The herpetic type of esophagitis is an inflammatory process of the esophagus. Infection of the esophagus with herpes or shingles is rare. As a rule, it proceeds with parallel damage of different parts of the epithelium and the mucous membrane.
Symptoms of herpetic esophagitis resemble the manifestation of the catarrhal form of the disease and are supplemented by common symptoms. Usually after a day - the two signs of symptoms decrease significantly or completely disappear. They are replaced by epithelial and mucous membrane lesions.
Patients are noted for soreness during the passage of food through the esophagus, belching with impurities of blood and mucus, dysphagia.
Diagnosis of infectious esophagitis
The diagnosis is made by the presence of a lesion detected during fibroesophagoscopy. Herpetic lesion of the esophagus is manifested in the form of vesicles that can merge and fill with serous fluid. Then the vesicles are replaced by a ulcer. Similar rashes on the mucous membrane can be repeated decreasing, or increasing.
The main methods of diagnosing infectious esophagitis are:
- Tumor of the abdomen is required to exclude cholecystitis, gastritis and pancreatitis;
- PHAGS is the main method of examination using a fiber-optic probe equipped with a camera. In this situation, the esophagus and part of the stomach are examined;
- X-ray;
- Ezofagomanometry.
Treatment for infectious esophagitis
Therapy for the infectious form of esophagitis is carried out by antiviral drugs, however most often the flu-like illness goes on its own.
Without fail, patients are prescribed a special diet and sweep away the damaging factors. It is very important to exclude from the diet of a patient with infectious esophagitis chocolate, fatty foods and tomatoes.
In addition, during the treatment of the disease, the patient is prescribed enveloping medications and local antispasmodics. Also, from the diet completely abandon the acute and rough food, strong coffee, alcohol and citrus. In this case, decoctions of herbs, healing wounds and relieving inflammation are very useful. In the case of a severe form of the infectious process, patients undergo an infusion therapy, which involves the introduction of a detoxification solution.