Patient's question:
My friend always feels chest pain and thinks there's something stuck in their chest. In 2017, they were hospitalized for a thorough endoscopy, which revealed esophagitis. After taking the medication prescribed by the doctor, the symptoms improved significantly, but now the pain has returned. Is this chronic esophagitis? How should it be treated?Doctor's answer:
Clinical diagnosis primarily involves symptoms such as heartburn and chest pain, which are caused by the effects of gastric reflux on submucosal sensory nerve endings of the esophagus. Under endoscopy, it is classified into four grades, with the main manifestations being:① Localized congestion and edema of the esophageal mucosa surface, with blurred submucosal vascular patterns. This is a relatively common and early manifestation of chronic esophagitis.
② Esophagitis is also relatively common, characterized by membranous erosion or white plaques that are easily peeled off.
③ Elevation and thickening of the mucosa, with granular changes.
④ Small superficial ulcers of the esophagus.
It is recommended to seek treatment at a regular hospital. Pay attention to avoiding napping immediately after meals. Additionally, avoid overeating and spicy, irritating foods. Reduce the intake of sweet and sour foods, and abstain from alcohol. Maintain a proper lifestyle.