Peptic esophagitis
Key points
- Gastroesophageal Reflux Disease (GERD) is a condition in which food or liquid travels from the stomach back up into the esophagus (the tube from the mouth to the stomach).
- Gastroesophageal reflux is a common condition that often occurs without symptoms after meals.
- Anti-reflux operations (Nissen fundoplication) may help a small number of patients who have persistent symptoms despite medical treatment.
- Calling your health care provider Call your health care provider if symptoms worsen or do not improve with lifestyle changes or medication.
Alternative names
Gastroesophageal reflux disease; Reflux esophagitis; GERD; Heartburn - chronic
Definition
Gastroesophageal Reflux Disease (GERD) is a condition in which food or liquid travels from the stomach back up into the esophagus (the tube from the mouth to the stomach). This partially digested material is usually acidic, and can irritate the esophagus, often causing Heartburn and other symptoms.
Causes, incidence, and risk factors
Gastroesophageal reflux is a common condition that often occurs without symptoms after meals. In some people, the reflux is related to a problem with the lower esophageal sphincter, a band of muscle fibers that usually closes off the esophagus from the stomach. If this sphincter doesn't close properly, food and liquid can move backward into the esophagus and may cause the symptoms.
The risk factors for reflux include hiatal hernia, pregnancy, and scleroderma.
Symptoms
- Heartburn
o Involves a burning pain in the chest (under the breastbone)
o Increased by bending, stooping, lying down, or eating
o Relieved by antacids
o More frequent or worse at night - Belching
- Regurgitation of food
- nausea and vomiting
- Vomiting blood
- Hoarseness or change in voice
- Sore throat
- Difficulty swallowing
- Cough or Wheezing
Signs and tests
- A positive Stool guaiac test
- Continuous Esophageal pH monitoring showing reflux
- Endoscopy showing ulceration or inflammation of the esophagus
- Esophageal manometry showing abnormal sphincter pressure
- A barium swallow showing reflux
- A positive Bernstein test for gastric acid reflux
Written and revised by
David Cohen, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.