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Oesophagus Disorders

Your oesophagus is a tube that connects your mouth to your stomach. When you swallow, food and drinks go past your throat and into your oesophagus.

Several conditions can affect this organ, including:

  • Acid reflux — A condition in which your stomach contents, including acid and partially digested food, travel back up into your oesophagus or throat
  • Gastroesophageal reflux disease (GERD) — A disease in which acid reflux occurs regularly
  • Eosinophilic oesophagitis — A disorder that causes the oesophagus tissue to become inflamed and swollen
  • Barrett’s oesophagus — A precancerous disease that increases your risk of developing cancer in the future
  • Oesophageal cancer — A condition in which tumours grow in the oesophagus

Symptoms

Oesophagus disorders may lead to:

  • A burning feeling in the throat or chest (heartburn)
  • Having stomach contents come back up into your mouth or throat (regurgitation)
  • A sour taste in your mouth
  • Bad breath
  • Trouble swallowing
  • Feeling like food is stuck in your throat or chest
  • Pain in the chest, back, or abdomen
  • Nausea or vomiting
  • A hoarse voice
  • Wheezing
  • Ongoing coughing

Babies and children with oesophageal disorders sometimes have a hard time eating and gaining weight. They may frequently vomit or spit up food.

Causes

Typically, a group of muscles called the lower oesophageal sphincter (LES) closes off your oesophagus from your stomach, preventing food or stomach acid from travelling back up. Acid reflux and GERD can develop when the LES is too weak or opens up when it should stay closed.

Eosinophilic oesophagitis may be triggered by an allergy or immune system reaction toward food, pollen, dust, mould, or other factors.

When acid reflux continues untreated, stomach acid may damage cells in the oesophagus. This can lead to more serious problems like Barrett’s oesophagus or oesophageal cancer.

Risk Factors

Smoking cigarettes, drinking alcohol, and being overweight can make you more likely to develop oesophagus disorders. These conditions can also be triggered by drugs such as pain medications, antibiotics, or antidepressants.

Acid reflux and GERD are very common during pregnancy. People who have other allergies or asthma have a higher chance of developing eosinophilic oesophagitis.

Diagnosis

Doctors don’t always perform tests to confirm whether you have GERD. Instead, if your symptoms point toward this condition, your doctor may recommend simply trying to treat it.

In some cases, your doctor will recommend additional tests to look for oesophagus problems. Tests can include using a thin tube to see inside of your oesophagus and stomach (upper endoscopy) or checking to see whether there is stomach acid in your oesophagus (oesophageal pH monitoring).

Complications

Over time, acid reflux or GERD can wear away the outer covering (enamel) on your teeth. It can also make you lose your voice or develop asthma.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.