Erosive esophagitis

Description:

The erosive esophagitis is an inflammatory disease with defeat mucous a gullet and emergence of erosion on it.

Symptoms of the Erosive esophagitis:

Signs of an erosive esophagitis, in principle, the esophagitis is similar to clinical manifestations of drigy forms, but can sometimes be followed by a hematemesis, release of blood with a stake.

Reasons of the Erosive esophagitis:

This form of an esophagitis against the background of the postponed acute or chronic catarrh of a gullet develops. Often erosion on mucous arise after corrosive burns acids and alkalis, technical liquids. Also the disease can develop at heavy viral, bacterial or fungal infections, at long reception of glucocorticoids and non-steroidal anti-inflammatory drugs.

The erosive esophagitis by pains on the gullet course is characterized, especially during food, constant heartburn and burning behind a breast, an eructation with blood impurity, vomiting by slime or food. Periodically there is vomiting with blood. Also the general state suffers: weakness, anemia owing to chronic blood loss, dizziness develops. At accession of an infection serious complications are possible: a mediastinitis, phlegmon, perforation of erosion with profuse bleeding. One of terrible complications is the intestinal metaplasia mucous with development of a gullet of Barret (precancer).

Treatment of the Erosive esophagitis:

Treatment of erosion of a gullet practically does not differ from treatment at other esophagites. The sparing diet with an exception of the harmful and irritating dishes, especially acute is recommended. Limit smoking, the use of coffee and alcohol. Thermally soft food in the form of kissels, mucous soups and porridges promotes healing of erosion.

For acceleration of healing of erosion appoint blockers of H+ of receptors to 1-3 months (parit 20 mg, лосек 10 mg), antacids (фосфалюгель, Rennie, маалокс) after food, alginates (гевискон). Reception of the enveloping and anti-inflammatory drugs is also possible (bismuth subcitrate, Venter). At sphincteri incontinence of a gullet and the return throwing of gastric contents it is necessary to accept prokinetics (домперидон). After a course of treatment continue reception of a neksium or omez within 2-5 months for prevention of emergence of a recurrence.

From national methods use broths of the medicative herbs possessing styptic, wound healing, bactericidal and antiinflammatory action (a camomile, a calendula, mint, oak bark, a sage, a nettle). The dogrose increases blood hemoglobin level.

At development of complications or emergence of bleeding urgent hospitalization in a hospital is necessary. The forecast of an erosive esophagitis favorable if treatment is begun in time and in full.