Understanding Grade A Reflux Esophagitis and Its Common Symptoms

What is Grade A Reflux Esophagitis?

Grade A reflux esophagitis refers to the mildest form of erosive esophagitis, as classified during endoscopic examination. It typically involves small, linear areas of redness and erosion less than 0.5 cm in length near the lower part of the esophagus, the gastroesophageal junction, or the gastric fundus. Despite being a mild diagnosis, it can still cause noticeable discomfort for patients.

Common Symptoms of Grade A Esophagitis

Patients often experience symptoms such as acid regurgitation, heartburn, and a burning sensation behind the breastbone. These symptoms usually become more pronounced after eating, especially when lying down shortly afterward. In some cases, individuals with weakened stomach motility may also feel discomfort caused by food traveling back into the esophagus, which can lead to chest pain or even vomiting of stomach contents through the mouth.

Variations Based on Age and Severity

The presentation of Grade A reflux esophagitis can vary from person to person. Elderly patients, for example, may have more intense symptoms due to natural muscle relaxation around the lower esophageal sphincter. Nocturnal reflux is particularly concerning in older adults, as it can cause stomach contents to reach the trachea, resulting in coughing fits, hoarseness, or a sore throat in the morning.

Is Grade A Esophagitis Serious?

While Grade A esophagitis is considered the least severe among the classifications of reflux esophagitis, it should not be ignored. Left untreated, symptoms may progress over time, leading to more serious complications. However, with proper lifestyle adjustments and medical guidance, many patients find relief and prevent further damage to the esophagus.