Esophagitis (patient information)
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Esophagitis |
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Esophagitis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Ajay Gade MD[2]]
Overview
Esophagitis is a general term for any inflammation, irritation, or swelling of the esophagus, the tube that leads from the back of the mouth to the stomach.
What are the symptoms of Esophagitis?
The infection or irritation may cause the esophagus to become inflamed. Ulcers may form. Symptoms may include:
What causes Esophagitis?
Esophagitis is frequently caused by the backflow of acid-containing fluid from the stomach to the esophagus, a condition called gastroesophageal reflux. An autoimmune disorder called eosinophilic esophagitis also causes this condition. [1]
Esophageal infection may be due to fungi, yeast (especially Candida infections), or viruses such as herpes or cytomegalovirus.
Who is at highest risk?
The following increase your risk of esophagitis:
- Alcohol use
- Cigarette smoking
- Surgery or radiation to the chest (for example, treatment for lung cancer)
- Taking certain medications without plenty of water especially alendronate, tetracycline, doxycycline, and vitamins
- Vomiting
Persons with weakened immune systems due to HIV and certain medications (such as corticosteroids) may develop infections that lead to esophagitis.
Diagnosis
The doctor may perform the following tests:
- Upper GI series (barium swallow x-ray)
- Removal of a piece of tissue from the esophagus for examination (biopsy)
When to seek urgent medical care?
Call your health care provider if you have symptoms of esophagitis.
Treatment options
Treatment depends on the specific cause. Reflux disease may require medications to reduce acid. Infections will require antibiotics.
Medications to avoid
Patients diagnosed with reflux esophagitis should avoid using the following medications:
- Dicyclomine
If you have been diagnosed with reflux esophagitis, consult your physician before starting or stopping any of these medications.
Where to find medical care for Esophagitis?
Directions to Hospitals Treating Esophagitis
What to expect (Outlook/Prognosis)?
The disorders that cause esophagitis usually respond to treatment.
Possible complications
If untreated, esophagitis may cause severe discomfort, and eventual scarring (stricture) of the esophagus. This can cause difficulty swallowing food or medications.
A condition called Barrett's esophagus can develop after years of gastroesophageal reflux. Rarely, Barrett's esophagus may lead to cancer of the esophagus.
Sources
http://www.nlm.nih.gov/medlineplus/ency/article/001153.htm
References
- ↑ Orlando R. Diseases of the esophagus. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 140.