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January 06, 2009  
EDUCATION CENTER: Conditions
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Esophagitis

Quick Reference

Reviewed by Dr. Richard Alweis

Esophagitis is a broadly defined condition characterized by the inflammation or irritation of the esophagus. Such inflammation can have a variety of possible causes, the most common of which is heartburn. Severity of esophagitis ranges quite widely, but can usually be treated by addressing the underlying problem or causative agent.

Detailed Description

Difficult or painful swallowing, heartburn, mouth sores, nausea, vomiting, or a feeling of something being stuck in the throat may all indicate the presence of esophagitis. The continual acid reflux associated with severe heartburn, for example, is believed to be responsible for irritating the esophageal tissue into a state of esophagitis in some patients. Significantly, several studies have found a close relationship between incidence of esophagitis and prevalence of severe and frequent heartburn.

Additionally, individuals with weakened immune systems are susceptible to infection from bacteria, virus, or other sources that can also ultimately cause esophagitis. Medications such as non-steroidal anti-inflammatory drugs may also irritate the esophagus if taken without water or food. Although esophagitis usually only consists of tissue irritation and inflammation, occasionally ulcers may also develop.

Treatment

Esophagitis is usually considered a side effect of some other underlying problem, and is treated accordingly. A physician will diagnose the condition through a variety of methods, including endoscopy, biopsy, barium X-ray, and examining tissue samples for infection. Often, medications blocking overproduction of stomach acid are prescribed, as well as antibiotics. When esophagitis coincides with heartburn, patients may be advised to avoid smoking, alcohol, chocolate, fatty foods, and maintain a healthy weight. The symptoms and discomfort associated with esophagitis usually recede when the fundamental contributing condition is addressed. If the condition is allowed to go untreated, esophageal strictures or scarring may develop that obstruct food and medication in their passage to the stomach.

Last updated: 15-Apr-03

   
 
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