Symptoms of esophagitis characteristics
1, heartburn
Heartburn is often called reflux heartburn, or postural heartburn. It is the most common symptom of gastroesophageal reflux and is caused by chemical irritation of the subepithelial sensory nerve endings in the esophagus by acidic reflux material. Most patients have a warm or burning sensation in the epigastrium or behind the sternum, typically occurring 1 to 2 hours after a meal. In addition, positions such as flexion, bending, coughing, pregnancy, ascites, and lying on the back with the head lowered can induce or aggravate heartburn. It can also be induced by overeating, or by ingesting substances such as tea, alcohol, coffee, fruit juices, and aspirin. Patients with more reflux during sleep often wake up at night with heartburn and reflux. Because of deep sleep, the esophagus is inactive, the removal of reflux is slower, and there is no gravity to help eliminate it, and the lack of saliva neutralization, so patients with more frequent reflux at night, the damage to esophageal tissues is more serious.
2, burning sensation or pain behind the sternum
The pain behind the sternum or the fossa of the heart, the heavier is a sharp stabbing pain. It often radiates to the back, chest, and even behind the ears. Symptoms tend to occur about 1 hour after meals. It can be induced by strenuous exercise, semi-recumbent position, etc. It can be aggravated by overheated and acidic food. GERD is an esophageal source of chest pain and is easily confused with angina. Chest pain in ischemic heart disease has many similarities with esophageal chest pain, and the pain symptoms can be relieved by nitroglycerin and worsened after a full meal. Therefore, it is necessary to ask a detailed history, symptoms, combined with laboratory tests and other means to distinguish.
3, dysphagia
Dysphagia is also a common symptom of reflux esophagitis. Early dysphagia is intermittent, due to inflammatory stimulation caused by esophageal spasm. In later stages, persistent dysphagia can occur due to narrowing caused by esophageal scarring. The degree of dysphagia depends on the length and caliber of the stricture.
The dangers of esophagitis
Lead to gastric bleeding
Esophagitis is likely to lead to gastric bleeding, usually the patient is either vomiting blood, or blood in the stool, and some patients also have iron deficiency anemia, which can have a very serious impact on human health, and esophagitis is likely to lead to ulcers, which will lead to the patient encountered great difficulty in swallowing food, and may even wear the food. The first thing you need to do is to get a good deal on the price of the product, and you'll be able to get a good deal on the price of the product.
Causes esophageal stenosis
Esophagitis, if left untreated, is likely to cause stenosis, which can lead to lesions in other organs and lead to more serious consequences.
Cancer of esophagitis
The possibility of cancer of esophagitis is not very certain, but it does not mean that there is no possibility of malignant changes, if the malignant changes of esophagitis is very likely to be esophageal cancer, esophageal cancer, the risk factor is very big, and this kind of cancer is not very good treatment for people's life and health will cause a very big threat, the normal mucosa of the lower esophagus is flat. Normal lower esophageal mucosa is flat, which is called squamous epithelium in medicine. If the flat cells become columnar cells, this kind of esophagus is called Barrett's esophagus, and the esophageal mucosa of patients with GERD suffers from the stimulation of refluxed material for a long time, which can gradually develop into Barrett's esophagus, and the more severe the reflux is, the longer the esophagus length is in Barrett's esophagus, and Barrett's esophagus is recognized as esophageal cancer. The incidence of esophageal cancer in patients with Barrett's esophagus is 30 to 52 times higher than in the general population.
Causes of esophagitis
1, physical factors (25%): swallowing hot food, sharp foreign objects or chewing inadequate bones, misuse of corrosive agents and other direct damage to the esophageal mucosa caused by inflammation. Esophagitis caused by overheated food can heal itself quickly. Frequent use of gastric tube, irritation of the esophagus, can also cause esophagitis.
2, esophageal peristaltic disorder (5%): usually, when the stomach contents reflux into the esophagus, due to the role of tension caused by the esophagus secondary peristaltic wave, the reflux will be sent back to the stomach. Esophagitis can make the esophagus peristalsis slow down, so that the reflux in the esophagus stay longer, aggravated the original esophagitis, esophagitis and weaken the function of the lower esophageal sphincter, aggravate reflux, the formation of a vicious circle.
3, disease factors (20%): physical or chemical esophagitis: radiation irradiation caused by esophagitis reaction called radiation esophagitis.
4, lower esophageal sphincter hypofunction (15%): normal human lower esophageal torso muscle has a high-pressure zone, preventing reflux of gastric contents into the esophagus. Many reasons can make the lower esophageal sphincter function weakened, including esophageal hiatal hernia, easy to cause gastric and intestinal contents reflux into the esophagus, is the main cause of esophageal mucosal inflammatory lesions.
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