Is reflux esophagitis serious in lab results?

Written by Wu Hai Wu
Gastroenterology
Updated on November 16, 2024
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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
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Is reflux esophagitis related to staying up late?

Gastroesophageal reflux disease (GERD) may not be closely related to staying up late. However, patients with GERD should still pay attention to rest, balance work and leisure, and try to minimize staying up late. The occurrence of GERD is considerably related to one's diet. If a patient consumes strong tea, coffee, spirits, spicy or irritating foods, or high-fat foods, it could easily trigger an episode of GERD or worsen the symptoms in patients. The primary symptoms of GERD include heartburn, belching, nausea, etc. Treatment involves suppressing stomach acid secretion and promoting gastrointestinal motility.

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Written by Wu Hai Wu
Gastroenterology
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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 Wu Hai Wu
Gastroenterology
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What should I do if reflux esophagitis causes a fever?

Reflux esophagitis, if accompanied by fever, might indicate the possibility of an infectious disease. It is necessary to further determine whether there is an infection and its location. Complete blood count and C-reactive protein tests can be conducted. At the same time, a follow-up gastroscopy should be done to observe the condition of the esophageal lesions, and histopathological examinations might be necessary when needed. Patients with reflux esophagitis require active treatment to suppress gastric acid secretion, and can also use gastroprotective agents, such as magnesium trisilicate and sucralfate. Prokinetic drugs like mosapride and itopride are also needed for treatment. Dietary adjustments should focus on a bland diet, avoiding spicy and irritating foods.

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Written by Luo Peng
Thoracic Surgery
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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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Written by Wu Hai Wu
Gastroenterology
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How to deal with reflux esophagitis causing palpitations and a feeling of panic?

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.