Candidal esophagitis: causes, symptoms, treatment

Candida esophagitis

  • Complications and prevention of esophagitis
  • Prolonged use of antibiotics, low immunity and many other causes lead not only to intestinal dysbiosis. Violation of local microclimate occur in any organ. If the mucous membranes of the mouth appeared white patches is candidiasis of the oral cavity, the same changes under certain conditions also occur in the esophagus, only the symptoms are much different.

    It fungal esophagitis, what is its difference from other similar diseases? What factors lead to its development? There is something particular about this disease and how to treat this disease of the esophagus?

    The causes of the disease

    What is candidal esophagitis? Candidiasis or mucosal lesions by fungi of the genus Candida is common in the oral cavity. This initial section of the digestive system contains normal small amount of mushrooms. In the esophagus it would be less. They, like many other microorganisms are always present on the mucous membranes without disturbing human being. Their number increases when the sharply deteriorating conditions of existence. With food and liquid, they can get into the lower parts of the digestive system.

    What are the most common causes of Candida esophagitis? is a marked reduction of the immune system due to certain diseases or conditions, which include:

  • tumors or cancer diseases, especially located nearby organs;
  • acquired immunodeficiency syndrome (AIDS);
  • uncompensated diabetes mellitus;
  • thyroid disease — hypoparathyroidism;
  • incurable connective tissue disease — SLE or systemic lupus erythematosus;
  • hemoglobinopathies — diseases of the blood;
  • alcohol abuse, regular abuse of alcohol;
  • long-term use of antibiotics and oral contraceptives;
  • Candida esophagitis esophagus develops when uncontrolled and continued use of H2-blockers of histamine («Ranitidine»).
  • The situation worsens inflammation of the esophagus or esophagitis. Common causes which is gross and spicy foods or backward reflux of stomach contents, chronic diseases of the gastrointestinal tract.

    Candida esophagitis is often seen in the middle third of the esophagus and is characterized by prolonged course.

    Symptoms of candidal esophagitis

    Candida esophagitis occurs rarely, for in many manifestations similar to other diseases the initial parts of the digestive system. For this reason, diagnosis of complicated esophagitis — the doctor begins to be ineffective in this case, the treatment to a full survey.

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    Кандидозный эзофагит: причины, симптомы, лечение


    What complaints a person makes with this fungal infection in his esophagus?

    1. Heartburn — burning pain during swallowing, and later they appear, regardless of the meal. Human during the day, constantly worried about discomfort behind the breastbone, burning. Some of it is confused with sore throat or in the heart area, due to the close location of these organs.
    2. Dysphagia — violation of act of swallowing. If at the beginning of the development of esophagitis is difficulty swallowing occur after the use of large pieces of solid food, then later even liquid food cause pain.
    3. Symptoms of Candida esophagitis include nausea and vomiting. They often appear in the use of coarse, spicy foods or irritating drinks. These products scratch the affected esophageal mucosa.
    4. The occurrence of chest pain during meals.
    5. Violated overall health: worsening sleep, there is anxiety, the person becomes irritable, nervous, reduced its efficiency.

    Symptoms of Candida esophagitis in most cases, resemble the course of many diseases of the gastrointestinal tract, so it is to the full functional diagnostics to exhibit the diagnosis is almost impossible.

    Diagnosis and classification of diseases

    Classification of candidal esophagitis depends on the degree of lesions of the esophagus. Diagnosis of esophagitis based on endoscopy. It is difficult to put a diagnosis without the EGD. The only way to see a typical white patches typical of candidiasis.

    Кандидозный эзофагит: причины, симптомы, лечение

    plaques of candidiasis

    There are four degrees of fungal infection of the esophagus.

