Causes and risk factors
Herpes simplex type 1 virus [HSV1] is the causative organism. Close contact with infected person, oral sex spreads the infection. The infection can also spread through saliva into the throat. Cross infection with HSV2 can also lead to the disease. Risk factors include person with a weakened immune system such as HIV, leukemia, organ transplant, diabetes, etc.
Clinical presentation
Patient presents with symptoms such as difficulty in swallowing food and liquids. There is general malaise, joint pain, chills, fever. Open sores in the mouth are observed. There is inflammation and ulceration of throat tissues.
Investigation
Medical history by the patient and clinical examination by the doctor helps in diagnosis. Esophagoscopy is done. Culture of mouth and throat swab is obtained. Routine blood test is done. Urine test may be recommended.
Treatment
Administration of antiviral drugs is useful. Analgesics, antipyretics may be required. Nutrition through intravenous saline will help if the patient is unable to swallow anything.
Other Modes of treatment
The other modes of treatment can also be effective in treating herpes esophagitis.
Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating herpes esophagitis.
