Can Reflux Esophagitis Cause Nausea?

Reflux esophagitis can indeed lead to nausea, along with other common symptoms such as acid reflux, heartburn, and discomfort behind the breastbone. These reflux symptoms typically occur after a heavy meal and are more prevalent among individuals who are overweight or obese. The primary cause is the backflow of stomach contents into the esophagus, which irritates the esophageal lining, potentially leading to inflammation, erosion, or even ulcers.

In addition to typical reflux symptoms, patients often experience gastrointestinal issues like nausea, vomiting, bitter taste in the mouth, and bloating. These are usually associated with concurrent gastritis or stomach irritation caused by the same underlying mechanisms of gastroesophageal reflux disease (GERD).

When it comes to treatment, acid-suppressing medications such as H2 receptor antagonists and proton pump inhibitors (PPIs) are commonly prescribed to reduce gastric acidity and promote healing of the esophageal lining. For those experiencing nausea, adding a prokinetic agent like domperidone may help alleviate symptoms by improving gastric emptying and reducing reflux episodes.

Lifestyle modifications also play a crucial role in managing reflux esophagitis. Patients should avoid overeating, maintain a healthy weight, quit smoking and alcohol consumption, and refrain from eating close to bedtime. It's also advisable to avoid known trigger foods such as coffee, chocolate, spicy dishes, and fatty meals that can worsen symptoms.