Reflux esophagitis can be relieved through medication and lifestyle modifications because the reflux of stomach acid irritates the esophageal mucosa. Reflux esophagitis is an inflammation caused by the backflow of stomach contents into the esophagus, primarily due to factors such as lower esophageal sphincter dysfunction and excessive stomach acid secretion. Treatment methods include medication, dietary adjustments, and surgery.
1. Drug therapy is the main treatment for reflux esophagitis. Proton pump inhibitors such as omeprazole, lansoprazole, and pantoprazole can inhibit gastric acid secretion and relieve symptoms. H2 receptor antagonists such as ranitidine and famotidine can also reduce gastric acid secretion. Prokinetic drugs such as domperidone and mosapride can enhance the function of the lower esophageal sphincter and reduce reflux.
2. Dietary adjustments are crucial for relieving acid reflux. Avoid high-fat, spicy, and acidic foods such as fried foods, chili peppers, and citrus fruits to reduce stomach acid secretion. Increase high-fiber foods such as oats, whole-wheat bread, and vegetables to promote digestion. Eat smaller, more frequent meals and avoid overeating to reduce stomach stress.
3. Lifestyle changes can help control reflux esophagitis. Avoid lying down immediately after meals; keep your head elevated 15-20 cm to reduce nighttime reflux. Quit smoking and limit alcohol consumption, as nicotine and alcohol relax the lower esophageal sphincter, increasing the risk of reflux. Control your weight, as obesity increases abdominal pressure and worsens reflux.
4. Surgical treatment is suitable for patients who do not respond to drug therapy or whose condition is severe. Laparoscopic fundoplication reduces reflux by strengthening the lower esophageal sphincter. Endoscopic radiofrequency ablation enhances the function of the lower esophageal sphincter by thermally damaging it. Esophageal dilatation is used to relieve esophageal stricture and improve dysphagia.
Treatment for reflux esophagitis requires a combination of medication, dietary and lifestyle adjustments, and surgical intervention may be considered when necessary. Through comprehensive treatment, patients can effectively relieve symptoms and improve their quality of life.