Clinically, it should be differentiated from other causes of esophagitis, peptic ulcers, dyspepsia of all causes, biliary tract disorders, and esophageal dynamics. Most cases occur over the age of 40. In normal people, the lower esophageal sphincter acts as a barrier to keep stomach contents from flowing back into the esophagus. In cases of sphincter dysfunction, such as hiatal hernia or other causes of sphincter insufficiency, the stomach contents may flow back into the esophagus. Gastric juices contain acids and may also contain bile or pancreatic juices. These substances have a damaging effect on the esophagus. Repeated reflux into the esophagus over a long period of time can cause inflammation, erosion, and even ulceration in the esophageal mucosa. Chronic and repeated damage can cause destruction and fibrosis of the whole esophagus, resulting in esophageal stenosis. Clinical manifestations are mainly heartburn, which occurs at night when lying down and is relieved when sitting up, which is the typical manifestation. Increased abdominal pressure when lifting heavy objects can also cause reflux. Certain foods, such as orange juice, can cause symptoms when the lesion is irritated, and barium can flow up and down between the esophagus and the stomach on X-ray barium meal imaging, which is the basis for diagnosis. Esophagoscopic observation shows white flaky oozing, erosion, ulceration and easy bleeding on the esophageal wall. Esophageal Wall Fibrosis Prevention To treat inflammation you must also start by improving your own physical condition and starving the inflamed cells at the source. Eat more alkaline foods to improve your acidic body, and supplement your body with essential organic nutrients so that you can starve the inflammatory cells and restore your immunity at the same time.