    1. Candida esophagitis first degree is set in the detection of white convex plaques on the walls of the esophagus, which is less than 50% of the mucosa. There is no edema and hyperemia of the tissue.
    2. The second degree of damage characterized by the appearance of a white plaque on the mucosa that covers more than 50% of the esophagus, appears redness tissue without ulcers.
    3. With the development of the third degree Candida esophagitis white spots merge into folds, the edematous tissue, there are individual ulcers.
    4. The fourth degree of damage of the esophagus by the fungus exhibited in case of detection of confluent plaques, swelling and looseness of the fabric, the appearance of ulcers in the mucosa. Abundant white bloom not far behind esophageal tissue after injection of air.
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    There is no clear classification or a specific code of candidal esophagitis in ICD-10. It include:

  • to the group of fungal infections of other localizations — B37.8;
  • other diseases of esophagus K22.
  • Treatment of candidal esophagitis

    Important role in the treatment of candidal esophagitis belongs to the antifungal drugs. This is the basis of therapy of this disease. Its effectiveness depends on timely delivered proper diagnosis, detection of fungi of the genus Candida and sensitivity to drugs. Therefore, during the EGD be sure to take a small piece of tissue for histological examination with subsequent inoculation of the fungi.

    Кандидозный эзофагит: причины, симптомы, лечениеPrescribed and other drugs for esophagitis, depending on the severity of symptoms.

    1. In the first place antifungal medicinal substance: «Nystatin», «fluconazole», «Ketoconazole». The dosage and frequency of reception are assigned individually.
    2. Used symptomatic medications: heartburn prescribe antacids (drugs that reduce acidity and protecting the mucosa of the esophagus) short course, proton pump inhibitors.
    3. An important role in the treatment of candidal esophagitis diet. Completely eliminates sharp, extractive food, and food that is heavy to carry. Not the entire period of treatment to use seasonings, barley, mushrooms, sweets, crisps, fizzy drinks, strong coffee, alcohol is also excluded. These products promote growth and active reproduction of fungi.
    4. In the case of sleep disorders use sedative drugs and medicines that affect sleep. In rare cases, a person has to seek help from a psychologist if you experience irritability.
    5. Кандидозный эзофагит: причины, симптомы, лечениеBe sure to use immunostimulatory drugs in the treatment of candidal esophagitis. Medications are selected individually. Used «Ehingen», «IRS-19», extract of Echinacea.
    6. Also prescribed vitamins of group B.
    7. On the basis of testimony — anti-allergic agents.

    You need to work on the cause of the development of candidal esophagitis. Therefore, the developed scheme of treatment using drugs against the underlying disease, which caused lesions of the esophagus.

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    Treatment of candidal esophagitis folk remedies

    For lovers of folk medicine, it is important to remember the main rule of this treatment, do no harm. Therefore, all possible and available methods are better before applying to discuss with your doctor.

    In the treatment of candidal esophagitis folk remedies allowed the use of vitamin preparations, enveloping and anti-inflammatory drugs. Used immunostimulant, taxes, and soothing herbs.

    Кандидозный эзофагит: причины, симптомы, лечениеThese include:

  • St. John’s wort;
  • chamomile;
  • ginseng;
  • Echinacea;
  • calendula;
  • in tea, you can add rose hips, dried blueberries and cranberries.
  • This treatment for esophagitis how honey can be used. It is very sweet product and if you use candied honey, you can scratch the lining of the esophagus.

    Complications and prevention of esophagitis

    Кандидозный эзофагит: причины, симптомы, лечениеThe lack of treatment or a rapid progression of the disease can lead to complications:

  • bleeding in the site of ulceration;
  • ulcer perforation;
  • the development of sepsis — blood poisoning.
  • Prevention of Candida esophagitis is the proper nutrition, treatment of the underlying disease, monitoring the correct prescribing of medications for other diseases. If antibiotics are to be prescribed long course, you need time to change drugs and use of immunostimulatory substances.

    Candida esophagitis is one of the most unpleasant lesions of the esophagus, which in most cases begins with the development of other diseases. To get rid of the esophagitis can, if you follow the doctor’s recommendations, and prevention is the diet and treatment of chronic diseases in the body.