Reflux esophagitis. Treatment of the disease, symptoms, complications, causes.
Disruption of the digestive process is accompanied byvarious diseases. One of these ailments is reflux-esophagitis. The disease is characterized by the inflammatory process of the esophageal mucosa. Damage is caused by ingestion of gastric contents into the esophagus. In this case, inflammation of the epithelium occurs, painful spasm occurs. The main cause of the condition is the hernia of the aperture. Esophagitis promotes the displacement of part of the stomach into the breast cavity through an enlarged aperture opening. When symptoms of reflux-esophagitis appear, treatment should be started as soon as possible. To avoid deterioration, you should fully trust the specialist. Uncontrolled use of medicines is categorically excluded.
Symptoms of reflux-esophagitis
Symptoms of esophagitis are as follows:
- Heartburn. Discomfort can occur at any time of the day. Deterioration of the condition is usually observed after eating, as well as in a prone state. Heartburn is accompanied by hiccups and eructations.
- Painful sensations in the chest. The pain is like a heartache.
- Disturbance of swallowing functions. Usually the condition is associated with a complication of the disease - cicatrization of the esophagus. Scars lead to constriction of the organ.
Diagnosis of esophagitis
Treatment of the disease is carried out after the examinationand confirmation of the diagnosis. If there are suspicions of a hernia, then an x-ray diagnosis of the esophagus with barium is necessary. The procedure is performed on an empty stomach. X-rays are taken after swallowing patients with a contrast mixture.
The next method of investigation isEsophagoscopy - examination of the esophagus with a special device - an endoscope. In addition, a biopsy is required. The procedure is based on taking a small portion of the esophageal mucosa for histology.
Measure acidity in the lumen of the stomach andEsophageal pH-metry will help. The contents of the esophagus will be acidic due to ingestion of the contents from the stomach. In some situations (if there is a suspicion of esophagitis), the treatment is performed after additional examinations and analyzes. A doctor can refer a patient to a cardiologist for complaints of chest pain to make sure there are no heart diseases.
Complications of reflux-esophagitis
Treatment of reflux esophagitis requires an accurateobservance of all recommendations of the expert. Otherwise, serious complications are possible: ulcer of the esophagus, narrowing of the esophagus due to scarring, mucosal cell degeneration, cancers. The most dangerous consequence of a hernia of aperture of a diaphragm is its infringement. The condition can be accompanied by a sharp pain in the chest in conjunction with a violation of swallowing.
Treatment of esophagitis
Therapeutic treatment of the disease requiresuse of medicines. With the help of medications it is necessary to reduce the acidity of gastric juice, protect the esophagus mucosa from negative effects, increase the activity of contractions of the lower sphincter of the esophagus. For this purpose, blockers of histamine H2 receptors are prescribed: "Famotidine", "Ranitidine" preparations; inhibitors of the proton pump - drugs "Lansoprazole", "Omeprazole"; prokinetics - the preparation "Domperidon"; antacids and other medicines.
If the severe form of the disease is diagnosed as esophagitis, treatment with medicines may not be sufficient. In such cases surgery is required.
In order to prevent this disease,to watch over the health: to dump excess weight, not to eat before a dream, to refuse harmful foodstuff, from food with the big maintenance of fat, from smoking and spirits. And also remember that to cope with the disease will help only a professional doctor.