Grade 3 Esophagitis
By the time one reaches Grade 3, the esophagus has borne significant damage. Erosions have grown more extensive, covering up to 50% of the mucosal surface. To visualize, think of cracked land that has seen prolonged drought. Reflux from the stomach is more aggressive, and the esophagus’s protective mechanisms are waning. It’s as if the once sturdy wall defending a fort is now showing substantial breaches.
At this juncture, symptoms aren’t just noticeable; they’re disturbing. The heartburn is relentless. Swallowing is not only painful but might also lead to coughing or choking. One can feel food getting stuck, leading to regurgitation at times. The burning sensation in the throat is almost akin to swallowing something scalding. It’s evident the esophagus is crying out for help.
While the usual suspects of GERD, alcohol, and smoking play their part, Grade 3 sees more instances of medication-induced esophagitis. Pills, especially when taken without adequate water or right before bedtime, can get lodged in the esophagus. Over time, they cause irritation and subsequent erosions. Immune-compromised individuals face a heightened risk from infections, notably Candida and herpes.
Treatment is comprehensive at this grade. Prescription medications become a mainstay. In severe cases, surgery might be on the cards to rectify anatomical issues exacerbating GERD. Monitoring becomes critical, often involving procedures like endoscopy to gauge the esophagus’s damage extent.
Grade 3 Esophagitis is a significant concern, and prompt, aggressive treatment is essential. The body’s warning signs are in neon lights, highlighting the urgent need for medical intervention. At this stage, proactive treatment isn’t just recommended, it’s vital. (3)
