Reflux esophagitis is divided into several grades.

Written by Luo Peng

Thoracic Surgery

Updated on September 15, 2024

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Reflux esophagitis can be classified into four grades based on the extent of esophageal mucosal damage: Grade A, B, C, and D. Grade A mainly involves damage to the folds of the esophageal mucosa, generally not exceeding 5 millimeters. Grade B refers to damage greater than 5 millimeters. Grade C indicates that the damage to the esophageal mucosa reaches 75% of the entire circumference of the esophagus; any damage below 75% falls into Grade C. Grade D, on the other hand, is quite severe, with extensive damage around the entire circumference of the esophagus, mainly divided into these four grades.

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Written by Wu Hai Wu

Gastroenterology

40sec

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What is the cause of ear pain in reflux esophagitis?

Patients with gastroesophageal reflux disease generally do not experience ear pain. If a patient does have ear pain, it is advised to visit an ENT (ear, nose, and throat) doctor at a hospital to determine the cause. The main symptoms of gastroesophageal reflux disease include reflux and a burning sensation in the stomach. These symptoms are the most common and typical, often occurring about an hour after a meal, and some patients may experience reflux during night sleep as well. Additional symptoms can include heartburn, nausea, chronic cough, asthma, etc. However, generally speaking, it does not cause ear pain.

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Written by Zhu Dan Hua

Gastroenterology

1min 16sec

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Chronic gastritis and reflux esophagitis symptoms

Chronic gastritis and gastroesophageal reflux disease (GERD) manifest clinically with typical symptoms including abdominal pain, bloating, nausea, heartburn, and acid reflux, generally starting with gastrointestinal symptoms and often with a prolonged history. In cases presenting with abdominal pain, this generally occurs in the upper abdomen and can be characterized as dull, distending, or burning pain. These symptoms are usually related to diet, and some patients may feel better after eating. There is generally no associated nighttime pain, fever, or jaundice. GERD typically presents with heartburn and acid reflux, which are commonly seen in clinical settings. The symptoms are usually more noticeable after eating, especially after a full meal, and do not usually occur at night. The pain, generally a burning sensation, occurs in the precordial and esophageal areas and can be episodic, spontaneously resolving. There may occasionally be nausea, and even a tendency to vomit. Diagnosis of GERD primarily relies on gastroscopic examination.

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Written by Si Li Li

Gastroenterology

1min 20sec

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Can people with reflux esophagitis eat sweet potatoes?

Sweet potatoes can increase the secretion of stomach acid, and it is not recommended for those with gastroesophageal reflux disease (GERD) to consume sweet potatoes. GERD is a type of gastroesophageal reflux disease that refers to the damage to the esophageal mucosa caused by the reflux of acid or alkali. During an endoscopy, defects in the esophageal mucosa, or ulcers, can be observed. GERD is graded based on the size of these ulcers and the extent of erosion, with four levels of severity. The larger the damage, the higher the grade, indicating a more severe case of GERD. Therefore, those with GERD must be cautious about their diet. It is essential to quit smoking and drinking alcohol, avoid strong tea and coffee, and try not to consume foods that are rich, greasy, fried, spicy, or grilled. Foods like milk, soy milk, glutinous rice, and sweet potatoes, which can increase the secretion of stomach acid, are also not recommended. Thus, it is advised that people with GERD avoid consuming sweet potatoes.

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Written by Wu Hai Wu

Gastroenterology

47sec

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Is reflux esophagitis serious in lab results?

Reflux esophagitis of grade LA B is not very severe, indicating one or more esophageal mucosal injuries, approximately five millimeters in length, but without confluence lesions. Patients with reflux esophagitis should take medication regularly, must undergo periodic gastroscopy, and the selection of specific medications and their dosage should be under the guidance of a doctor. Commonly, proton pump inhibitors can be used to suppress gastric acid secretion, and medications like aluminum hydroxide magnesium carbonate can be used to protect the gastric and esophageal mucosa. Additionally, drugs like mosapride and itopride can be used to promote esophageal motility, as well as gastric motility.

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Written by Wu Hai Wu

Gastroenterology

57sec

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Can grade C reflux esophagitis be cured?

Patients with Grade C reflux esophagitis can be cured; there is no need for excessive anxiety. Grade C indicates that the lesions of the esophageal mucosa are confluent but involve less than 75% of the esophageal circumference. Treatment for patients with Grade C reflux esophagitis requires regular medication, and the course of treatment may be relatively long. Consider using proton pump inhibitors to suppress gastric acid secretion and aluminum magnesium carbonate to protect the esophageal and gastric mucosa. Medications that enhance esophageal and gastric motility, such as mosapride, can also be considered. The choice, dosage, and administration of specific drugs should be under the guidance of a doctor. (Please use medication under the guidance of a doctor.)