Treatment Options for Reflux Esophagitis with Proliferation

Reflux esophagitis is a common and frequently occurring condition in gastroenterology that can lead to various extra-esophageal symptoms. Many patients experience chronic cough, asthma-like symptoms, sore throat, or even chest pain, often seeking help from pulmonology or ENT departments without receiving effective relief. The root cause, however, lies in gastroesophageal reflux disease (GERD) or reflux esophagitis.

Chronic acid reflux, bile regurgitation, or other digestive fluids flowing back into the esophagus can cause long-term mucosal damage. Over time, this persistent irritation weakens the protective barrier of the esophageal lining, potentially leading to tissue proliferation, ulcers, or even an increased risk of malignancy. These changes can result in symptoms such as difficulty swallowing, retrosternal pain, heartburn, acid regurgitation, and belching.

Effective treatment typically includes acid suppression, mucosal protection, and prokinetic therapy. Proton pump inhibitors (PPIs) are often prescribed to reduce gastric acid production, while mucosal protectants help shield the esophageal lining from further damage. In addition, prokinetic agents can improve gastrointestinal motility, helping to prevent further reflux episodes.

Alternative approaches, such as traditional Chinese medicine (TCM), may also provide symptom relief by regulating gastric function and reducing reflux. TCM practitioners often use herbal formulas aimed at harmonizing the stomach and descending qi, which can alleviate local discomfort and support overall digestive health.

In conclusion, a comprehensive treatment plan that combines modern medicine with lifestyle modifications is essential for managing reflux esophagitis with proliferation. Early diagnosis and consistent therapy can significantly reduce complications and improve quality of life. Patients experiencing persistent symptoms should consult a gastroenterologist for proper evaluation and individualized care.