Treatment Options For Reflux Esophagitis: What Medications Work Best?

Reflux esophagitis is a condition often caused by low esophageal sphincter tone, gastroesophageal reflux, poor gastrointestinal motility, or excessive gastric acid secretion. To effectively manage this condition, it's essential to address these underlying factors through targeted treatment strategies.

One of the most effective approaches involves increasing lower esophageal sphincter pressure and improving gastric emptying while reducing acid production. Proton pump inhibitors (PPIs) are commonly prescribed for their potent acid-suppressing effects. Examples include Omeprazole 20 mg, taken twice daily before meals, and Rabeprazole sodium enteric-coated tablets 10 mg once daily. Another option is Ilaprazole 5–10 mg, also taken once daily before eating.

In addition to acid suppression, enhancing esophageal motility plays a key role in managing symptoms. Motility-enhancing drugs like Itopride 50 mg can be taken three times a day before meals to help strengthen the lower esophageal sphincter and promote faster gastric emptying.

Lifestyle and dietary modifications are equally important. Patients should avoid known irritants such as alcohol, tobacco, spicy foods, strong tea, coffee, and fatty meats. Adopting healthy eating habits and maintaining a proper weight can significantly reduce the frequency and severity of reflux episodes. In combination with medication and lifestyle changes, these measures offer a comprehensive approach to managing reflux esophagitis effectively.