, it can lead to a narrowing of the esophageal lumen, causing a choking sensation when swallowing food, and possibly inducing vomiting. The inflammation can cause bleeding, which may manifest as vomiting blood or black stools.