When stomach contents are acidic, they can flow back up into the esophagus. This is called acid reflux.

GERD is a common digestive disorder. It affects 20% of the population in the United States.

Generally, it’s thought to be related to problems with the lower esophageal sphincter (LES). The LES is the ring-shaped muscle at the bottom of the esophagus. If it doesn’t close properly, acid reflux can occur.

In some people, this can lead to esophagitis, or inflammation of the esophagus. Esophagitis is one of the main symptoms of GERD.

It is possible to have gastroesophageal reflux disease without phagitis. Read on to learn about the causes and how it is diagnosed and treated.

The conditions are separate and can lead to phagitis. You can have one condition and not the other.

The esophagus is affected by both gastroesophageal reflux disease and esophagitis. Both conditions have the same symptoms.

There are differences between phagitis and gerd.

Acid reflux is a condition called gds. Acid reflux and gastroesophageal reflux disease are the most common causes of eophagitis. There are many possible causes of phagitis.

These include:

  • There is radiation.
  • It is an infectious disease
  • Injury caused by medications.
  • ingestion of acidic liquids
  • allergic reaction in the esophagus (eosinophilic esophagitis)

It is possible to have gastroesophageal reflux disease without phagitis. This affects people with gastroesophageal reflux disease.

Refractory GERD happens when GERD symptoms persist despite proton pump inhibitor (PPI) therapy. PPIs are medications that suppress acid but not the reflux itself.

“When the symptoms happen three times a week after 8 weeks of therapy, it’s considered to be refractory.”

The acid in the stomach is less likely to cause phagitis. This is called weakly acid reflux.

Weakly acid reflux is common in people who take PPIs, according to a 2021 review article. In this case, the esophagus is exposed to less acid, and inflammation fails to occur.

In fact, people with refractory GERD typically have typical endoscopy results. Endoscopies are used to examine the esophagus.

If you have any experience, you can see a doctor or healthcare professional.

If a doctor thinks you have gastroesophageal reflux disease, they will ask about your symptoms and current medication. They will also do a physical exam.

The doctor will use the following tests.

  • Upper endoscopy: In an upper endoscopy, a flexible tube with a camera is inserted into your esophagus. If you have GERD without esophagitis, your esophagus will look typical and healthy.
  • Ambulatory 24-hour pH probe: A small tube with a pH sensor is inserted into your esophagus. The sensor can identify the presence and acidity of reflux, which will indicate if you have esophagitis.

The results of your upper endoscopy will likely be typical if you have gastroesophageal reflux disease. The ambulatory 24 hour pH probe is useful for diagnosis.

If you are already taking the drugs for gdpe, you might need to keep taking them. This will help suppress the acidity of episodes.

It is a good idea to continue lifestyle behaviors that help manage gdr.

You may need to treat the reflux itself. Options include:

Other medications

Other types of medication are more effective in controlling There is regurgitation. and reflux. Examples include:

You may need to take these drugs with the syplies.

Transoral incisionless fundoplication (TIF)

TIF is a nonsurgical procedure that reduces reflux of stomach contents. It’s ideal for GERD that involves There is regurgitation. but no esophagitis.

A device is inserted into the stomach. The device folds the fundus to stop the stomach from leaking.

Laparoscopic Nissen fundoplication

A Nissen fundoplication is the gold standard of surgical GERD treatments. In this surgery, the top of the stomach is wrapped around the esophagus, which improves the function of the LES.

Gastric bypass surgery

Gastric bypass surgery is often used for people who have obesity and GERD. It removes most of your stomach and some of your small intestine. This lowers acid production in the stomach, which decreases the amount of reflux as well.

Magnetic sphincter augmentation

Magnetic sphincter augmentation uses a device called the LINX. During the procedure, a beaded magnetic device is placed around the LES. This lowers LES pressure and prevents stomach contents from moving back up.

It’s possible to have GERD without esophagitis, or inflammation of the esophagus. This is often related to PPI therapy, which lowers the acidity of reflux. However, because PPIs don’t control the reflux itself, symptoms such as There is regurgitation. may persist.

In this case, you’ll need treatment to control the reflux. This might include additional medication such as GABA agonists or Prokinetic agents.. Procedures such as TIF, laparoscopic Nissen fundoplication, gastric bypass surgery, and magnetic sphincter augmentation may also help.