What is reflux esophagitis?

What is reflux esophagitis?

Do you ever experience unpleasant symptoms the day after a drinking party, such as heartburn or a sour taste rising in the back of your throat? If these symptoms persist chronically, you may have reflux esophagitis.
Gastroesophageal reflux disease (GERD) is a condition in which stomach contents and highly acidic stomach acid flow back up from the stomach into the esophagus. While it was previously considered a disease more common in the elderly, it has recently been increasing in prevalence regardless of age.

Be careful if you experience these symptoms!

  • I have heartburn.
  • My chest feels heavy and painful.
  • Sour and bitter tastes well up inside me.
  • I burp a lot.
  • I have a strange feeling in my throat.
  • My throat feels scratchy.
  • I have a cough.
  • I have a feeling of fullness in my stomach.

If you experience sour or bitter tastes (acid reflux), it means that stomach acid is refluxing into your esophagus. If you are experiencing heartburn, it may indicate that reflux esophagitis has progressed to some extent.
If you experience symptoms such as a feeling of something being stuck in your throat, a scratchy throat that makes swallowing difficult, or even a cough, it could be reflux esophagitis rather than a common cold or asthma.

Symptoms such as heartburn and chest pain may indicate reflux esophagitis, but they can also be caused by other illnesses. Do not self-diagnose; consult a doctor and get properly examined.

This is a disease in which refluxed stomach acid damages the lining of the esophagus, causing inflammation.

This is a disease in which refluxed stomach acid damages the lining of the esophagus, causing inflammation.

Normally, food that enters the mouth travels in one direction, down the esophagus and towards the stomach. This is because there is a muscle called the lower esophageal sphincter between the esophagus and the stomach, which acts as a traffic control system to prevent food from going back up in the opposite direction.

Food that enters the stomach is broken down by gastric juice, which contains highly acidic stomach acid and digestive enzymes secreted in the stomach. However, for some reason, the food and gastric juice being digested can reflux into the esophagus.

The stomach has mechanisms to protect itself from the stomach acid it secretes, but the esophagus has no such defense. When stomach acid refluxes into the unprotected esophagus, the mucous membrane, which has been continuously exposed to the stomach acid, becomes inflamed, and can even develop sores and ulcers. This is a condition called reflux esophagitis.

The causes of reflux are relaxation of the muscles at the entrance of the stomach and excessive stomach acid.

Gastroesophageal reflux disease (GERD) is more common in people with weakened stomach function, such as the elderly, pregnant women, obese individuals, and those who have had their stomach removed. However, even young, healthy people can develop this condition when stomach acid refluxes due to a weakening of the lower esophageal sphincter.

cause
  • Weakening of the muscles of the stomach and esophagus due to aging

    Weakening of the muscles of the stomach and esophagus due to aging

    Reflux esophagitis is common in the elderly because, with age, the function of the lower esophageal sphincter weakens, the peristaltic movement of the esophagus itself decreases, and saliva secretion also decreases, making it difficult to return refluxed stomach acid to the stomach.

  • Excessive fat intake weakens the muscles of the stomach and esophagus.

    Excessive fat intake weakens the muscles of the stomach and esophagus.

    High-fat meals put a strain on digestion, causing large amounts of cholecystokinin, a hormone involved in fat digestion, to be secreted. This relaxes the lower esophageal sphincter, making it easier for stomach acid to reflux.
    Additionally, meals high in protein take longer to digest and remain in the stomach for a longer period, leading to continued gastric acid secretion and an increased likelihood of reflux.

  • Poor posture can compress the stomach, making it easier for stomach acid to reflux.

    Poor posture can compress the stomach, making it easier for stomach acid to reflux.

    Also, people with poor posture should be careful. When your back is hunched, your abdomen is compressed, increasing the pressure on your stomach and making you more prone to acid reflux.

In most cases, the symptoms of reflux esophagitis can be improved with lifestyle changes and medication. However, even if the immediate symptoms disappear, the inflammation, erosions, and ulcers in the esophagus do not heal immediately. It is necessary to continue taking medication until complete recovery is achieved.

Let's make an effort to adopt lifestyle habits that are gentle on the stomach, such as diet and posture.

Let's make an effort to adopt lifestyle habits that are gentle on the stomach, such as diet and posture.

There are many things to be mindful of in daily life, such as foods that weaken the lower esophageal sphincter, meals that increase stomach acid, and postures that put a strain on the stomach.

  • Avoid foods that affect the lower esophageal sphincter and stomach acid.

    Foods high in fat and protein
    Coffee and green tea containing caffeine
    Alcohol
  • Avoid eating too much food that puts a strain on your stomach.

    Foods with a strong sour taste
    Spices such as chili peppers and black pepper
    Sweets such as chocolate cake
    Citrus fruits with a strong sour taste
  • Eat foods that are easy on the stomach in moderation.

    If you think you might be prone to reflux esophagitis, an important preventative measure is to reduce the amount of hard-to-digest foods in your daily diet and eat only until you're about 80% full, choosing foods that are as gentle on the stomach as possible.

  • Replace cooking oil with olive oil.

    Olive oil is easy to digest and therefore has little impact on the lower esophageal sphincter. Simply switching to olive oil for your everyday cooking can help prevent reflux esophagitis.

  • Reduce lifestyle habits that put pressure on the stomach.

    In addition to diet, it's also important to avoid putting pressure on your stomach in terms of lifestyle habits, as follows:

    Avoid leaning forward
    Do not tighten your stomach too much with belts, corsets, etc.
    Don't try to lift heavy objects.
    Be careful about obesity
  • Adopt a style that prevents reflux even while sleeping.

    There are some important points to keep in mind to improve acid reflux even while sleeping.

    Do not lie down immediately after eating.
    Avoid going to bed immediately after eating, as this can easily cause stomach contents to reflux.
    Sleeping with your upper body slightly elevated can help prevent stomach contents from refluxing.

By paying a little attention to everyday life in this way, you might be able to avoid that unpleasant feeling. Before you find yourself saying, "Oh no, I overate again!", why not make a mental note of this as your own weak point and put a checkmark on it?

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