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Erosive Oesophagitis

Erosive oesophagitis is inflammation with breaks in the oesophageal lining, usually from gastro-oesophageal reflux.

Key takeaways

  • Heartburn and regurgitation may occur, but endoscopy is what demonstrates erosions and grades severity.
  • Proton-pump inhibitors heal erosions more reliably than simple antacids, with timing and adherence affecting response.
  • Difficulty swallowing, bleeding, weight loss or persistent vomiting requires investigation for stricture, ulcer or another diagnosis.

The listings below do not confirm erosive disease; symptom pattern, endoscopy findings, interactions and long-term risk guide treatment.

Causes and complications

Weak lower-oesophageal barrier function, hiatal hernia, obesity and some medicines can increase reflux exposure. Severe or recurrent injury can cause bleeding, narrowing or Barrett’s oesophagus. Pill injury, eosinophilic inflammation and infection are alternatives in selected presentations.

Healing and preventing relapse

A proton-pump inhibitor is commonly taken before a meal for an adequate healing course. Weight reduction when relevant, avoiding late meals and elevating the bed head can help selected symptoms. Maintenance depends on severity and relapse; long-term treatment should use a clear indication and periodic review.

When to seek urgent care

Seek urgent care for vomiting blood, black stool, fainting, food stuck in the oesophagus, severe chest pain, inability to swallow fluids or marked weakness and breathlessness.