How to check for esophagitis?

Written by Zhu Dan Hua
Gastroenterology
Updated on March 01, 2025
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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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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.)

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Written by Huang Gang
Gastroenterology
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Does esophagitis cause chest pain?

People with esophagitis, generally reflux esophagitis, suffer due to the stomach acid refluxing back into the esophagus, which irritates or damages the mucous membrane of the esophagus. This causes symptoms such as congestion, edema, and pain, especially after consuming acidic, spicy, or overly hot foods, where the sensation of pain can become more pronounced. Thus, patients with esophagitis may experience symptoms of chest pain. By paying attention to dietary control, avoiding overly acidic, spicy, or hot foods, and taking medications that protect the esophageal mucous membrane and suppress stomach acid secretion, these symptoms of chest pain can gradually be alleviated and even completely cured.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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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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Written by Zhu Dan Hua
Gastroenterology
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Is esophagitis serious?

Esophagitis is a common clinical condition, so generally, patients do not need to worry too much. The typical symptoms of esophagitis include nausea and heartburn, with heartburn being particularly characteristic. This manifests as a burning pain in the esophageal area or the whole chest, typically occurring persistently with episodic exacerbations, and it is generally related to diet. The condition often flares up after meals, lasts for several hours before gradually easing, but is prone to recurrence. If a patient experiences the aforementioned discomfort, it is advisable to further undergo an endoscopic examination to assess the condition and confirm the diagnosis. Esophagitis can typically be identified during an endoscopy by signs of congestion, edema, and even erosion or ulceration of the esophageal mucosa. Thus, the diagnosis of esophagitis generally relies on endoscopic examination, and the initial treatment may focus on dietary adjustments and oral medications, which might include acid reducers, mucosal protective agents, and drugs that improve gastrointestinal motility. (Please use medications under the guidance of a professional physician.)

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Written by Zhu Dan Hua
Gastroenterology
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Does esophagitis cause chest pain?

Patients with esophagitis can experience pain in the anterior chest area, known as heartburn, which manifests as burning pain in the anterior chest or esophageal region. It usually occurs in episodic attacks, so it is generally believed that esophagitis can cause chest pain, which needs to be differentiated from chest pain caused by coronary heart disease. The diagnosis of esophagitis mainly relies on gastroscopy. For some typical patients, it is recommended that they complete a gastroscopy in a timely manner. Under gastroscopy, inflammatory changes in the esophageal mucosa can be observed, manifested as congestion, edema, erosion, or even ulcer formation. The treatment of esophagitis mainly involves adjusting medication choices and dietary adjustments. Dietary recommendations include a light diet, and medications may include those that reduce acid and protect the mucosa and improve gastrointestinal motility. A typical course of treatment would be two to four weeks, and most patients can achieve relief. (The use of medications should be carried out under the guidance of a doctor.)