How To Treat Grade A Reflux Esophagitis

Reflux esophagitis is a condition in which stomach or duodenal contents flow back into the esophagus, causing inflammation. When diagnosed as Grade A according to the Los Angeles classification system, it means that there is mild mucosal damage limited to one area of the esophagus with a break in the lining less than 5 mm in length. Fortunately, this early stage can often be managed effectively through lifestyle changes and medical treatment.

Adopting Healthy Lifestyle Habits
One of the most important steps in managing Grade A reflux esophagitis is making consistent lifestyle adjustments. Avoiding tobacco and alcohol is essential, as both can weaken the lower esophageal sphincter and contribute to acid reflux. It's also recommended to limit consumption of coffee, chocolate, and high-fat foods, which are known to trigger symptoms. Eating large meals right before bedtime should be avoided—instead, try to finish eating at least three hours before lying down. Additionally, elevating the head of your bed by about 15–20 cm can help prevent nighttime acid reflux. For individuals who are overweight, losing weight through regular physical activity and a balanced diet can significantly reduce pressure on the stomach and decrease reflux episodes.

Medications That Help Control Symptoms
In many cases, doctors may prescribe medications to reduce stomach acid and improve digestion. Proton pump inhibitors (PPIs) such as omeprazole or lansoprazole are commonly used to suppress acid production and allow the esophageal lining to heal. H2 receptor antagonists like ranitidine can also be effective for milder symptoms. Alongside acid-reducing drugs, prokinetic agents such as domperidone or mosapride may be used to speed up gastric emptying and reduce the likelihood of reflux. In some instances, gastroprotective agents like aluminum magnesium carbonate can provide additional relief by neutralizing stomach acid and protecting the sensitive esophageal tissue.

Understanding the underlying causes and progression of reflux esophagitis is key to long-term management. While Grade A is the mildest form, it still requires attention to prevent further complications such as worsening inflammation or Barrett's esophagus. With the right combination of behavioral modifications and medication, most patients experience significant improvement within a few weeks. Always consult with a healthcare professional to create a personalized treatment plan that fits your specific needs.