Accessed Dec. 2, 2014. 2020; doi:10.15403/jgld-768. Is the ketogenic diet right for autoimmune conditions? Symptoms of burning mouth syndrome may include: A burning or scalding feeling that most commonly affects your tongue, but also may affect your lips, gums, roof of your mouth, throat or whole mouth. Surdea-Blaga T, et al. Do you have an unexplained bitter taste in your mouth? If you dont receive our email within 5 minutes, check your SPAM folder, then contact us It's more likely that reflux at night is irritating your mouth and throat and making your tongue inflamed tbh. You can learn more about how we ensure our content is accurate and current by reading our. Pain in your mouth that feels like tingling, scalding or burning. What is the latest research on the form of cancer Jimmy Carter has? If a person wipes the white plaques off, the area can bleed slightly, leading to a salty or iron-like taste in the mouth. Underlying chronic inflammatory disorders may influence a white tongue as well. Good info. A person applies these medications to the inside of the mouth for 1 to 2 weeks until the condition has run its course. enable-background: new; May 1, 2022. White tongue is a common symptom caused by bacteria, infection or a fungus. In some cases, these bacteria can help fight off infectious yeasts and other bad strains of bacteria. at newsletters@mayoclinic.com. These can occur on the gums, tongue, or palate. If we combine this information with your protected This backwash (acid reflux) can irritate the lining of your esophagus. Eosinophilic esophagitis in pediatric and adolescent patients. This is perfectly normal, but at times it can be unsightly. This endoscopic image of eosinophilic esophagitis shows rings of irregular tissue resulting from chronic inflammation. This site complies with the HONcode standard for trustworthy health information: verify here. Occasionally, white tongue is caused by a fungal infection in the mouth called thrush. What is the latest research on the form of cancer Jimmy Carter has? Most women with BMS are super tasters whove since lost some of their taste sensation. NHS Choices. Salinas TJ (expert opinion). Then the sphincter closes again. It is important to speak with a doctor or dentist about changes to the tongue so that they can confirm the cause. Additionally, this was a small study, so may not apply to a larger population. you need A geographic tongue does not cause acid reflux from the stomach. Medications linked to BMS include ACE inhibitors for hypertension, some antidepressants and high blood pressure medications, such as: Sometimes, a deficiency of vitamin B12, folate or iron can mimic the sensation of burning mouth. You can learn more about how we ensure our content is accurate and current by reading our. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The U.S. Food and Drug Administration (FDA) hasnt approved these drugs specifically for BMS, but your healthcare provider may prescribe them to help the symptoms. include protected health information. Accessed April 13, 2022. American Journal of Gastroenterology. Make an appointment with your health care provider if you experience severe or frequent eosinophilic esophagitis symptoms. Gastroesophageal reflux disease and hiatal hernia. Allscripts EPSi. It is mostly a bacterial buildup between the papillae on the tongue and can be easily scraped off. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Spechler SJ. Acid reflux (GER and GERD) in adults. American Academy of Family Physicians, Familydoctor.org. Medical News Today only shows you brands and products that we stand behind. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. A 2017 review noted that probiotic bacteria can occupy the mouth as well as the gut. The reasons for it might be anything from, A canker sore isnt contagious. Doctors typically provide answers within 24 hours. However, this is an uncommon symptom, and can occur for other reasons. I read that white tongue can be a symptom but it seems like the back of my tongue has always had a whitish film, even before I ever had heartburn. The appearance of a white coating is caused by debris, bacteria and dead cells getting lodged between the enlarged and sometimes inflamed papillae. Effective treatment is available for most patients with GERD. Can acid reflux cause a metallic taste in the mouth? You will also receive 2019; doi:10.3748/wjg.v25.i32.4598. Accessed April 13, 2022. All rights reserved. Mayo Clinic. Our team thoroughly researches and evaluates the recommendations we make on our site. A single copy of these materials may be reprinted for noncommercial personal use only. Antidepressant-induced Burning Mouth Syndrome: A Unique Case. This content does not have an English version. Studies show that many of those people also clench their teeth. White lesions. If you are a Mayo Clinic patient, this could http://www.nidcr.nih.gov/oralhealth/topics/oralcancer/detectingoralcancer.htm#WarningSigns. Bile reflux gastritis has been linked to stomach cancer. However, when acid reflux happens repeatedly over time, it can cause GERD. There is a problem with Advertising revenue supports our not-for-profit mission. The doctor first thought it was a fungal infection and gave me diflucan (2 150mg pills) and nystatin oral fluid, neither of them did anything at all so i stated to doubt is was a fungal infection since everyone says diflucan is very effective against fungus. We avoid using tertiary references. Journal of Investigational Allergology and Clinical Immunology. https://www.uptodate.com/contents/search. How many of you have a white coated tongue. the unsubscribe link in the e-mail. If you dont receive our email within 5 minutes, check your SPAM folder, then contact us Mayo Clinic Healthcare expert explains why reflux disease isn't `just' heartburn, Mayo Clinic Minute: GERD is not 'just' heartburn. the unsubscribe link in the e-mail. An endoscope a long, flexible tube equipped with a camera may be used to see inside your esophagus. Winter HS. