Is esophagitis prone to recurrence?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 22, 2024
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Reflux esophagitis can recur frequently. Generally, mild reflux esophagitis can often be cured through adjustments in diet and lifestyle habits as well as medication treatment, and it will not recur. If it is moderate to severe reflux esophagitis, the effectiveness of medication may be insufficient, leading to persistent recurrence. Additional factors such as dietary and lifestyle habits, including smoking, drinking alcohol, consuming spicy foods, excessive fatigue, etc., can also cause recurrence. The presence of certain diseases can further exacerbate the occurrence of reflux esophagitis, such as dysfunction of the lower esophageal sphincter, hiatal hernia, and insufficient gastric motility, all of which may lead to recurrent symptoms.

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Written by Ren Zheng Xin
Gastroenterology
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What department do you go to for esophagitis?

Esophagitis is a relatively common disease in gastroenterology, so patients with esophagitis should visit the gastroenterology department. Generally, clinicians will inquire in detail about the medical history to understand the progression of the disease and the symptoms of the patient. Routine examinations typically include a barium swallow test or an upper gastrointestinal endoscopy. Under a barium meal examination, disorders of the esophageal mucosal folds and narrowing of the lumen can be detected. Upper gastrointestinal endoscopy can reveal inflammatory changes in the esophageal mucosa. Through the results of these examinations, systematic treatment can be administered.

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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 Ren Zheng Xin
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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.

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Written by Zhu Dan Hua
Gastroenterology
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Is esophagitis serious?

Esophagitis is a common clinical condition, so generally, patients do not need to worry too much. The typical symptoms of esophagitis include nausea and heartburn, with heartburn being particularly characteristic. This manifests as a burning pain in the esophageal area or the whole chest, typically occurring persistently with episodic exacerbations, and it is generally related to diet. The condition often flares up after meals, lasts for several hours before gradually easing, but is prone to recurrence. If a patient experiences the aforementioned discomfort, it is advisable to further undergo an endoscopic examination to assess the condition and confirm the diagnosis. Esophagitis can typically be identified during an endoscopy by signs of congestion, edema, and even erosion or ulceration of the esophageal mucosa. Thus, the diagnosis of esophagitis generally relies on endoscopic examination, and the initial treatment may focus on dietary adjustments and oral medications, which might include acid reducers, mucosal protective agents, and drugs that improve gastrointestinal motility. (Please use medications under the guidance of a professional physician.)

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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.