The difference between reflux esophagitis and esophagitis

Written by Wu Hai Wu
Gastroenterology
Updated on April 08, 2025
00:00
00:00

The main difference between reflux esophagitis and esophagitis is that esophagitis has a broader range, and reflux esophagitis is just one type of esophagitis. Esophagitis can be caused by many factors, as it involves inflammation changes occurring after multiple factors have damaged the esophageal mucosa. Based on different etiological factors, it can be divided into reflux esophagitis, radiation esophagitis, infectious esophagitis, eosinophilic esophagitis, drug-induced esophagitis, and radiation esophagitis. Reflux esophagitis is the most common type of esophagitis, primarily caused by the relaxation of the lower esophageal sphincter, which leads to the reflux of stomach and duodenal contents into the esophagus causing inflammatory changes. This may be related to factors such as obesity, smoking, alcohol consumption, and a high-fat diet.

Other Voices

doctor image
home-news-image
Written by Zhang Shu Kun
Traditional Chinese Medicine
44sec home-news-image

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.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
39sec home-news-image

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.

doctor image
home-news-image
Written by Huang Gang
Gastroenterology
52sec home-news-image

Does esophagitis cause chest pain?

People with esophagitis, generally reflux esophagitis, suffer due to the stomach acid refluxing back into the esophagus, which irritates or damages the mucous membrane of the esophagus. This causes symptoms such as congestion, edema, and pain, especially after consuming acidic, spicy, or overly hot foods, where the sensation of pain can become more pronounced. Thus, patients with esophagitis may experience symptoms of chest pain. By paying attention to dietary control, avoiding overly acidic, spicy, or hot foods, and taking medications that protect the esophageal mucous membrane and suppress stomach acid secretion, these symptoms of chest pain can gradually be alleviated and even completely cured.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
46sec home-news-image

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.)

doctor image
home-news-image
Written by Zhu Dan Hua
Gastroenterology
1min 7sec home-news-image

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.