Can esophagitis cause coughing?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 01, 2024
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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 Zhu Dan Hua
Gastroenterology
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How long does it take to cure esophagitis?

The treatment period for esophagitis is generally around 4 to 6 weeks, and is considered appropriate. Most patients, especially after 4 to 6 weeks, can control the symptoms of esophagitis through active medication treatment. Of course, a small number of patients, due to their physical condition such as obesity, may have severe reflux symptoms and might need long-term oral medication, such as antacids, maintaining the effects with the minimum dosage generally sufficient to control symptoms. It is recommended that patients consume easily digestible food, avoid overeating, eat smaller meals more frequently, and pay attention to their posture after meals to control the symptoms of esophagitis through diet. If this is ineffective, patients are advised to control symptoms with oral medications and maintain with the minimum dosage for life; generally, this can be controlled and surgical intervention is not necessary. (Please use medications under the guidance of a doctor.)

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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 Jiang Guo Ming
Gastroenterology
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What are the symptoms of esophagitis?

The causes of reflux esophagitis are varied, including dysfunction of the lower esophageal sphincter, esophageal hiatal hernia, gastric emptying disorders, psychological factors, and external stimuli such as medications or alcohol. Often, patients also exhibit insufficient gastric motility and excessive stomach acid. Common symptoms include upper abdominal bloating, belching, heartburn, acid regurgitation, a burning sensation or pain behind the sternum, and sometimes chest pain during eating. Some patients may experience irritative dry cough, which is often more pronounced at night or when lying down, but it tends to ease when standing up due to the irritation caused by acid reflux.

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Written by Huang Gang
Gastroenterology
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Can I eat sweet potatoes with esophagitis?

If esophagitis is not severe, it is okay to eat a moderate amount of sweet potatoes, as they are not highly irritating and do not significantly affect the esophagus. However, if the condition is more severe, it is necessary to control the intake of sweet potatoes. This is because sweet potatoes contain a large amount of starch, which can lead to bloating after consumption and can trigger symptoms such as indigestion. Additionally, nausea, vomiting, or acid reflux might occur. Sweet potatoes are sweet and can stimulate the excessive secretion of gastric acid, which not only causes nausea and vomiting but also affects the mucous membrane of the esophagus, potentially worsening the symptoms of esophagitis. Those with esophagitis should aim for a bland diet, eat smaller and more frequent meals, and chew slowly and thoroughly.

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Written by Zhu Dan Hua
Gastroenterology
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What to eat with esophagitis?

For patients with esophagitis, it is recommended that they eat an easily digestible, clean diet, but they should eat smaller, more frequent meals and not overeat. After eating, patients should pay attention to their body position; it is advised not to lie down flat immediately after eating. Instead, sit for half an hour or engage in light activity before lying down once any significant bloating has improved. For food, it is suggested that patients eat easily digestible, clean foods such as rice noodles and pasta, and avoid high sugar and high-fat intake. If symptoms are still pronounced, oral medications can be added, such as those that protect the intestinal mucosa, protect the stomach mucosa, and improve gastrointestinal motility. For most patients, the above treatments can provide some relief and control of symptoms like regurgitation and heartburn in esophagitis. (The use of medications should be under the guidance of a doctor.)