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Doctor insights on: Esophagitis

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Dr. Gloria Fong
293 Doctors shared insights

Esophagitis (Overview)

An inflamed esophagus.


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Do lots of people get esophagitis, or is it unusual?

Do lots of people get esophagitis, or is it unusual?

Yes: Esophagitis is a general term for any inflammation, irritation, or swelling of the esophagus. Many things can cause esophagitis, including infections, drugs, allergens or acid reflux. Gastroesophageal reflux disease (gerd) is the most common cause of esophagitis, and studies show that over 40% of american adults experience the symptoms of this disease. Http://www. Ncbi. Nlm. Nih. Gov/books/nbk6896/.

Dr. Gloria Fong
293 Doctors shared insights

Esophagitis (Overview)

An inflamed esophagus.


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Is it possible for eosinophilic esophagitis be a symptom of lupus or other autoimmune disease?

Is it possible for eosinophilic esophagitis be a symptom of lupus or other autoimmune disease?

Learning more: A recent publication in the journal of allergy and clinical immunology described a subset of patients with eosinophilic esophagitis who have connective tissue disease. Musculoskeletal pain and hypermobility of the joints were described in these patients. We hope to learn more and more is further research gives us more answers.

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What are symptoms of eosinophilic esophagitis?

What are symptoms of eosinophilic esophagitis?

Depends on age: The symptoms of eosinophilic esophagitis depend on the age of the patients. Infants tend to have difficulty gaining weight, recurrent vomiting for failure to thrive. School-age children tend to have abdominal pain, reflux and vomiting. Adults often have difficulty swallowing, food impaction, or gerd.

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I have reflux and esophagitis. It's been three weeks since diagnosis. When I swallow saliva, there is a gurgling sound or click. Not all the time.?

I have reflux and esophagitis. It's been three weeks since diagnosis. When I swallow saliva, there is a gurgling sound or click. Not all the time.?

Tried acid blockers?: Most esophagitis will likely reflect injury from reflux of stomach contents (gerd) and should typically respond to acid blocker medicines. If you've tried this route and you derived no relief after 2-3 weeks of acid suppression treatment (gurgling/ clicking as described), then seek medical evaluation since esophagitis may be more severe than anticipated, or due to a variety of non-reflux causes.

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My brother was just diagnosed with eosinophilic esophagitis. His GI prescribed a fluticasone inhaler. Is there anything else he can do in addition?

My brother was just diagnosed with eosinophilic esophagitis. His GI prescribed a fluticasone inhaler. Is there anything else he can do in addition?

Treatments for EoE: The current treatment options for eosinophilic esophagitis include topical steroids (fluticasone inhaler swallowed) and food elimination diet. An allergist with experience in treating eoe can be helpful it guiding food elimination diets.

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What test will rule out candida esophagitis or laryngeal candidiasis in an otherwise health non HIV positive person? What specialists do these tests?

What test will rule out candida esophagitis or laryngeal candidiasis in an otherwise health non HIV positive person? What specialists do these tests?

Inhaled steroids?: Healthy people don't get candidal esophagitis. They might if they use inhaled steroids, or have rare immune deficiencies. Oral antibiotics might increase risk for oral candidal infection (thrush); shouldn't affect larynx. Ent docs can evaluate larynx, throat: less invasive than endoscopy. Candidal esophagitis typically is painful, and may cause swallowing issues.

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Any body know about cure for esophagitis?

Any body know about cure for esophagitis?

Treat cause: Should treat underlying cause. If cause is gastroesophageal reflux disease then treatment would be maintaining an upright posture, not laying flat, avoiding fatty meals, avoiding caffeine alcohol tobacco peppermint and trigger foods, eating smaller meals and not eating prior to bedtime. If the cause is an infection treatment may be antibiotics. If an inflammatory disease; anti-inflammatories.

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Can hydrocodone and alcohol cause esophagitis?

Can hydrocodone and alcohol cause esophagitis?

Yes and other causes: There are many causes of esophagitis, including drinking alcohol. Acid production in the stomach, with reflux and heartburn can cause esophagitis too. Do not guess at the cause of esophagitis, and allow your doctor a chance to figure out the cause. Only then can you find the right treatment. With that said, alcohol may make esophagitis from another cause - even worse.

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1. Nodual Antral Gastritis 2. Grade B Esophagitis 3. Nodules in Valleculae what does this mean? Help help

1. Nodual Antral Gastritis 2. Grade B Esophagitis 3. Nodules in Valleculae what does this mean? Help help

Not here: These are out of context and it is impossible to answer your question in any valid manner. We don't have the rest of the results, nor your history, nor your physical situation and symptoms. These questions must be asked of the physician actually caring for you.

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How can I treat esophagitis?

Many: Antacids, elevate head of bed, proton pump inhibitors like prilosec, quit smoking and caffeine, alcohol.Promotility drugs like reglan, (metoclopramide) and at times antifungals if the cause is a fungus. There is an allergic (eosinophilia esophagitis) form for which treatment includes nasally swallowed steroids. Get properly diagnosed via endoscopy if not getting better. Can lead to esophageal cancer in some cases.

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How is esophagitis treated?

Typically medication: Esophagitis is typically treated with medications. This may include medications such as Pepcid or Zantac (ranitidine) called h2 blockers. Sometimes stronger medications such as Prilosec are needed depending on the symptoms and other information. Some patents need surgical treatment to reduce acid reflux if they don't respond to medications.

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Does anybody have any experience with treating eosinophilic esophagitis?

Does anybody have any experience with treating eosinophilic esophagitis?

Treatments for EoE: Treatment options for eosinophilic esophagitis currently include topical corticosteroids and/or food elimination diet. An allergist with experience in treating eoe can help guide food elimination diet.

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Hi doc, can you please advise what is the best scheme of treatment reflux esophagitis? Thanks in advance.

Diet and meds: Very mild cases can be treated with just dietary restriction. If meds are needed, you can start with otc antacids and if necessary, work your way up to otc h2-blockers and proton pump inhibitors. Lastly, if even this doesn't help control your symptoms, you need to see your doctor.

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How sever is grade 1 esophagitis. What risk treatments and how concerned should one be. Using 6 weeks ppi did help little. Would diet control help.

Esophagitis: Ppi medications would have a role here, but diet plays an equally important part of treatment. Try cutting back on fatty or spicy foods, sleep on an extra pillow, and do not eat anything after 8 pm.

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Does mild pill induced esophagitis require treatment, or will it heal safely on its own?

No treatment needed: Mostly NO TREATMENT needed. However if not resolving after few days you may need an endoscopy. In the future take meds with plenty of H2O.

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Can esophogitis be prevented when there is progressive neuromuscular problem that causes esophageal dysphagia, esp. If ppis aren't satisfactory?

Use antacids as reco: PPIs are the best medicine to reduce acid production (which is the cause of esophagitis). But there is an optimum maximum dose for each PPI which you should find out from your doctor and use the full dose so that there is complete shut down of acid production. That will minimize the esophageal inflammation (Esophagitis).

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What is esophagitis?

Inflammation: In the esophagus (swallowing pipe) - usually due to acid reflux but can be caused by other things. It makes your chest hurt especially with swallowing and acid reflux. Untreated esophagitis can lead to scarring and tight areas in your swallowing tube (strictures).