Treatment of Reflux Esophagitis

Reflux esophagitis occurs when stomach acid frequently flows back into the esophagus, causing irritation, erosion, and even ulcers in the esophageal lining. Effective treatment typically involves a combination of medication and lifestyle modifications.

Medications to Reduce Stomach Acid

One of the most common and effective treatments is the use of acid-suppressing medications. These include H2 receptor antagonists such as cimetidine and famotidine, and more commonly, proton pump inhibitors (PPIs) like omeprazole, esomeprazole, and rabeprazole. PPIs are preferred due to their stronger and longer-lasting effects on reducing gastric acid production. A typical course of PPI therapy lasts eight weeks, during which time the healing rate for esophageal erosions and ulcers exceeds 95% in most cases.

Dietary Adjustments for Symptom Relief

Certain foods can trigger or worsen acid reflux symptoms. For example, sugary foods tend to stimulate excess gastric acid secretion and should be consumed in moderation. Additionally, foods like sweet potatoes and leeks may cause heartburn in many individuals and should be avoided if they provoke symptoms. Maintaining a balanced diet and identifying personal food triggers is essential for long-term management.

Lifestyle Changes to Prevent Acid Reflux

Post-meal habits also play a crucial role in managing reflux esophagitis. It's advisable not to lie down immediately after eating, as this position encourages acid to flow back into the esophagus. Instead, staying upright for at least two to three hours after meals can significantly reduce the likelihood of acid reflux episodes. These simple adjustments can make a significant difference in preventing symptom flare-ups.