Common Early Symptoms of Reflux Esophagitis

Gastroesophageal reflux disease (GERD) can cause both esophageal and extra-esophageal symptoms due to the backflow of stomach contents such as ingested food, liquids, gastric acid, pepsin, and bile. Understanding these symptoms is crucial for early detection and treatment.

Within the esophagus, common manifestations include heartburn, regurgitation of acid, and non-cardiac chest pain. These symptoms are often mistaken for other conditions, but they are highly indicative of GERD or reflux esophagitis. Heartburn and acid regurgitation are considered the most typical and specific signs of this condition.

Outside the esophagus, reflux may present as persistent coughing, laryngitis, asthma-like symptoms, or even dental issues like tooth decay in some patients. These atypical symptoms can make diagnosis more challenging, especially when they occur without classic heartburn.

To accurately diagnose GERD or reflux esophagitis, medical professionals typically use two main diagnostic methods:

1. Upper endoscopy – This procedure allows doctors to visually examine the lining of the esophagus for signs of inflammation, erosion, or ulcers. The severity is classified using the Los Angeles Classification system, ranging from Grade A (mild) to Grade D (severe).
2. 24-hour pH and impedance monitoring – This test measures the frequency and duration of acid exposure in the esophagus over a 24-hour period and helps establish a link between symptoms and reflux episodes.

If you experience recurring symptoms such as acid regurgitation or heartburn, it's important to consult a gastroenterologist for proper evaluation and care. Early diagnosis and treatment can help prevent complications and improve long-term outcomes.