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Gastroesophageal reflux disease (GERD) GERD is an upper gastrointestinal . Acid reflux white tongue. } Rarely, white tongue is a precancerous lesion known as leukoplakia, more common in smokers. 2022; doi:10.18176/jiaci.0682. However, there are many other reasons why your tongue could have an appearance of a Throat tight several days. Is exercise more effective than medication for depression and anxiety? hard to swallow. Mayo Clinic. Management of gastroesophageal reflux disease in children and adolescents. Medical management of gastroesophageal reflux in adults. See how it is after 3 weeks and if it persists I would follow Joy's suggestion. Is it true that acid reflux can make your tongue turn white? Sometimes, the burning is so severe that the chronic pain causes depression and anxiety. White tongue is a term used to describe any area of the tongue that has a grayish-white coating on it. In: Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. And though it's uncommon, some may need surgery to ease symptoms. Many people also benefit from using a tongue scraper every day or brushing the tongue with a toothbrush. A feeling of dry mouth with increased thirst. acid reflux mostly in the morning but some in day. A burning sensation on your tongue or in your mouth is more likely caused by another medical condition such as: If you have a burning feeling on your tongue or in your mouth, schedule an appointment with your healthcare provider. Eosinophilic esophagitis: Current concepts in diagnosis and treatment. Mayo Clinic. You can learn more about how we ensure our content is accurate and current by reading our. There are a few different reasons for a white tongue, and each has a specific treatment. But that can be a long time to live with mouth pain. The coating may cover the entire tongue, or it may appear in patches. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. There is a problem with This tube is also called the esophagus. information highlighted below and resubmit the form. Salivary stimulation: Could it play a role in GERD management? We do not endorse non-Cleveland Clinic products or services. health information, we will treat all of that information as protected health Other changes to taste and smell are also possible. information submitted for this request. The physicians who are well qualified to discuss this issue with you include your primary care physician. See additional information. Elsevier; 2022. https://www.clinicalkey.com. Three of the more common causes of a bad taste in the mouth are: Gastroesophageal reflux disease (GERD) 1 Medications, including chemotherapy 2 Zinc deficiency 3 Any change in the typical taste perception is known as dysgeusia . Anxiety can cause many things, including feeling like your throat is closing. It can also erode the teeth. . A bitter or metallic taste often happens along with the burning feeling. Learn about, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. and his body also recovered can cbd gummies help acid reflux his strength. This can occur in healthy people, but is more common in those who have an immune condition such as HIV infection. Allscripts EPSi. Mayo Clinic does not endorse companies or products. Dr. Celia Padron answered Pediatric Gastroenterology 40 years experience Many causes: yes acid reflux can cause a white tongue but it as also accompanied by other symptoms like heartburn. Talk to a doctor now . Treatment can help. These may be symptoms of a heart attack. I've never heard of this happening. Aug. 26, 2022. Muoz-Bellido FJ, et al. A hiatal hernia occurs when the upper part of your stomach bulges through your diaphragm into your chest cavity. This causes the tongue to appear white as the particles build. Is chemotherapy only used to treat cancer? While it is not always possible to avoid getting a white tongue, basic oral hygiene can help prevent many cases. AskMayoExpert. I disagree with u/sketchyuser, i have LPR (Diagnosed) or "Silent Reflux" & have IBS symptoms (And my Gastroendologist believes this is the problem for my stomach-problems) and i have never had a white-coated tongue. This is likely the . This actually sounds like candida ( example ). (2015). You can read real doctor reviews from other patients, see the doctors background and education, view photos of the office, and more. Last medically reviewed on October 24, 2019, Burning your tongue can be painful and frustrating. For burning mouth syndrome treatment, some medications can help. Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus. clip-path: url(#SVGID_4_); Last reviewed by a Cleveland Clinic medical professional on 06/26/2022. Chancres may resolve on their own with time, but the disease can remain in the body and progress without treatment. Can acid reflux or gerd cause white coating on tongue? While i suppose it's possible, i doubt this is what's causing your. .st1 { This buildup, which is a reaction to foods, allergens or acid reflux, can inflame or injure the esophageal tissue. clip-path: url(#SVGID_2_); Mayo Clinic, Rochester, Minn. Dec. 6, 2014. The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. Your in-depth digestive health guide will be in your inbox shortly. People with BMS often report that the burning worsens throughout the day. Burning mouth syndrome (BMS), also known as burning tongue, is a condition where your tongue and roof of your mouth feel like theyre burning. A geographic tongue is probably not capable of causing stomach symptoms but that Gastric reflux can influence the look of the surface of the tongue as it results in acids in the mouth that don't normally belong there. Oral lichen planus is a chronic condition, and in many cases, a doctor or dentist will simply monitor it to make sure lesions heal properly. A healthcare professional should monitor leukoplakia to make sure it is not getting worse. Mayo Clinic Staff. Oral thrush and yeast infections are treated orally or topically with an antifungal antibiotic called nystatin. Nguyen HT. https://www.ncbi.nlm.nih.gov/books/NBK554462/, https://www.researchgate.net/publication/328115932_Salivary_stimulation-could_it_play_a_role_in_GERD_management, https://www.nidcr.nih.gov/health-info/burning-mouth, https://link.springer.com/article/10.1007/s40261-017-0519-y, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138463/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503286/, https://www.ncbi.nlm.nih.gov/books/NBK545282/, https://pubmed.ncbi.nlm.nih.gov/27965506/, https://www.cancerresearchuk.org/about-cancer/mouth-cancer/stages-types-grades/tongue-cancer/about, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373596/, Cardiovascular health: Insomnia linked to greater risk of heart attack. Probiotics are strains of bacteria that are good for the digestive system. This low pH helps break down food and continue the process of digestion. Make an appointment with your doctor if you: There is a problem with Learn more about the health conditions that can change the color and texture of the tongue here. Oral thrush is a yeast infection of the mouth and throat. Furthermore, it is highly recommended that you schedule on office visit with your primary care doctor to discuss your frequent heartburn. What types of acid reflux medicines are available? Here are a number of those from MedicineNet: GERD (gastroesophageal reflux disease) is a condition in which the acidified liquid Townsend CM Jr, et al. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. You will also receive A 2017 study found that many participants with GERD reported they were less sensitive to sweet, salty, and bitter tastes and smells than they were before they developed the illness. Doctors can address this through antifungal drugs as well as measures that protect the microbiome. Can major anxiety cause your tongue to feel swollen along with hypothyroid and also i have awful acid reflux? emails from Mayo Clinic on the latest health news, research, and care. 2023-03-01T10:43:36.533Z. Mayo Clinic. when i first stuck a dental mirror to the back of my throat to see whyhow. my throat felt like a golf ball was stuck in it. Seek immediate medical attention if you experience chest pain, especially if you also have shortness of breath or jaw or arm pain. information is beneficial, we may combine your email and website usage information with It is not common for acid reflux to affect the appearance of the tongue, especially if it is infrequent. Acid reflux. However, it is also worth noting that tongue changes can happen for other reasons. Can acid reflux or gerd cause white coating on tongue? health information, we will treat all of that information as protected health The researchers stated that this could indicate the presence and severity of GERD, but they also call for larger trials to confirm this, as their study included only 67 participants. An individual 2016 study from India found that in people with GERD: Less common symptoms included red lesions on the gums, roof of the mouth, and tongue. Managing your healthcare is easier than ever before with Zocdoc. Changes in tongue color can reflect changes in health. I get white tongue but in my case it's my asthma inhalers. Any infection, including a yeast infection called thrush may coat the tongue and cause white patches in the mouth as well. I have suffered from a white tongue off and on for years and never connected it to my GERD, but that makes sense. Kahrilas PJ. There are many things that can cause this, ranging from minor conditions to more serious ones. This includes people who have recently taken antibiotics or undergone chemotherapy. Coated or white tongue. Many people also feel a dry mouth despite having regular saliva flow. irritation/swelling and thick whiteness in back of tongue. Acid reflux burning tongue. it seemed better than when she used her tongue to help her It is much more . Accessed April 13, 2022. Most appearances of a white tongue will clear up easily, although this is not always the case. Get useful, helpful and relevant health + wellness information. The most common cause of white tongue is simply of film of debris composed of food particles, skin cells, and bacteria in the mouth. Detecting oral cancer: A guide for health care professionals. Thanks for the reply Couch you are like