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==Overview==
==Overview==
The most common symptoms of the esophagitis include [[halitosis]], [[Epigastric pain|epigastric chest pain]], often radiating to the back, [[dysphagia]], [[painful swallowing|odynophagia]], h[[Hoarseness|oarseness]], [[Mouth sores|oral ulcers]].
The most common symptoms of the esophagitis include [[halitosis]], [[Epigastric pain|epigastric chest pain]], often radiating to the back, [[dysphagia]], [[painful swallowing|odynophagia]], [[hoarseness]], [[Mouth sores|oral ulcers]].


== History and Symptoms ==
== History and Symptoms ==
===History===
===History===
* Obtaining history gives important information in making a diagnosis of [[Eosinophilic esophagitis|esophagitis]].  
Obtaining history gives important information in making a diagnosis of [[Eosinophilic esophagitis|esophagitis]]. It provides an insight into the cause, precipitating factors, and associated [[Comorbidities|comorbid]] conditions. A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]]. Patients presenting with eosinophilic esophagitis have a history of:
* It provides an insight into the cause, precipitating factors, and associated [[Comorbidities|comorbid]] conditions.  
* Elevated [[serum]] [[Immunoglobulin E|IgE]] levels
* Response to interventions such as diet restriction
* History of food [[hypersensitivity]]
* Burning sensation in the epigastric area


* A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]].
* Patients presenting with EoE have a history of:
**Elevated [[serum]] [[Immunoglobulin E|IgE]] levels
**Response to interventions such as diet restriction
**History of food [[hypersensitivity]]
===Symptoms===
===Symptoms===
The symptoms of esophagitis include:<ref name="pmid18471509">{{cite journal |vauthors=Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA |title=Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups |journal=Gastroenterology |volume=134 |issue=5 |pages=1316–21 |year=2008 |pmid=18471509 |doi=10.1053/j.gastro.2008.02.016 |url=}}</ref><ref name="pmid12612531">{{cite journal |vauthors=Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C |title=Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis? |journal=Gastrointest. Endosc. |volume=57 |issue=3 |pages=407–12 |year=2003 |pmid=12612531 |doi=10.1067/mge.2003.123 |url=}}</ref><ref name="pmid18407800">{{cite journal |vauthors=Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A |title=Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients |journal=Clin. Gastroenterol. Hepatol. |volume=6 |issue=5 |pages=598–600 |year=2008 |pmid=18407800 |doi=10.1016/j.cgh.2008.02.003 |url=}}</ref><ref name="pmid19577011">{{cite journal |vauthors=Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ |title=Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1055–61 |year=2009 |pmid=19577011 |pmc=3026355 |doi=10.1016/j.cgh.2009.06.023 |url=}}</ref><ref name="pmid17617880">{{cite journal |vauthors=Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK |title=Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature |journal=Dis. Esophagus |volume=20 |issue=4 |pages=311–9 |year=2007 |pmid=17617880 |doi=10.1111/j.1442-2050.2007.00721.x |url=}}</ref><ref name="pmid20843755">{{cite journal |vauthors=García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ |title=Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study |journal=Dig Liver Dis |volume=43 |issue=3 |pages=204–8 |year=2011 |pmid=20843755 |doi=10.1016/j.dld.2010.08.002 |url=}}</ref><ref name="urlEosinophilic esophagitis">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332835/ |title=Eosinophilic esophagitis |format= |work= |accessdate=}}</ref><ref name="pmid24503366">{{cite journal| author=Chang P, Friedenberg F| title=Obesity and GERD. | journal=Gastroenterol Clin North Am | year= 2014 | volume= 43 | issue= 1 | pages= 161-73 | pmid=24503366 | doi=10.1016/j.gtc.2013.11.009 | pmc=3920303 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24503366  }}</ref><ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632  }}</ref>  
The symptoms of esophagitis include:<ref name="pmid18471509">{{cite journal |vauthors=Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA |title=Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups |journal=Gastroenterology |volume=134 |issue=5 |pages=1316–21 |year=2008 |pmid=18471509 |doi=10.1053/j.gastro.2008.02.016 |url=}}</ref><ref name="pmid12612531">{{cite journal |vauthors=Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C |title=Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis? |journal=Gastrointest. Endosc. |volume=57 |issue=3 |pages=407–12 |year=2003 |pmid=12612531 |doi=10.1067/mge.2003.123 |url=}}</ref><ref name="pmid18407800">{{cite journal |vauthors=Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A |title=Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients |journal=Clin. Gastroenterol. Hepatol. |volume=6 |issue=5 |pages=598–600 |year=2008 |pmid=18407800 |doi=10.1016/j.cgh.2008.02.003 |url=}}</ref><ref name="pmid19577011">{{cite journal |vauthors=Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ |title=Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1055–61 |year=2009 |pmid=19577011 |pmc=3026355 |doi=10.1016/j.cgh.2009.06.023 |url=}}</ref><ref name="pmid17617880">{{cite journal |vauthors=Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK |title=Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature |journal=Dis. Esophagus |volume=20 |issue=4 |pages=311–9 |year=2007 |pmid=17617880 |doi=10.1111/j.1442-2050.2007.00721.x |url=}}</ref><ref name="pmid20843755">{{cite journal |vauthors=García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ |title=Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study |journal=Dig Liver Dis |volume=43 |issue=3 |pages=204–8 |year=2011 |pmid=20843755 |doi=10.1016/j.dld.2010.08.002 |url=}}</ref><ref name="urlEosinophilic esophagitis">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332835/ |title=Eosinophilic esophagitis |format= |work= |accessdate=}}</ref><ref name="pmid24503366">{{cite journal| author=Chang P, Friedenberg F| title=Obesity and GERD. | journal=Gastroenterol Clin North Am | year= 2014 | volume= 43 | issue= 1 | pages= 161-73 | pmid=24503366 | doi=10.1016/j.gtc.2013.11.009 | pmc=3920303 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24503366  }}</ref><ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632  }}</ref>  
*[[Bad breath|Halitosis]]
*[[Bad breath|Halitosis]]
*[[Chest pain]], in the middle of the chest, often radiating to the back, usually associated with swallowing or soon after a meal
*Epigastric chest pain  
** Often radiating to the back
*[[Difficulty swallowing|Dysphagia]]
*[[Difficulty swallowing|Dysphagia]]
*[[painful swallowing|Odynophagia]]
*[[painful swallowing|Odynophagia]]
*Food getting stuck in the throat
*[[Hoarseness]]
*[[Hoarseness]]
*[[Mouth sores|Oral ulcers]]
*[[Mouth sores|Oral ulcers]]
*[[Nausea]]
*[[Nausea]] and [[vomiting]]
*[[Sore throat]]
*[[Sore throat]]
*[[Vomiting]]
Symptoms of underlying diseases that cause esophagitis include:
*[[Indigestion]]
*[[Heartburn]]
*[[unpleasant taste in the mouth|Metallic taste]] 
*[[Excessive belching]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:Needs overview]]
[[Category:Needs overview]]
[[Category:Primary care]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
{{WH}}
{{WS}}

