What is esophagitis?
Esophagitis is irritation or inflammation of the Reference esophagus Opens New Window Reference Opens New Window. The esophagus is the tube that carries food from your throat to your stomach. Reference Esophagitis Opens New Window Reference Opens New Window can be painful and can make it hard to swallow.
What causes esophagitis?
Reference Gastroesophageal reflux disease Opens New Window, or GERD, is the most common cause of esophagitis. When you have GERD, stomach acid and juices flow backward into your esophagus. This can irritate the esophagus.
Other causes include:
- Reference A hiatal hernia Opens New Window.
- Medicines that irritate the esophagus, including:
- Reference Nonsteroidal anti-inflammatory drugs (NSAIDs) Opens New Window, such as aspirin, ibuprofen, or naproxen.
- Medicines for Reference osteoporosis Opens New Window (bisphosphonates), such as alendronate, ibandronate, or risedronate.
- Reference Antibiotics Opens New Window, such as tetracycline or clindamycin.
- Other medicines, such as mycophenolate or quinidine.
- Vitamin and mineral supplements, such as vitamin C, iron, and potassium pills.
- Infection. People who have a Reference weak immune system Opens New Window are more likely to get esophagitis. This includes people with Reference HIV Opens New Window, Reference diabetes Opens New Window, or kidney problems, as well as older adults and people who take Reference steroid Opens New Window medicine.
- Reference Radiation therapy Opens New Window.
- Certain diseases that make it hard to swallow, such as Reference scleroderma Opens New Window.
- Food allergies, especially to seafood, milk, nuts, soy, or eggs.
What are the symptoms?
Common symptoms of esophagitis include:
- Pain when you swallow.
- Trouble swallowing food or liquids.
- Chest pain (may be similar to the pain of a Reference heart attack Opens New Window).
- A cough.
Sometimes it also causes:
- Nausea or vomiting.
- Belly pain.
How is esophagitis diagnosed?
Your doctor will ask about your symptoms and past health. He or she may do tests such as:
- An Reference endoscopy Opens New Window. During this test, the doctor puts a thin, flexible tube down your throat to look at your esophagus. This test also lets the doctor get a sample of the cells to test for infection. Sometimes a small piece of tissue is removed for a Reference biopsy Opens New Window. A biopsy is a test that checks for inflammation or cancer cells.
- A barium swallow. This is an X-ray of the throat and esophagus. Before the X-ray, you will drink a chalky liquid called barium. Barium coats the inside of your esophagus so that it shows up better on an X-ray.
How is it treated?
The treatment you need depends on what is causing the esophagitis. If you have esophagitis caused by Reference acid reflux Opens New Window or GERD, your doctor will likely recommend that you change your diet, lose weight if needed, and make other lifestyle changes. Here are some things to try:
- Change your eating habits.
- It’s best to eat several small meals instead of two or three large meals.
- After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren't a good idea.
- Chocolate, mint, and alcohol can make GERD worse. They relax the valve between the esophagus and the stomach.
- Spicy foods, foods that have a lot of acid (like tomatoes and oranges), and coffee can make GERD symptoms worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.
- Do not smoke or use smokeless tobacco.
- If you have GERD symptoms at night, raise the head of your bed 6 in. (15 cm) to 8 in. (20 cm) by putting the frame on blocks or placing a foam wedge under the head of your mattress. (Adding extra pillows does not work.)
- Do not wear tight clothing around your middle.
- Lose weight if you need to. Losing just 5 to 10 pounds can help.
If lifestyle changes alone aren't enough to help your esophagitis, your doctor may suggest you try medicines that reduce stomach acid. Reducing the reflux gives the esophagus a chance to heal. Reference Over-the-counter Opens New Window medicines include:
- Antacids, such as Tums, Maalox, or Mylanta.
- Stronger acid reducers, such as famotidine (for example, Pepcid), ranitidine (for example, Zantac), or omeprazole (for example, Prilosec).
If esophagitis is caused by an infection, you may need to take antibiotics or other medicines to treat the infection.
If you or your child has esophagitis caused by a food allergy, your doctor may prescribe Reference corticosteroids Opens New Window.
You might need surgery if you have a tear in your esophagus or if something is blocking your esophagus, such as a tumor.
|By:||Reference Healthwise Staff||Last Revised: Reference June 1, 2011|
|Medical Review:||Reference Kathleen Romito, MD - Family Medicine
Reference Peter J. Kahrilas, MD - Gastroenterology