the Gerd info Yoda! Terms of Use. American Partnership for Eosinophilic Disorders. Click here for an email preview. You may opt-out of email communications at any time by clicking on These measures may include: People with suppressed immune systems, such as those receiving chemotherapy or who have HIV or AIDs, are at a higher risk of opportunistic infections such as C. albicans than the rest of the population. .st0 { (2019). White lesions. Well regardless of cause, you can try a mouthwash to start with. This content does not have an Arabic version. Gastroesophageal reflux disease (GERD) (adult). The appearance of a white coating is caused by debris, bacteria and dead cells getting lodged between the enlarged and sometimes inflamed papillae. So, if youre experiencing a burning sensation on your tongue or in your mouth, its probably not caused by acid reflux. No. All of these conditions can cause white tongue . information and will only use or disclose that information as set forth in our notice of https://gi.org/topics/eosinophilic-esophagitis-in-pediatric-and-adolescent-patients/#:~:text=Infants%20and%20toddlers%20with%20EoE,)%2C%20especially%20with%20solid%20meals. White tongue is the result of an overgrowth and swelling of the fingerlike projections (papillae) on the surface of your tongue. Additionally, lifestyle choices may help prevent a white tongue at times. Some common examples include: A less common symptom of GERD is damage to the tongue. While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. 1. People with BMS often report that the burning worsens throughout the day. Advertising revenue supports our not-for-profit mission. BMS is a recurring burning sensation in the mouth that doesnt have an obvious cause. However, in most cases the cause of acid reflux tongue isn't actually acid reflux, but rather a different condition. The symptoms can include: Tell a doctor about these symptoms, particularly if GERD treatment is not helping them. American Family Physician. This buildup, which is a reaction to foods, allergens or . If the changes are caused by GERD, they can help with managing the condition and reducing the impact it has on the mouth and teeth. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. BMS often starts seemingly out of nowhere. 50% off with $15/month membership. Acid reflux sufferers should avoid highly acidic foods such as oranges, grapefruits, lemons, and pineapple. Keep reading to learn more about BMS its symptoms and treatment along with other conditions that might cause a burning tongue or mouth. Certain conditions, including diabetes and HIV, may increase the risk of infection. Topical or systemic clonazepam, a prescription medication, may also relieve the pain. By Mayo Clinic Staff White tongue is the result of an overgrowth and swelling of the fingerlike projections (papillae) on the surface of your tongue. DOI: Treister SB, et al. That commonly causes your tongue to look white-ish because your taste buds get kinda swollen and then they trap bacteria and other stuff from your mouth in between them, creating that gross film. Acid reflux and tongue problems. Maret-Ouda J, et al. Burning mouth syndrome: Current concepts. } Once asleep, the pain may improve. You may not ever be able to completely and permanently get it to go away, but you can minimize the effects of it by drinking plenty of water, preferably alkalyzed water, and cutting back on your acid intake. In addition to feeling as though the mouth is dry, signs of a dry mouth include: People with acid reflux may experience changes in their sense of taste. Learn more about the different causes of a yellow tongue, various symptoms and concerns, and what you can do to treat it. A white or coated tongue isn't a disease or harmful, and it usually goes away soon. Acid reflux causes the contents of the stomach to move back up the esophagus, causing a burning sensation in the throat. Mouth or tongue cancer may cause a white tongue. Gastroesophageal reflux disease: A review. health information, we will treat all of that information as protected health However, AAOM suggests that it may be a form of neuropathic pain. 21st ed. Separating oral burning from burning mouth syndrome: Unraveling a diagnostic enigma. . information is beneficial, we may combine your email and website usage information with A 2017 review noted that in some studies, people taking drugs known as H2 antagonists had higher rates of Candida albicans (a type of yeast) in their digestive tracts, particularly in the esophagus. This content does not have an English version. The back of my tongue is stained yellow, with a whitish coating as well only on the back. Does acid reflux cause dry tongue and bitterness? At MedicineNet, we believe it is important to take charge of your health through measures such as a living healthy lifestyle, practicing preventative medicine, following a nutrition plan, and getting regular exercise. With this disease, a type of white blood cell, called an eosinophil, builds up in the lining of the tube that connects your mouth to your stomach. Many companies make specific tools for tongue scraping, which are available for purchase online. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). However, a person can use the edge of a spoon just as easily. .st2 { Common tongue conditions in primary care. 2005-2023 Healthline Media a Red Ventures Company. .st1 { white tongue. However, this is an unlikely scenario. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. If you have GERD or reflux, your stomach acid may come up into your mouth. Changes in tongue color can reflect changes in health. If the white areas on the tongue are like cottage cheese and wipe off and under them is a reddish base, you could have candida oralis. This content does not have an Arabic version. Can acid reflux cause tongue to burn and bumps to form on the base? MedicineNet does not provide medical advice, diagnosis or treatment. Read More Alcohol, caffeinated drinks, and sodas may worsen symptoms . White areas of the tongue can be a sign of irritation to the tongue, from acid reflux or from other irriatants such as smoking. All rights reserved. I think you can get coated tongue due to sinus problems too. But spots on the tongue that are unusual in size or, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. For these, please consult a doctor (virtually or in person). It is mostly a bacterial buildup between the papillae on the tongue and can be easily scraped off. Loss of taste. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Yes, it is possible for frequent or severe acid reflux to cause sore patches, or lesions, in the mouth. Or they might apply a treatment (like podophyllin resin or retinoic acid) directly to your white patch. Policy. (2019). This can be e yes acid reflux can cause a white tongue but it as also accompanied by other symptoms like heartburn. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. This backwash (acid reflux) can irritate the lining of your esophagus. The use of inhaled corticosteroids for asthma can also cause oral thrush. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362743/, https://www.cdc.gov/fungal/diseases/candidiasis/thrush/index.html, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773983/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911365/, https://dermnetnz.org/topics/oral-lichen-planus, https://www.nhs.uk/conditions/leukoplakia/, https://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-14-4, https://pubmed.ncbi.nlm.nih.gov/28390121/, Cardiovascular health: Insomnia linked to greater risk of heart attack. Mayo Clinic, Rochester, Minn. Jan. 6, 2015. Persistent acid reflux, or gastroesophageal reflux disease (GERD), may also affect the tongue. The stomach lining can handle this low pH, but the esophagus and mouth cannot. Gabapentin (a medicine used for seizures and. If you take nonprescription medicines for heartburn more than twice a week, see your health care provider. A 2020 study drawing on TCM found that people with GERD had more fur on certain parts of the tongue, but this did not coat the whole tongue. Seeking treatment from your healthcare provider can resolve the issue faster. Also, both may be symptomatic of hormonal fluctuations during menopause. at newsletters@mayoclinic.com. Rarer but sometimes serious conditions can lead to white patches on the tongue. There are many causes of constipation including medications, poor bowel habits, low fiber diets, laxative abuse, and hormonal disorders, and diseases primarily of other parts of the body that also affect the colon. Advertising on our site helps support our mission. is this because of side effect from pills for acid reflux - omeprazol? Click here for an email preview. This benign condition causes a discolored gray, black, or white furry tongue. Zocdoc Answers is for general informational purposes only and is not a substitute for professional medical advice. A white light surrounded cbd gummy sharks 500mg her tightly, flashing continuously, mobilizing the internal energy in her body and starting to absorb it crazily. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. 2019; doi:10.1007/s00535-019-01604-7. Accessed April 13, 2022. Is exercise more effective than medication for depression and anxiety? The coating may cover the entire tongue, or it may appear in patches. Oral thrush is another condition that may cause the tongue to appear white. } People experience this pain as a burning sensation in their mouth. (2009). Oral and hygiene issues that can lead to a white tongue include: Basic oral hygiene is essential for everyone, but some conditions cause a white tongue even in people who take great care of their mouths. Burning mouth syndrome. additional white patches, film, or coating on the tongue or mucous membranes; a bad taste; sore throat; burning sensation; small, raised bumps on the tongue; acid reflux or indigestion; dry mouth . Since the cause of primary BMS is nerve damage, you cant spread it to someone else. The next step may be to meet with your doctor and discuss. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. enable-background: new; privacy practices. Dilution makes the the flavour less, and as a bonus, makes the the juice last longer. Journal of Gastrointestinal and Liver Diseases. Life pressure is high, three meals are irregular, and gastroesophageal reflux is a common gastrointestinal disease in modern people, especially acid vomit and heartburn are very uncomfortable; in this regard, nutritionist Lin Yuwei shared 7 tips to quickly . Last medically reviewed on November 15, 2021. You may also have pain around your tongue or gums. Mouth sores are a common complaint, and they can occur for a variety of reasons, including irritation, hormonal changes, and infection. Eosinophilic esophagitis (e-o-sin-o-FILL-ik uh-sof-uh-JIE-tis) is a chronic immune system disease.