Latest revision as of 21:41, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD[2]]

Overview

The most common symptoms of the esophagitis include halitosis, epigastric chest pain, often radiating to the back, dysphagia, odynophagia, hoarseness, oral ulcers.

History and Symptoms

History

Obtaining history gives important information in making a diagnosis of esophagitis. It provides an insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. Patients presenting with eosinophilic esophagitis have a history of:

  • Elevated serum IgE levels
  • Response to interventions such as diet restriction
  • History of food hypersensitivity
  • Burning sensation in the epigastric area

Symptoms

The symptoms of esophagitis include:[1][2][3][4][5][6][7][8][9]

References

  1. ↑ Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA (2008). "Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups". Gastroenterology. 134 (5): 1316–21. doi:10.1053/j.gastro.2008.02.016. PMID 18471509.
  2. ↑ Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C (2003). "Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis?". Gastrointest. Endosc. 57 (3): 407–12. doi:10.1067/mge.2003.123. PMID 12612531.
  3. ↑ Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A (2008). "Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients". Clin. Gastroenterol. Hepatol. 6 (5): 598–600. doi:10.1016/j.cgh.2008.02.003. PMID 18407800.
  4. ↑ Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ (2009). "Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota". Clin. Gastroenterol. Hepatol. 7 (10): 1055–61. doi:10.1016/j.cgh.2009.06.023. PMC 3026355. PMID 19577011.
  5. ↑ Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK (2007). "Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature". Dis. Esophagus. 20 (4): 311–9. doi:10.1111/j.1442-2050.2007.00721.x. PMID 17617880.
  6. ↑ García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ (2011). "Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study". Dig Liver Dis. 43 (3): 204–8. doi:10.1016/j.dld.2010.08.002. PMID 20843755.
  7. ↑ "Eosinophilic esophagitis".
  8. ↑ Chang P, Friedenberg F (2014). "Obesity and GERD". Gastroenterol Clin North Am. 43 (1): 161–73. doi:10.1016/j.gtc.2013.11.009. PMC 3920303. PMID 24503366.
  9. ↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

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