Grade 2 Esophagitis
Progressing from Grade 1, Grade 2 Esophagitis presents a more concerning picture. While still not severe, the condition’s progression means the erosions are larger, encompassing up to 10% of the mucosal surface. Imagine a lawn that once showed small patches of dryness now revealing larger bare spots. The main culprit remains GERD, wherein the stomach’s acidic contents make frequent visits to the esophagus. It’s akin to a faulty door that doesn’t shut properly, allowing unwanted elements to drift in.
Symptoms become more pronounced in Grade 2. Heartburn isn’t just an occasional guest anymore; it becomes a frequent visitor. The discomfort graduates to consistent pain, especially post meals. Swallowing feels like an effort, and there’s often a sensation as if something is stuck midway down the throat. Moreover, the throat’s burning sensation becomes harder to ignore. Think of it like sunburn; what started as a mild irritation is now a constant sting. This signals that the esophageal lining is bearing more damage than before.
While GERD remains a prime cause, other elements come into play in Grade 2. Chronic alcohol consumption and smoking, previously just exacerbating factors, now can contribute more significantly to the condition. Infections become a concern, especially in individuals with compromised immune systems. Candida, herpes, and certain viral infections can pave the way for this grade of esophagitis.
Treatment turns more aggressive in Grade 2. Over-the-counter antacids might not cut it anymore. Prescription medications, particularly proton pump inhibitors and H2 blockers, take center stage. These reduce the stomach acid amount, aiming to prevent further esophageal damage. Dietary and lifestyle changes become non-negotiable. Spicy, acidic foods and beverages, smoking, and alcohol need curtailment. Elevating the bed’s head end and not eating close to bedtime become critical strategies to combat nighttime reflux.
With Grade 2 Esophagitis, the stakes are higher. Early detection remains key, but immediate and effective treatment becomes paramount. The body’s signals are louder and clearer, urging for intervention. It’s essential to heed these calls to prevent a further escalation in the condition’s severity. (2)
