Esophagitis type A

Written by Zhu Dan Hua
Gastroenterology
Updated on September 09, 2024
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Esophagitis can be classified into four levels of severity: grade A, B, C, and D, with grade A being the mildest and grade D the most severe. For patients with grade A esophagitis, it is recommended that they pay attention to their diet and medication. Dietarily, it is advised that patients consume easily digestible meals, eat smaller portions more frequently, and avoid overeating. Medicinally, options include acid inhibitors, mucosal protectants, and medications that reduce stomach acid. The treatment course is 2 to 4 weeks, and if symptoms can be controlled, the dosage may be appropriately reduced. Clinically, esophagitis is relatively common with typical symptoms being nausea and heartburn, especially heartburn, which is the most frequent. This presents as a burning pain in the esophageal and anterior chest area, generally related to eating, and usually occurs after meals.

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Is esophagitis prone to recurrence?

Reflux esophagitis can recur frequently. Generally, mild reflux esophagitis can often be cured through adjustments in diet and lifestyle habits as well as medication treatment, and it will not recur. If it is moderate to severe reflux esophagitis, the effectiveness of medication may be insufficient, leading to persistent recurrence. Additional factors such as dietary and lifestyle habits, including smoking, drinking alcohol, consuming spicy foods, excessive fatigue, etc., can also cause recurrence. The presence of certain diseases can further exacerbate the occurrence of reflux esophagitis, such as dysfunction of the lower esophageal sphincter, hiatal hernia, and insufficient gastric motility, all of which may lead to recurrent symptoms.

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Which part to massage for esophagitis

Esophagitis can be treated by massaging the Laogong acupoint, which can promote blood circulation and relieve mental tension. Alternatively, the Daling acupoint can improve gastric motility and aid symptoms of indigestion effectively. Furthermore, esophagitis can also be managed by massaging the Zhongwan acupoint, a commonly used point for spleen and stomach disorders, capable of treating various symptoms. The Zhongwan acupoint is located on the upper abdomen, on the anterior midline, at the midpoint between the lower end of the sternum and the navel. Therefore, it is essential to massage daily, approximately 10 to 15 minutes each time, with gentle clockwise motions.

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How to check for esophagitis?

In clinical practice, the diagnosis of esophagitis mainly relies on gastroscopy. Therefore, it is generally believed that patients with esophagitis are advised to undergo a comprehensive gastroscopy to confirm the diagnosis. Patients with esophagitis usually consult the gastroenterology department, presenting typically with symptoms like acid reflux and heartburn. Some patients may also experience nausea, belching, or dysphagia. Heartburn typically manifests as a burning pain in the chest or esophageal area, occurring episodically and generally related to diet, with episodes more commonly occurring after meals. The diagnosis of esophagitis relies on gastroscopy. Treatment options include dietary adjustments and selecting appropriate medications. Dietary recommendations involve consuming easily digestible and clean foods, avoiding overeating, and cultivating good living habits. Medications can include acid reducers, mucosal protectants, and agents that improve gastrointestinal motility. (The use of medications should be under the guidance of a doctor.)

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What should you avoid eating if you have esophagitis?

There are many foods that should be avoided with esophagitis, as any food that irritates the esophagus and worsens the condition should be avoided. First are dry, hard, cold, overly hot, or gas-producing foods, such as nuts, walnuts, as well as milk, soy milk, bread, and other foods that produce a lot of gas. Also, avoid smoking, alcohol, strong tea, coffee, and other irritating foods. Focus on consuming nutritious and easily digestible foods, maintain a regular eating schedule, and pay attention to food hygiene, ensuring meals are timely and in proper amounts.

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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.