Esophageal ulcer

Introduction to esophageal ulcer Esophageal ulcer is a necrotizing lesion caused by different causes and occurs in various segments of the esophagus, that is, the mucosal layer of the esophagus, the submucosa and the muscle layer are destroyed. Specifically, it is an ulcer that occurs below the pharynx and above the dentate line. The normal esophagus is about 25-30 cm long. From the incisors to the upper end of the esophagus about 15 cm, to the end of the esophagus about 40-42 cm. There are also three physiological stenosis in the esophagus, which is a good site for foreign body retention and esophageal cancer. Clinically, the esophagus is often divided into three segments: upper, middle and lower. In addition to corrosive esophagitis, esophageal ulcers caused by other diseases occur mostly in the middle and lower segments of the esophagus. Esophageal ulcers are caused by destruction of the esophageal mucosa. Repeated esophageal destruction or fibrosis caused by severe esophageal ulcers can cause narrowing of the esophagus. At present, most of the causes of esophageal ulcers are well known, and there are drugs or other methods to prevent their stenosis. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: nausea and vomiting anemia

Cause of esophageal ulcer

Gastric acid reflux (30%):

Caused by reflux of gastric acid to the esophagus. How to treat reflux esophagitis? The treatment of reflux esophagitis is not difficult, the most fear is not good treatment, repeated inflammation of the ulcer, resulting in fibrosis and stenosis of the esophagus.

Drug factors (30%):

More common in some antibiotics (such as: Doxymycin), or after the use of non-steroidal anti-inflammatory drugs. Usually, after taking the medicine immediately after taking the medicine or taking the medicine, it is not accompanied by a sufficient amount of boiling water, causing the drug to stay in the esophagus. Generally, it can be improved by medical treatment without leaving behind sequelae.

Low immunity (30%):

Usually occurs in patients with low immunity. The most common pathogens are Candida and herpes. After treatment, it can heal more and will not leave sequelae. It is necessary to deal with the causes of low immunity behind, such as diabetes must be well controlled.

Esophageal ulcer prevention

1. Life is regular, optimistic, quit smoking and avoid alcohol, do not overeating or hunger and unequal.

2. Have stomach swell, pantothenic acid, suffocation, should use morphine or metoclopramide, take half an hour before meals.

3. Those who have stomach pain, can use pain relievers or other stomach drugs with analgesic effect.

4. A very small number of patients with chronic atrophic gastritis have malignant gastric cancer, so a gastroscopy review is required every year.

5. It is best to go to the hospital for examination and consult a doctor. Do not take drugs blindly.

Esophageal ulcer complications Complications, nausea and vomiting anemia

Anemia: Due to poor patient long-term eating, symptoms such as anemia and weight loss can occur.

Radiation pain: pain in the lower back of the sternum or in the upper upper abdomen. Pain often worsens after eating or drinking water, and can be released to the intersegmental area, left chest, or upwards to the shoulders and neck. Sometimes the pain is similar to coronary heart disease and angina.

Difficulty in swallowing: It is also a common symptom. Difficulty in swallowing refers to the feeling of being blocked when eating and swallowing. At first, it is difficult to swallow the solid food. Later, as the disease progresses, even the liquid food will feel blocked. This is because the stimulation of food after eating a patient with esophageal ulcer can cause spasmodic contraction of the esophagus and difficulty in swallowing. In addition, chronic ulcers can cause local scarring and stenosis, which is also an important cause of difficulty in swallowing.

Symptoms of esophageal ulcers Common symptoms Heartburn and vomiting after heartburn

Symptoms such as heartburn or acid reflux, post-sternal pain and other symptoms.

Pain: Pain in the lower back of the sternum or in the upper upper abdomen. Pain often worsens after eating or drinking water, and can be released to the intersegmental area, left chest, or upwards to the shoulders and neck. Sometimes the pain is similar to coronary heart disease and angina.

Difficulty in swallowing: difficulty in swallowing is also a common symptom. Difficulty in swallowing refers to the feeling of being blocked when eating and swallowing. At first, it is difficult to swallow the solid food. Later, as the disease progresses, even the liquid food will feel blocked. This is because the stimulation of food after eating a patient with esophageal ulcer can cause spasmodic contraction of the esophagus and difficulty in swallowing. In addition, chronic ulcers can cause local scarring and stenosis, which is also an important cause of difficulty in swallowing.

Nausea, vomiting: Esophageal ulcers can also cause nausea, vomiting, belching and other symptoms, which is caused by the normal peristalsis of the esophagus.

Esophageal ulcer examination

Esophageal ulcers are usually performed on the esophagus X-ray barium meal examination and endoscopy. Esophageal X-ray barium meal examination is one of the main methods for finding lesions in the digestive tract and is the preferred method for digestive tract examination. Digestive endoscopy is the gold standard for clinical diagnosis of most digestive diseases. Sometimes the lesions are difficult to distinguish, and it is necessary to follow the observation repeatedly and perform multiple biopsy before making a correct diagnosis.

Diagnosis of esophageal ulcer

Esophageal ulcer is an inflammatory lesion caused by different causes and occurs in various segments of the esophagus, that is, the mucosal layer of the esophagus, the submucosa and the muscle layer are destroyed. Specifically, it is an ulcer that occurs below the pharynx and above the dentate line.

Common diseases that cause esophageal ulcers are: esophageal peptic ulcer, esophageal Crohn's disease, Behcet's disease, esophageal cancer, reflux esophagitis, corrosive esophagitis. In addition, esophageal tuberculosis, syphilitic esophagitis can also occur in esophageal ulcers, esophageal ulcers caused by these diseases are often multiple superficial ulcers, and some are single larger ulcers, should be carefully identified during the examination, especially the esophagus In the early stages of cancer, it is sometimes difficult to distinguish it from peptic ulcers. Pay special attention when checking.

The above diseases are not difficult to make a diagnosis based on their respective clinical manifestations and pathological examinations.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.