Early symptoms of esophagitis?

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 the edema and congestion of esophageal mucosa due to abnormal stimulation of superficial or deep esophageal mucosa. What are the early symptoms of esophagitis? Now let's take a look.

Early symptoms of esophagitis?

1. Burning or pain behind sternum 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.

2. Gastroesophageal reflux (gerr) acid liquid or food flows from the stomach or esophagus to the pharynx or oral cavity after meals, when lying in front of the body or lying in bed at night. This symptom often appears before burning sensation or burning pain after sternum.

3. 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.

matters needing attention

1. Remove the cause of disease, give soft liquid food, forbid to feed coarse, hard, dry, powder and other irritating food. 2. Anti acid and anti emetic: oral administration of aluminum hydroxide 0.1-0.3 mg / kg body weight or magnesium oxide 0.2 mg / kg body weight. If the effect of antacids is not good, oral administration of formamidine guanidine, 5-10 mg / kg body weight, twice / GL. When vomiting, take metoclopramide orally, 0.2-0.5 mg / kg body weight, 2-3 times / day. 3. Antibacterial and anti-inflammatory intramuscular injection of penicillin and streptomycin, twice a day; Dexamethasone, 0.125-1.0 mg / kg body weight, once a day. 5 mg / kg body weight, once every other day.