eCureMe logo
  eCureMe home eCureMe log In Sign Up!
eCureMe Life : Your Healthy Living. Click Here!
Welcome, medical contents search January 11, 2015
       eCureMe Life
       Medical Supplies
       Calorie Count
       Physician Search
       Message Board
      E-mail Doctor
      E-mail Veterinarian
      Health-O-Matic Meter
      Calorie Count
      Natural Medicine
      Vitamins & Minerals
      Alternative Living
      My Health Chart
      Diseases & Treatments
      Atlas of Diseases
      Sexually Transmitted
      Drug Information
      Illegal Drugs
      Lab & Diagnostic Tests
      Internal Medicine
      Women’s Health
      Eye Disorders
      Skin Disorders
      Mental Health
      Resource Links
      Physician Directory
      Dentist Directory
      Hospital Directory


more about Esophagitis


  • The esophagus is the tube in the chest that carries food from the mouth to the stomach.  If the esophagus becomes irritated, infected, or inflamed, it creates a condition known as esophagitis.

  • Pain in chest on swallowing
  • Thrush (white patches) in mouth may be present in candida esophagitis
  • Caustic ingestion
  • Burning chest pain
  • Gagging
  • Difficulty swallowing
  • Drooling
  • Wheezing
  • Whistling sound in neck (stridor)

  • Reflux esophagitis resulting form gastroesophageal reflux disease, also called GERD or acid reflux.This the most common cause when the stomach contents are regurgitated into the esophagus. The contents include gastric acid, enzymes such as pepsin, and bile which irritate the surface cells of the esophagus known as squamous epithelium, and eventually lead to erosion , ulceration of esophageal and may eventually even become premalignant a condition termed Barrett esophagus.See GERD

  • Erosive Esophagitis involves damage to the esophageal tissue similar to the reflux esophagitis.This damage is often called an erosion. This can occure secondary to reflux or ingestion of caustic agents and chemicals see other causes

  • Infections:
    1. Candida (yeast) -- usually in individuals with other diseases such as diabetes, cancer, or HIV.
    2. Less often even other fungi such as Aspergillus, Histoplasma, Cryptococcus, Blastomyces
    1. Viruses such as Herpes and Cytomagalovirus, Varicella-zoster virus , Epstein-Barr virus , Human Papillomavirus , and even Poliovirus
    1. Bacterial infections such as the normal stomach flora, Mycobacterium tuberculosis, Mycobacterium avium-intracellulare, others especially in those with HIV infection or AIDS
    Parasitic infections:
    Chagas disease, Trypanosoma cruzi, Cryptosporidium, Pneumocystis, Leishmania donovani
    • Medication -- examples include Potassium, and antibiotics such as tetracycline
    • Nonsteroidal anti-inflammatory drugs (NSAIDs)
    • Quinidine and some chemotherapy agents such as dactinomycin, bleomycin cytarabine, daunorubicin, 5-florouraacil, methotrexate, vincristine.

  • Caustic injury (e.g., accidental ingestion of drain cleaners)
  • Systemic disorders and other conditions associated with esophagitis:
  • Behcet disease
  • Chronic granulomatous disease
  • Collagen vascular diseases
  • Inflammatory bowel disease
  • Sarcoidosis
  • Metastatic cancer
  • Pemphigus vulgaris
  • Cicatricial pemphigoid
  • Epidermolysis bullosa
  • Bullous pemphigoid
  • Drug-induced skin disorders i.e, Stevens-Johnson syndrome, toxic epidermal necrolysis, erythema multiforme.
  • lichen planus, psoriasis, acanthosis nigricans, leukoplakia.
  • Graft versus host disease (GVHD).

  • Endoscopy with biopsy and brushings (done by passing scope via the mouth into the esophagus)

  • GERD (gastroesophageal reflux disease) and Erosive Esophagitis and other illnesses and conditions related causing esophagitis see those sections
  • Candida esophagitis (choice of medications depends on severity):
    1. Nystatin swish and swallow
    2. Fluconazole by mouth
    3. Ketoconazole by mouth
    4. Amphotericin B intravenously
    5. Fluconazole intravenously
  • Cytomegalovirus esophagitis
    1. Ganciclovir intravenously
    2. Foscarnet intravenously if ganciclovir fails or is not tolerated
  • Herpetic esophagitis:
    1. Normal individuals -- often do not need treatment
    2. Immunocompromised (e.g., have underlying disease like HIV)
         -Acyclovir oral or intravenously
         -Foscarnet if acyclovir fails
  • Medication-induced:

- Stop the offending medication

  • Caustic esophagitis:

- Seek immediate emergency medical treatment.  The cause is usually accidental ingestion in children or suicide attempts in adults.  It is essential that the airway be protected.  Chest and abdominal X-Rays are used to rule out perforation, while endoscopy is performed to assess the degree of injury.

more about Esophagitis

If you want your friend to read or know about this article, Click here

medical contents search

Home   |   About Us   |   Contact Us   |   Employment Ad   |   Help

Terms and Conditions under which this service is provided to you. Read our Privacy Policy.
Copyright © 2002 - 2003 eCureMe, Inc All right reserved.