Reflux Esophagitis: What You Should Know About Diet and Management

Patients with reflux esophagitis are generally advised to avoid drinking tea, as it can potentially worsen their condition. In individuals suffering from this condition, the refluxed material from the stomach may be either acidic or alkaline in nature, both of which can irritate and damage the lining of the esophagus. Regardless of whether it's black, white, or green tea, consuming these beverages increases gastric volume, making regurgitation more likely—especially when lying down or experiencing belching.

Avoiding liquid intake after meals is highly recommended for people with reflux esophagitis. Experts encourage patients to follow a more solid-based diet, particularly during dinner. Consuming liquids late in the day can contribute to nighttime acid reflux episodes, which are common and uncomfortable for many sufferers.

For those who experience severe symptoms, especially at night, elevating the head of the bed can help reduce nocturnal acid reflux. This simple lifestyle adjustment helps prevent stomach contents from rising into the esophagus while sleeping. Alongside this, medical treatment such as proton pump inhibitors or H2 blockers should be considered under the guidance of a healthcare professional to effectively manage acid production.

In cases involving bile (alkaline) reflux, medications that bind bile acids and promote healthy bile flow may be necessary. These treatments often include prescription drugs or over-the-counter remedies designed to regulate gastrointestinal motility. Both traditional herbal medicines like Shugan Granules and Weisu Granules, as well as Western medications such as domperidone and trimebutine maleate, have shown effectiveness in managing symptoms by improving digestive tract function.

Managing reflux esophagitis requires a comprehensive approach including dietary modifications, lifestyle changes, and appropriate medication use tailored to each individual's specific type of reflux.