Can esophagitis cause coughing?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 01, 2024
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Esophagitis generally does not cause coughing, as coughing is a symptom of respiratory diseases. Esophagitis mostly causes symptoms of the digestive system, such as heartburn, particularly when eating food, accompanied by painful swallowing, and pain behind the sternum. Severe esophagitis can lead to the narrowing of the esophageal lumen, difficulty swallowing, and may also present with vomiting. Esophagitis can also cause bleeding; bleeding of the mucous membranes can lead to vomiting blood or black stools. Recurrent esophagitis causes a decrease in appetite and impairs absorptive functions, leading to weight loss.

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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 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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Esophagitis examination methods

Currently, for the examination of esophagitis in clinical practice, imaging studies are primarily used, including barium swallow tests and upper gastrointestinal endoscopy. Barium swallow tests are more commonly used in primary care hospitals, while upper gastrointestinal endoscopy is more frequently used in county-level and higher hospitals. Under barium swallow exam, it is possible to observe the disordered mucosal folds of the damaged esophagus, sometimes small niches and narrowing of the esophageal lumen can be seen. Under endoscopy, inflammatory changes in the esophageal mucosa can be detected.

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Written by Ren Zheng Xin
Gastroenterology
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What is good to eat for esophagitis?

For esophagitis, first pay attention to dietary hygiene. Meals should be regular, and consume soft, easily digestible foods, such as noodles, rice soup, and vegetable soup. Avoid dry, hard, cold, overly hot, and gas-producing foods, such as bean products, milk, and nuts. Also, eat fresh vegetables and adequately supplement plant-based fiber, reduce the intake of high-fat foods, and avoid smoking, alcohol, strong tea, coffee, and other irritant foods. Make sure to eat on a schedule, in small, frequent meals.

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Written by Ren Zheng Xin
Gastroenterology
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Can esophagitis cause chest tightness?

Esophagitis generally does not cause symptoms of chest tightness, as the inflammation in the esophagus typically leads to symptoms of the digestive system, and does not cause disorders of the respiratory or circulatory systems. Clinically, common symptoms of esophagitis include a burning sensation, along with difficulty swallowing and pain behind the breastbone. When the esophagitis is severe, it can lead to a narrowing of the esophageal lumen, causing a choking sensation when swallowing food, and possibly inducing vomiting. The inflammation can cause bleeding, which may manifest as vomiting blood or black stools.