Chronic Reflux Esophagitis Symptoms and Management

Chronic reflux esophagitis occurs when stomach or duodenal contents, particularly gastric acid, flow back into the esophagus, causing inflammation. The most common symptoms include heartburn behind the breastbone and a sour taste in the mouth or throat. If left untreated over time, patients may experience chest pain, difficulty swallowing, and persistent discomfort after eating.

One of the primary indicators of this condition is frequent acid reflux, medically referred to as gastroesophageal reflux disease (GERD). While not a malignant condition, uncontrolled acid regurgitation can significantly impair daily life and overall well-being.

To manage chronic reflux esophagitis, doctors often prescribe acid-suppressing medications such as proton pump inhibitors (PPIs). Common examples include omeprazole, lansoprazole, rabeprazole, and esomeprazole. These drugs are effective at reducing stomach acid production and allowing the esophagus to heal. In addition, prokinetic agents like mosapride and itopride may be used to enhance gastrointestinal motility and reduce reflux episodes.

Beyond medication, lifestyle modifications play a crucial role in symptom control. Reducing stress levels, avoiding overeating, and chewing food thoroughly are highly recommended. Patients should also avoid smoking, alcohol consumption, and spicy or acidic foods that can trigger reflux. Maintaining a healthy weight and elevating the head while sleeping can further aid in preventing nighttime acid reflux.

In conclusion, while chronic reflux esophagitis requires long-term management, a combination of medical treatment and lifestyle changes can greatly improve quality of life and reduce the frequency of flare-ups.