I believe that many people have encountered this situation in their lives, that is, when eating, food is blocked in the chest and can neither be spit out nor swallowed. Many people do not know the specific reason for this situation, and do not know what methods should be used to alleviate this situation. So, what should we do if food is stuck in the chest and can neither go in nor out? First, what should we do if food is stuck in the chest and cannot go in or out? Further gastroscopy is needed to consider whether it is caused by esophagitis. Do not smoke or drink, and avoid spicy food. Esophagitis is an inflammation of the esophagus, which refers to inflammation caused by edema and congestion of the esophageal mucosa due to irritation or damage to the superficial or deep tissues of the esophageal mucosa. Chemical irritation includes stomach acid, bile, strong liquor, strong acid, strong alkali, drugs, etc.; physical irritation includes hot food, drinks, foreign bodies in the esophagus (fish bones, etc.), long-term placement of nasogastric tubes, etc. Esophagitis may also be caused by local damage to the esophagus due to chemotherapy or radiotherapy, or by infection with tuberculosis, fungi (Candida) or viruses due to the patient's own decreased resistance. The most common clinical condition is reflux esophagitis caused by gastric acid reflux. Second, radiation esophagitis 2. Acute corrosive esophagitis Corrosive esophagitis often occurs as an accident and is prone to occur in children, especially various household cleaners have entered many families and are easily ingested by children. These products contain sodium hydroxide (potassium), sodium carbonate (potassium), potassium permanganate, etc. Corrosive esophagitis in adults is often caused by swallowing strong acids or alkalis as a means of suicide. It is not uncommon for strong acids and alkalis to be accidentally ingested by people when they are stored in containers used for beverages or alcohol. Drug-induced esophagitis has received clinical attention in recent years. It is now recognized that patients of all ages, in all settings, and taking all therapeutic doses of medications have the potential to injure the esophagus. 3. Suppurative esophagitis Suppurative esophagitis is a purulent inflammation caused by bacteria invading the esophageal mucosa when the esophageal mucosa is damaged. Patients may be asymptomatic or have only neck pain or sore throat. Patients with a larger lesion area may also experience symptoms such as dysphagia, pain behind the sternum, chills, and fever in addition to neck pain or odynophagia. Those with higher reactivity often have high fever. A small number of patients may develop sepsis and show corresponding symptoms. 4. The main symptoms of reflux esophagitis are heartburn, pain and difficulty in swallowing, and pain behind the sternum. When esophagitis is severe, it can cause esophageal spasm and esophageal stenosis, a "choking" feeling when swallowing food, and even vomiting. Generally, bleeding from esophagitis is mild, but it may also cause vomiting of blood or black stools (tarry stools). Esophagitis caused by different causes may be accompanied by corresponding clinical manifestations. What should you do if food is stuck in your chest and can't go in or out? Ask about the medical history in detail to find out whether the cause is oral ingestion (including accidental ingestion) of various strong acids and alkalis; whether you are taking irritating drugs; swallowing foreign objects such as fish bones, etc. 2. Abnormal findings in esophageal barium meal examination. 3. Upper gastrointestinal endoscopy and biopsy can directly observe the inflammatory changes of the esophageal mucosa, and biopsy tissue can be taken for pathological examination. Depending on the cause of the disease, choose the corresponding treatment principle 1. Eliminate the cause. 2. Gastric acid inhibitors and mucosal protective agents. 3. When there is concurrent infection, antibiotics (bacterial, fungal) will be given for treatment. 4. Provide hemostatic treatment (including endoscopic) when bleeding occurs. 5. When symptoms of stenosis or obstruction occur, endoscopic dilation and stent placement may be considered. |
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