Esophagitis should be seen in the Gastroenterology department.

Written by Zhu Dan Hua
Gastroenterology
Updated on September 03, 2024
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For esophagitis, we generally recommend that patients visit the department of gastroenterology. As the name suggests, esophagitis refers to inflammatory changes in the esophagus, which can have many causes such as diet, medications, and acid reflux, among others. Endoscopy is the gold standard for diagnosing esophagitis; under endoscopy, we can observe congestion, edema, and even erosions in the esophageal mucosa. Severe esophagitis can also present as ulcerations. Clinically, most cases of esophagitis present with heartburn and acid reflux, especially heartburn, which is characterized by a burning pain in the esophageal area. This is usually related to diet and symptoms can worsen after eating, leading most patients to seek care from a gastroenterologist. Additionally, a small portion of patients may experience other gastrointestinal symptoms such as burping and nausea. Thus, it is recommended for patients with esophagitis to undergo a thorough endoscopic examination at a gastroenterology clinic.

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Written by Huang Gang
Gastroenterology
57sec home-news-image

Can I eat sweet potatoes with esophagitis?

If esophagitis is not severe, it is okay to eat a moderate amount of sweet potatoes, as they are not highly irritating and do not significantly affect the esophagus. However, if the condition is more severe, it is necessary to control the intake of sweet potatoes. This is because sweet potatoes contain a large amount of starch, which can lead to bloating after consumption and can trigger symptoms such as indigestion. Additionally, nausea, vomiting, or acid reflux might occur. Sweet potatoes are sweet and can stimulate the excessive secretion of gastric acid, which not only causes nausea and vomiting but also affects the mucous membrane of the esophagus, potentially worsening the symptoms of esophagitis. Those with esophagitis should aim for a bland diet, eat smaller and more frequent meals, and chew slowly and thoroughly.

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Written by Zhu Dan Hua
Gastroenterology
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How long does it take to cure esophagitis?

The treatment period for esophagitis is generally around 4 to 6 weeks, and is considered appropriate. Most patients, especially after 4 to 6 weeks, can control the symptoms of esophagitis through active medication treatment. Of course, a small number of patients, due to their physical condition such as obesity, may have severe reflux symptoms and might need long-term oral medication, such as antacids, maintaining the effects with the minimum dosage generally sufficient to control symptoms. It is recommended that patients consume easily digestible food, avoid overeating, eat smaller meals more frequently, and pay attention to their posture after meals to control the symptoms of esophagitis through diet. If this is ineffective, patients are advised to control symptoms with oral medications and maintain with the minimum dosage for life; generally, this can be controlled and surgical intervention is not necessary. (Please use medications under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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Can esophagitis cause coughing?

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 Zhu Dan Hua
Gastroenterology
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Can esophagitis be treated with surgery?

Esophagitis is relatively common in clinical settings, and the treatment plan generally involves medical therapy rather than surgery as the first choice. However, if complications such as obstruction, bleeding, or even cancer occur, surgical treatment is usually undertaken. For medication selection, one can choose drugs that protect the mucous membrane, reduce acid, and improve gastrointestinal motility. It is important to pay attention to diet and post-meal posture in daily life, avoid binge eating, eat smaller and more frequent meals, and avoid intake of high-sugar, high-fat foods, opting instead for a light, easily digestible diet. Post-meal posture involves not lying down immediately after eating, especially for a nap, and it is recommended that patients sit for half an hour before lying down to rest to prevent reflux. Most patients can control the symptoms of esophagitis with active medical treatment and dietary adjustments, and do not need surgical treatment. (Please use medications under the guidance of a professional physician.)

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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.