Esophagitis

Description:

Esophagitis (new lat. oesophagitis from other - Greek   — a gullet + - itis) — the gullet disease which is followed by an inflammation of his mucous membrane.
The inflammation of a gullet can be:

    * acute
    * chronic.

Esophagitis symptoms:

On a clinical current allocate an acute, subacute and chronic esophagitis. On morphological changes distinguish a catarral, erosive, hemorrhagic, pseudomembranous and necrotic esophagitis. At a catarral and erosive esophagitis pains on the gullet course when swallowing are noted, a sadneniye behind a breast, sometimes feeling of a short-term delay of the swallowed food behind a breast (dysphagy). At a hemorrhagic esophagitis there can be a hematemesis. At a pseudomembranous esophagitis in emetic masses find fibrin films. At a necrotic esophagitis such complications as severe bleedings, a mediastinitis are sometimes observed. Besides, abscess and phlegmon  of a gullet which are more often formed around the gullet of a foreign body which was implemented into a wall are possible. Abscess and phlegmon  of a gullet proceed especially hard: intolerable pain behind a breast, the dysphagy, fervescence and other symptoms of heavy septic intoxication are characteristic.

Esophagitis reasons:

Develops at systematic irritation of a mucous membrane of a gullet (the use of the acute or rough, badly chewed food, hard alcoholic beverages), at an acute injury accidentally swallowed fish or chicken bone, at some infectious diseases (diphtheria, scarlet fever, sepsis, etc.), at stagnation and decomposition of food masses in a gullet as a result of a stenosis of its (narrowing) owing to a cicatricial stricture, a tumor, at a gullet burn chemicals (iodine, strong acids, alkalis), etc. The reflux (throwing or flowing of a gastric juice in a gullet is the most frequent reason of an esophagitis at an incompetence of cardia) which arises at the sliding hernias of an esophageal opening of a diaphragm, after operative measures in a zone of esophageal and gastric transition, at a system scleroderma, etc.

Treatment of the Esophagitis:

Treatment at a catarral, erosive and pseudomembranous esophagitis consists in purpose of a sparing diet, antiacid drugs (for example, Almagel). At a hemorrhagic and necrotic esophagitis, suspicion of abscess and phlegmon of a gullet of the patient it is necessary to hospitalize urgently in surgical department.

At chronic esophagites, especially at a reflux esophagitis, treatment it can be carried out as in the conditions of a hospital (at the expressed aggravation), and it is out-patient. Appoint mechanically, thermally and chemically sparing diet; the Almagel or other medicines possessing the antiacid, enveloping and knitting action; tablets of Vicalinum or Vicairum of 4 — 6 times a day it is long, before subsiding of symptoms of an esophagitis. Before the use of a tablet of Vicalinum or Vicairum make small, pour out in a glass, on 1/2 filled with warm water, and shake up. The received suspension should be drunk small drinks, it is better in a prone position, after food and before going to bed. At a reflux esophagitis the patient recommend to sleep with highly raised headboard, to avoid a raising of weights, sharp inclinations of a trunk forward.