Treatment Options for Reflux Esophagitis

Reflux esophagitis is a common complication of gastroesophageal reflux disease (GERD), and effective treatment options include medical therapy, lifestyle modifications, and in severe cases, surgical intervention. The approach to treatment depends on the severity of symptoms and the patient's overall health condition.

1. Lifestyle and Dietary Modifications

For mild cases, making adjustments to diet and daily habits can significantly reduce symptoms. It is recommended to avoid high-fat foods, overeating, and limit consumption of caffeine and chocolate. Overweight children may benefit from weight loss, as excess body weight can exacerbate acid reflux and worsen esophageal inflammation.

2. Medical Therapy

When lifestyle changes are not enough, medications are often prescribed to manage reflux esophagitis. Proton pump inhibitors (PPIs) such as omeprazole are commonly used in children and are highly effective in reducing stomach acid production and relieving symptoms. For less severe cases, H2 receptor antagonists like ranitidine may also be used. These medications help control acid secretion and promote healing of the esophagus.

3. Surgical Intervention

In rare and severe cases where medication and lifestyle adjustments fail to provide relief, surgery may be considered. Procedures such as fundoplication or gastrostomy can help prevent acid from flowing back into the esophagus. Surgery is typically reserved for patients with significant feeding difficulties or those who experience poor nutritional outcomes due to chronic reflux.