How to deal with reflux esophagitis causing palpitations and a feeling of panic?

Written by Wu Hai Wu

Gastroenterology

Updated on September 16, 2024

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Patients with reflux esophagitis, if experiencing palpitations or a feeling of heart flutter, are advised to complete an electrocardiogram to rule out the possibility of heart disease. If heart disease causing these symptoms has been ruled out, then one may visit the hospital and consider taking oral proton pump inhibitors to suppress stomach acid secretion, reducing the erosive impact of acid reflux on the esophagus. Additionally, one can take protective agents for the stomach and esophageal mucosa, such as magnesium trisilicate, etc. The specific choice of medication and dosage should be used under the guidance of a doctor. Patients with reflux esophagitis should avoid alcohol, strong tea, coffee, etc.

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Written by Wu Hai Wu

Gastroenterology

56sec

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Is reflux esophagitis grade III serious?

Reflux esophagitis is generally classified into four grades according to the Los Angeles classification. Grade III indicates that the mucosal damage in the esophagus has merged, but it covers less than 75% of the esophageal circumference. Although grade III reflux esophagitis is not very severe, regular treatment is necessary. Treatment should be administered under the guidance of a doctor, and proton pump inhibitors may be considered to suppress gastric acid secretion and reduce the stimulation of gastric acid on the esophageal mucosa. Medications that protect the esophageal and gastric mucosa, such as aluminum magnesium carbonate and sucralfate, are also needed. In addition, medications that enhance esophageal and gastric motility, such as mosapride, can be taken. (Please consult a doctor before using any medication.)

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Written by Si Li Li

Gastroenterology

48sec

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Does reflux esophagitis cause mucus in stool?

The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.

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Written by Wang Hui Jie

Gastroenterology

1min 6sec

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What are the symptoms of gastroesophageal reflux disease?

The following are some symptoms: The most common and typical symptom is heartburn. It mainly manifests as a burning discomfort or pain behind the sternum and below the xiphoid process. This usually occurs about an hour after eating and may extend upward from the lower end of the sternum to the neck and between the shoulder blades, often accompanied by nausea. Another common symptom is acid reflux, which generally occurs more often on an empty stomach. Another symptom is chest pain, mainly caused by irritation of the esophageal mucosa leading to spasms. There is also difficulty swallowing, which is quite common; initially, it is often caused by a stress-induced spasm. In later stages, it is mostly due to the proliferation of fibrous tissue forming scars, leading to esophageal narrowing. Some less common symptoms include stomach bloating, pharyngitis, cough, asthma, and others.

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Written by Si Li Li

Gastroenterology

1min 13sec

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What are the symptoms of reflux esophagitis?

The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.

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Written by Si Li Li

Gastroenterology

1min 1sec

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What foods are good for gastroesophageal reflux disease?

For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.