What symptom does esophagitis have?

summary

There are many kinds of esophagitis, among which bile esophagitis and reflux esophagitis are the most common. According to experts, esophagitis refers to the inflammation caused by esophageal mucosal edema and congestion due to abnormal stimulation of superficial or deep tissue of esophageal mucosa. What are the symptoms of esophagitis? Now let's take a look.

What symptom does esophagitis have?

Poststernal burning or pain is the main symptom of the disease. According to the distribution of vagus nerve, sometimes it can radiate to the neck, palate or ear. It is common to radiate between the shoulder blades on both sides of the back. Burning sensation can be relieved by drinking water or taking acid or sugar block to stimulate saliva secretion and primary esophageal peristalsis. Especially after eating some spicy food, it is most likely to occur. It can be caused by bending, exerting or lying on the back, and it can be alleviated in the upright position. This is because walking in the upright position (picture arranged by the teacher) promotes the clearance of the esophagus. The aggravation of postural burning pain is highly suggestive of reflux. In patients with gastric acid deficiency, the burning sensation is mainly caused by bile reflux, but the effect of taking antacids is not obvious. The severity of burning sensation is not necessarily consistent with the severity of the lesion. Severe esophagitis, especially in scar formation, may have no or only slight burning sensation.

Swallowing pain. Caused by irritation of the inflamed esophagus or esophageal spasm by food masses. Spastic pain and heartburn have the same distribution and radiation site. In the esophagitis area and part of the stenosis or motor function uncoordinated area, the food ball causes the acute expansion of the esophagus and produces the third contraction or spasm. The patient may feel food or liquid pause above the esophagus, waiting for the food ball to go down or drink water to rush down. The dilated esophagus above the food ball pause may produce very serious pain. Spasmodic pain can also be caused by reflux.

. nausea. Reflux of gastric acid or bile into the posterior wall of the mouth indicates gastroesophageal reflux. Stomach contents can be vomited or swallowed, leaving a sour or bitter taste in the pharynx and mouth, causing bad breath or taste damage, and chronic irritation of the lips may have a burning feeling. Nausea can occur after eating, exerting or changing body position. Often accompanied by gastrointestinal flatulence, hiccup. Night reflux can also cause cough, aspiration pneumonia or asphyxia.

matters needing attention

1. Remove the cause. 2. Gastric acid inhibitors and mucosal protectors. 3. Antibiotics (bacteria and fungi) should be given to patients with concurrent infection. 4. Give hemostasis (including endoscopic) treatment when there is bleeding Endoscopic dilatation and stent placement can be considered when stenosis or obstruction occurs.