Is Long-Term Medication Necessary for Reflux Esophagitis?

Reflux esophagitis generally does not require long-term medication. Prolonged use of drugs can lead to side effects, including potential damage to liver and kidney function or other adverse reactions. Therefore, it's advisable to use medications only when necessary and under medical supervision.

When symptoms are noticeable, short-term use of proton pump inhibitors such as omeprazole, lansoprazole, or pantoprazole may help reduce stomach acid production. Additionally, prokinetic agents like mosapride or domperidone can assist in improving gastrointestinal motility and reducing reflux episodes.

Identifying the underlying cause is crucial. A gastroscopy exam is highly recommended to determine the exact cause of reflux. Once the cause is identified, targeted treatment can be more effective and potentially reduce the need for continuous medication.

Lifestyle and dietary changes play a key role in managing reflux esophagitis. Patients should adopt a light, easily digestible diet and eat smaller, more frequent meals throughout the day. Overeating should be avoided, and it's beneficial to take a gentle walk after meals to aid digestion and minimize acid reflux.

Maintaining a healthy weight and avoiding trigger foods can also help. Obesity increases abdominal pressure, which can worsen reflux symptoms. Avoiding spicy, fatty, or acidic foods, along with limiting alcohol and caffeine intake, may significantly improve comfort levels.

In conclusion, while medication can provide relief during flare-ups, a combination of proper diagnosis, lifestyle adjustments, and short-term drug therapy is often sufficient to manage reflux esophagitis effectively without the need for extended pharmacological treatment.