Between 10% and 20% of patients with more than occasional dyspepsia have ulcers, and approximately 10% have reflux esophagitis, while less than 1% have cancer.
In summary, antacids provide better symptom relief than placebo in reflux disease, even when esophagitis is not present.
He used opioid, 20 mg/day of morphine hydrochloride, for pain of esophagitis by irradiation, with taking prochlorperazine as an antiemetic drug.
The strategy of using empirical eradication therapy is not recommended given the controversy involving the potential development of esophagitis and the unstudied potential for antibiotic resistance developing in the community.
Other non-acid related causes of peptic strictures include infectious esophagitis, ingestion of chemical irritant, pill irritation, and radiation.
Further, only half of the patients with increased esophageal acid exposure will have esophagitis.
In addition, young children with eosinophilic esophagitis may present with feeding difficulties.
It is likely to present with a single, deep ulcer as opposed to the multiple shallow ulcers seen in herpes esophagitis.
