Reflux Esophagitis: Common Symptoms and Effective Treatment Options

Heartburn, acid regurgitation, and chest pain are the three primary symptoms of reflux esophagitis. These symptoms often present as a burning sensation or discomfort behind the breastbone, abdominal pain, and the backflow of acidic stomach contents, food particles, or gas into the mouth. Lying flat or bending forward tends to worsen these symptoms, while taking antacids or standing upright can provide relief.

In addition to these classic signs, patients may also experience atypical gastrointestinal symptoms such as nausea, upper abdominal discomfort, and belching. Some individuals may develop difficulty swallowing, which in early stages is typically caused by esophageal spasms, and in later stages may result from fibrotic narrowing of the esophagus due to chronic inflammation.

Symptoms affecting the throat and voice box may also occur. These include a persistent sensation of something stuck in the throat, intermittent hoarseness, long-lasting sore throat, and trouble swallowing. Inflammation may affect the vocal cords and surrounding areas, contributing to these uncomfortable manifestations.

When it comes to treatment, patients should follow medical advice and consider proton pump inhibitors (PPIs), such as those in the "prazole" family, which are commonly prescribed for their strong acid-suppressing effects. It's recommended to choose medications that offer a low daily dose, minimal side effects, high safety profile, and prolonged acid suppression.

For example, newer PPIs like Ilaprazole enteric-coated tablets have an acid-suppressing duration of approximately 23 hours. This extended action allows the medication to remain effective even during sleep, significantly reducing nighttime acid reflux episodes and helping patients avoid waking up choking on stomach acid. This makes it especially beneficial for managing symptoms of reflux esophagitis and improving overall quality of life.