Common Treatments for Reflux Esophagitis

Reflux esophagitis is primarily managed through medical therapy, with proton pump inhibitors (PPIs) being the most commonly used. These include medications such as rabeprazole, lansoprazole, pantoprazole, and esomeprazole. These drugs work by reducing the production of stomach acid, thereby lowering the acidity in the stomach. Even if acid reflux occurs, the reduced acidity minimizes irritation and helps alleviate symptoms such as heartburn and discomfort.

In more severe cases, or when medication does not provide sufficient relief, surgical intervention may be considered. A common procedure is laparoscopic anti-reflux surgery, which involves repairing a hiatal hernia and reinforcing the lower esophageal sphincter. This is done by wrapping the upper part of the stomach around the lower esophagus to create a stronger barrier against acid reflux. Think of it as placing a "collar" around the junction of the stomach and esophagus to prevent stomach contents from flowing back.

It's important to understand that while acid-reducing medications can provide symptom relief, they do not address the underlying cause of reflux. In contrast, surgery aims to restore the body's natural barrier against acid reflux, offering a more long-term solution. This is why medical treatment is often seen as managing symptoms, while surgical treatment targets the root issue.

Although PPIs are widely available over the counter, it is crucial for patients to consult with a qualified physician before starting any long-term treatment. A healthcare professional can help determine the most appropriate therapy based on the individual's condition and overall health. Proper diagnosis and guidance are key to effectively managing reflux esophagitis and preventing complications.