Reflux oesophagitis

Overview Of Reflux oesophagitis

Reflux esophagitis, also known as esophageal inflammation due to acid reflux, occurs when stomach acid or bile irritates the lining of the esophagus. This condition is typically associated with gastroesophageal reflux disease (GERD). Over time, chronic acid reflux can lead to inflammation, discomfort, and serious complications like esophageal strictures or cancer.

Causes of Reflux oesophagitis

• - Gastroesophageal Reflux Disease (GERD): Chronic acid reflux causes frequent irritation of the esophagus. - Bile Reflux: When bile from the small intestine flows backward into the esophagus, it can contribute to inflammation. - Bulimia Nervosa: The purging associated with bulimia can cause acid reflux and irritation in the esophagus.

Risk Factors of Reflux oesophagitis

• - Obesity: Extra abdominal pressure can contribute to acid reflux. - Pregnancy: Hormonal changes and increased abdominal pressure during pregnancy can increase reflux. - Smoking: Smoking weakens the lower esophageal sphincter, which leads to more acid reflux. - Dietary factors: Consumption of spicy foods, alcohol, caffeine, and chocolate can exacerbate reflux. - Medications: Certain medications, such as NSAIDs, can relax the lower esophageal sphincter.

Prevention of Reflux oesophagitis

• - Maintain a healthy weight. - Avoid trigger foods and beverages. - Eat smaller, more frequent meals. - Do not lie down immediately after eating. - Quit smoking. - Elevate the head of the bed while sleeping.

Prognosis of Reflux oesophagitis

• With appropriate treatment, reflux esophagitis can be managed, but chronic or untreated cases may result in esophageal ulcers, scarring, and an increased risk of esophageal cancer.

Complications of Reflux oesophagitis

• - Esophageal Strictures: Scarring can narrow the esophagus. - Barrett's Esophagus: Changes in the esophageal lining, increasing the risk of esophageal cancer. - Dental Erosion: Stomach acid may erode tooth enamel. - Respiratory Issues: Chronic cough, asthma-like symptoms, or pneumonia due to acid aspiration.

Related Diseases of Reflux oesophagitis

• - Gastroesophageal Reflux Disease (GERD) - Barrett's Esophagus - Achalasia - Esophageal Cancer - Peptic Ulcer Disease

Treatment of Reflux oesophagitis

- **Lifestyle Modifications**: - Eat smaller, more frequent meals. - Avoid lying down immediately after eating. - Elevate the head of the bed. - Maintain a healthy weight. - **Medications**: - **Proton Pump Inhibitors (PPIs)**: Decrease acid production. - **H2 Receptor Antagonists**: Help reduce acid production. - **Antacids**: Provide quick relief by neutralizing stomach acid. - **Prokinetics**: Improve esophageal motility. - **Surgical Treatments**: - **Fundoplication**: A procedure that strengthens the lower esophageal sphincter. - **LINX Procedure**: A ring of magnets is placed around the lower esophagus to prevent reflux.