Can esophagitis be cured?

Written by Zhai Guo Dong
Gastroenterology
Updated on September 21, 2024
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Common causes of esophagitis include reflux of stomach acid and inflammation caused by excess stomach acid. Esophagitis can be healed through dietary control and medical treatment. However, it is prone to recurrence, for example, with increased stomach acid, worsening of chronic gastritis or acid reflux, and lack of attention to diet, among other factors. Therefore, we advise patients to avoid irritating foods and appropriately consume medications that protect the mucosa and suppress stomach acid.

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Written by Zhai Guo Dong
Gastroenterology
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How is esophagitis treated?

Esophagitis is clinically common due to acid reflux and various physical and chemical irritants that cause inflammation. Therefore, we often recommend treatments that suppress stomach acid and protect the gastric mucosa. Additionally, if there are physical and chemical irritants, patients should avoid using or accidentally consuming certain medications, foods, or other chemicals that could cause esophagitis.

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Written by Ren Zheng Xin
Gastroenterology
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What department do you go to for esophagitis?

Esophagitis is a relatively common disease in gastroenterology, so patients with esophagitis should visit the gastroenterology department. Generally, clinicians will inquire in detail about the medical history to understand the progression of the disease and the symptoms of the patient. Routine examinations typically include a barium swallow test or an upper gastrointestinal endoscopy. Under a barium meal examination, disorders of the esophageal mucosal folds and narrowing of the lumen can be detected. Upper gastrointestinal endoscopy can reveal inflammatory changes in the esophageal mucosa. Through the results of these examinations, systematic treatment can be administered.

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Written by Si Li Li
Gastroenterology
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Does esophagitis cause weight loss?

People with esophagitis tend to experience emaciation. Esophagitis, medically referred to as gastroesophageal reflux disease (GERD), is characterized by symptoms such as upper abdominal distension, chest pain, belching, acid reflux, nausea, vomiting, and indigestion. Due to the long-term presence of these symptoms, appetite can decrease, leading to emaciation in patients with GERD. During an endoscopy, if erosions in the gastric mucosa are observed, a diagnosis of gastroesophageal reflux disease can be made. Based on the extent of these erosions, the condition can be classified into four grades, from A to D, with grade A being the mildest and grade D the most severe. Treatment mainly involves promoting gastric motility, repairing the mucosa, and acid-suppressing and stomach-protecting therapies, generally requiring about an eight-week treatment period.

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Written by Zhu Dan Hua
Gastroenterology
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How is esophagitis treated?

The treatment of esophagitis primarily consists of dietary adjustments and the selection of medications. Dietary recommendations suggest that patients consume clean, easily digestible foods, avoid binge eating, and refrain from the intake of pickled foods, cultivating good lifestyle and eating habits. Medication options include acid-suppressing, mucosal-protecting, and gastrointestinal motility-improving drugs, with an initial treatment duration of two to four weeks. Esophagitis is relatively common in clinical settings, typically seen in gastroenterology outpatient clinics, with symptoms such as nausea, heartburn, nausea, and belching being more common. Among these, heartburn is a typical symptom, characterized by a burning pain in the esophageal or pre-chest area, usually episodic and related to diet, with symptoms often occurring after meals. Diagnosis relies primarily on gastroscopy, thus it is recommended that patients considered to have esophagitis undergo timely gastroscopic examination to further clarify the condition. (The use of medications should be carried out under the guidance of a doctor.)

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Written by Zhu Dan Hua
Gastroenterology
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What to eat with esophagitis?

For patients with esophagitis, it is recommended that they eat an easily digestible, clean diet, but they should eat smaller, more frequent meals and not overeat. After eating, patients should pay attention to their body position; it is advised not to lie down flat immediately after eating. Instead, sit for half an hour or engage in light activity before lying down once any significant bloating has improved. For food, it is suggested that patients eat easily digestible, clean foods such as rice noodles and pasta, and avoid high sugar and high-fat intake. If symptoms are still pronounced, oral medications can be added, such as those that protect the intestinal mucosa, protect the stomach mucosa, and improve gastrointestinal motility. For most patients, the above treatments can provide some relief and control of symptoms like regurgitation and heartburn in esophagitis. (The use of medications should be under the guidance of a doctor.)