Does esophagitis cause chest pain?

Written by Zhu Dan Hua
Gastroenterology
Updated on January 18, 2025
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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 Zhu Dan Hua
Gastroenterology
1min 17sec home-news-image

How to check for esophagitis?

In clinical practice, the diagnosis of esophagitis mainly relies on gastroscopy. Therefore, it is generally believed that patients with esophagitis are advised to undergo a comprehensive gastroscopy to confirm the diagnosis. Patients with esophagitis usually consult the gastroenterology department, presenting typically with symptoms like acid reflux and heartburn. Some patients may also experience nausea, belching, or dysphagia. Heartburn typically manifests as a burning pain in the chest or esophageal area, occurring episodically and generally related to diet, with episodes more commonly occurring after meals. The diagnosis of esophagitis relies on gastroscopy. Treatment options include dietary adjustments and selecting appropriate medications. Dietary recommendations involve consuming easily digestible and clean foods, avoiding overeating, and cultivating good living habits. Medications can include acid reducers, mucosal protectants, and agents that improve gastrointestinal motility. (The use of medications should be under the guidance of a doctor.)

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Written by Zhu Dan Hua
Gastroenterology
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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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What is good to eat for esophagitis?

For esophagitis, first pay attention to dietary hygiene. Meals should be regular, and consume soft, easily digestible foods, such as noodles, rice soup, and vegetable soup. Avoid dry, hard, cold, overly hot, and gas-producing foods, such as bean products, milk, and nuts. Also, eat fresh vegetables and adequately supplement plant-based fiber, reduce the intake of high-fat foods, and avoid smoking, alcohol, strong tea, coffee, and other irritant foods. Make sure to eat on a schedule, in small, frequent meals.

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Written by Ren Zheng Xin
Gastroenterology
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Does esophagitis cause constipation?

Esophagitis generally does not cause constipation. However, if a person has esophagitis and their gastrointestinal motility is reduced, constipation may occur. The main symptoms of esophagitis include feeling like there is a foreign object when swallowing, pain when swallowing, and pain behind the sternum. The diet for esophagitis generally consists of semi-liquid or liquid food. It is advisable to eat more vegetables and soft, easily digestible foods, and to avoid raw, cold, and strongly irritant foods. Additionally, it is important to hydrate regularly and choose antibiotics appropriately for treatment. (Specific medications should be used under the guidance of a physician.)

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Written by Jiang Guo Ming
Gastroenterology
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Is esophagitis prone to recurrence?

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.