What should I do if reflux esophagitis causes vomiting and choking?

Written by Wu Hai Wu
Gastroenterology
Updated on September 06, 2024
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Patients with reflux esophagitis who experience vomiting and choking is relatively rare. Once vomiting and choking occur, it is necessary for the patient to urgently lie on their side, quickly expel the contents of the stomach and mouth, and they may drink some water to keep the respiratory and digestive tracts clear. If the patient still experiences choking after these measures, it is recommended to urgently visit a hospital for treatment. The specific treatment plan will be determined by a doctor based on the situation. The main symptoms of reflux esophagitis include reflux and a burning sensation in the stomach, which are the most common and typical symptoms for patients.

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Written by Wu Hai Wu
Gastroenterology
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Is reflux esophagitis grade LA-A severe?

Reflux esophagitis grade LA-A is not very severe. It is the lowest grade in the classification of reflux esophagitis, indicating that one or more areas of the esophageal mucosa are damaged, but the length of the lesions is less than five millimeters. If reflux esophagitis grade LA-A is present, the use of proton pump inhibitors, which suppress gastric acid secretion, can be considered for treatment to reduce the damage and irritation to the esophageal mucosa from excessive gastric acid secretion. Additionally, medications such as aluminum-magnesium carbonate and sucralfate can be used to protect the esophageal and gastric mucosa. The specific choice of medication and the dosage should be used under the guidance of a clinical physician.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of reflux esophagitis?

Common symptoms of gastroesophageal reflux disease (GERD) include upper abdominal distension, chest pain, belching, acid reflux, nausea, vomiting, and indigestion. Gastroscopy may reveal lesions in the esophageal mucosa, facilitating a GERD diagnosis. Lesion sizes and severity are graded from A to D (ABCD), with Grade A being the mildest and Grade D the most severe. The main treatments include promoting gastric motility, suppressing acid production, and protecting the gastric mucosa, typically over an eight-week course. GERD is closely related to poor gastric motility, so patients are advised to increase physical activity, which can help enhance gastrointestinal motility and strengthen gastric motility, alleviating GERD symptoms.

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Written by Si Li Li
Gastroenterology
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How to treat reflux esophagitis?

Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.

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Written by Si Li Li
Gastroenterology
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Early symptoms of reflux esophagitis

The symptoms of reflux esophagitis mainly include acid reflux, heartburn, chest pain, pain in the upper abdomen, a burning sensation in the upper abdomen, belching, etc. Some people may also experience symptoms of indigestion. There are no distinct early or late-stage symptoms; generally, the symptoms are always these manifestations, without a specific progression from early to late stages. The diagnosis primarily relies on gastroscopy. Under gastroscopy, we can observe erosions, hyperemia, or ulcers in the mucosa of the esophagus, which can then be diagnosed as reflux esophagitis. The treatment focuses on promoting gastric motility, acid suppression, stomach protection, and mucosal protection as the main methods. The general course of treatment requires six to eight weeks.

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Written by Wu Hai Wu
Gastroenterology
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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.)