What is esophagitis?

This is a serious complication of heartburn. When too much stomach acid is repeatedly exposed to the esophagus, esophagitis will occur. The skin that lines the esophagus is damaged, causing bleeding and ulcers. This can lead to other serious medical conditions including Barrett’s Esophagus, anemia, weight loss and swallowing disorders.

What does it feel like?

Heartburn or acid indigestion known as GERD usually feels like a burning behind the breastbone and may even move upward to the neck and throat.  It may last several hours and is especially noticeable after meals, after heaving lifting, or during sleep. Some people experience this after exertion. Occasionally, reflux may mimic symptoms of a heart attack.

How is it treated?

At first, changes in lifestyle may help. These include avoiding certain foods, eliminating alcohol and smoking, decreasing the consumption of caffeine and carbonated beverages. Smaller meal portions and less fatty foods will also be tried and eating nothing before bedtime or when exercising will be recommended. In addition, over the counter medications such as Tums® or Prilosec® may be used. Stronger prescription medications may be tried next such as Nexium® or Aciphex®. If these are unsuccessful, surgery is also an option. (See Laparoscopic Nissen Fundoplication and Stretta Procedure)