Description

Corrosive injury to the esophagus (food pipe) occurs when a person ingests or comes into contact with substances that are highly acidic or alkaline, leading to tissue damage. Symptoms of corrosive injury to the esophagus The symptoms of corrosive injury to the esophagus can vary depending on the severity of the injury and the specific corrosive substance involved. Common symptoms may include: 1. Pain and discomfort: Severe pain in the chest, throat, or upper abdomen is a common symptom. The pain may worsen with swallowing or eating. 2. Difficulty swallowing (dysphagia): Corrosive injury can cause narrowing or strictures in the esophagus, leading to difficulty in swallowing both solids and liquids. 3. Drooling or excessive saliva: In some cases, the injury may result in an increase in saliva production, leading to drooling or excessive saliva in the mouth. 4. Regurgitation or vomiting: The person may experience regurgitation or vomiting of blood or stomach contents, sometimes with a foul odor. 5. Gastrointestinal bleeding: Corrosive injury can cause damage to the lining of the esophagus, leading to bleeding. This can result in vomiting of blood (hematemesis) or passing of blood in stools (melena). 6. Breathing difficulties: If the corrosive substance has caused significant swelling or inflammation in the esophagus, it may result in breathing difficulties or shortness of breath. 7. Hoarseness or voice changes: Injuries to the esophagus can affect the nearby structures, such as the larynx or vocal cords, leading to hoarseness or changes in voice quality. It is important to note that corrosive injuries to the esophagus can be serious and potentially life-threatening. If you suspect a corrosive injury, immediate medical attention is crucial. Healthcare professionals will evaluate the extent of the injury and provide appropriate treatment, which may include supportive care, pain management, and in severe cases, surgical interventions or interventions to dilate strictures and improve swallowing function Investigations in corrosive injury of the esophagus When a corrosive injury to the food pipe (esophagus) is suspected, healthcare professionals may perform several investigations to assess the extent of the injury and plan appropriate treatment. Some common investigations include: 1. Endoscopy: Esophagogastroduodenoscopy (EGD) is a procedure in which a flexible tube with a camera (endoscope) is passed through the mouth and into the esophagus to visualize the esophageal lining and assess the extent of damage. This allows the doctor to directly view any burns, ulcers, strictures, or other abnormalities caused by the corrosive substance. 2. Imaging tests: Depending on the severity and extent of the injury, imaging tests such as X-rays, computed tomography (CT) scans, or barium swallow studies may be performed to further evaluate the esophagus, identify complications, or assess the need for surgical intervention. 3. Laboratory tests: Blood tests may be done to evaluate the overall health of the individual and assess markers of inflammation or organ damage. These tests can help monitor the progression of the injury and guide treatment decisions. 4. Esophageal manometry: In some cases, esophageal manometry may be performed to evaluate the muscular function and motility of the esophagus. This test measures the pressure and coordination of the esophageal muscles and can help identify any motility disorders or complications resulting from the corrosive injury. 5. pH monitoring: Ambulatory pH monitoring may be used to assess acid reflux or evaluate the extent of acid exposure in the esophagus. This test involves inserting a small probe into the esophagus to measure the acidity levels over a period of time. These investigations help healthcare professionals determine the severity of the corrosive injury, guide treatment decisions, and monitor the healing process. Prompt medical attention and appropriate investigations are crucial in managing corrosive injuries to the food pipe to minimize complications and ensure the best possible outcome. Emergency Care of corrosive injury of the esophagus In cases of corrosive injury to the food pipe (esophagus), emergency care is essential. Here are key steps in providing immediate care: 1. Ensure safety: Ensure the person's safety by removing them from the source of the corrosive substance and preventing further exposure. 2. Call emergency services: Contact emergency medical services or go to the nearest emergency room for immediate medical attention. 3. Do not induce vomiting: Do not attempt to induce vomiting, as it can cause further damage to the esophagus. 4. Rinse mouth: If the corrosive substance is still present in the mouth, rinse the mouth gently with water to remove any remaining traces. 5. Do not eat or drink: Advise the person not to eat or drink anything, as it may further aggravate the injury or complicate subsequent medical procedures.