Is reflux esophagitis grade III serious?

Written by Wu Hai Wu
Gastroenterology
Updated on September 25, 2024
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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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Is Grade C reflux esophagitis serious?

Reflux esophagitis is classified into grades A, B, C, and D according to the severity of the condition, primarily based on the extent of damage to the esophageal mucosa. Grade C reflux esophagitis, in particular, is considered when up to 75% of the circumferential esophageal mucosa is damaged, which is relatively severe. Further progression can lead to ulcers or even severe damage to the entire esophageal mucosa. Therefore, Grade C reflux esophagitis is considered to be quite serious.

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Can people with reflux esophagitis drink alcohol occasionally?

People with reflux esophagitis should not drink alcohol, as it can irritate the stomach lining and exacerbate the symptoms of esophagitis, leading to frequent recurrences of the condition. If you have reflux esophagitis, you should primarily eat a bland diet, and avoid spicy and stimulating foods. It is also important to avoid alcohol, strong tea, coffee, and foods that are overly sweet, sour, spicy, too cold, or too hot. Normally, it is advisable to consume foods that are easy to digest and absorb and are generally light. Therefore, regular treatment is also crucial for those suffering from reflux esophagitis.

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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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Which severity level of reflux esophagitis is "abcd"?

Reflux esophagitis is divided into four grades: ABCD, with grade A being the least severe and grade D being the most severe. Grade D indicates that the esophageal mucosa shows damage and fusion, involving at least 75% of the esophageal circumference. The symptoms of reflux esophagitis mainly include reflux and a burning sensation in the stomach, and some patients may also experience heartburn, nausea, vomiting, and other symptoms. Reflux esophagitis can occur during nighttime sleep in some patients and is caused by the chemical irritation of sensory nerve endings beneath the esophageal epithelium due to acidic or alkaline reflux material.

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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.