The severity of esophagitis and duodenitis depends on the cause and progression of the disease; timely treatment can effectively control symptoms. Esophagitis is an inflammation of the esophageal mucosa, while duodenitis is an inflammation of the duodenal bulb mucosa. Both can be caused by acid reflux, infection, drug irritation, or poor dietary habits. Treatment includes medication, dietary adjustments, and lifestyle modifications.
1. Drug therapy is the main method for controlling esophagitis and duodenitis. Proton pump inhibitors such as omeprazole and lansoprazole can reduce gastric acid secretion and relieve inflammation; H2 receptor antagonists such as ranitidine and famotidine can also inhibit gastric acid; mucosal protectants such as sucralfate and bismuth preparations can repair damaged mucosa. Antibiotics such as amoxicillin and clarithromycin are used for inflammation caused by Helicobacter pylori infection.
2. Dietary adjustments are crucial for relieving symptoms. Avoid spicy, greasy, overly acidic, or overly sweet foods to reduce irritation to the mucous membranes; choose easily digestible foods such as porridge, steamed fish, and boiled vegetables; eat smaller, more frequent meals and avoid overeating; avoid stimulating beverages such as coffee, strong tea, and alcohol.
3. Lifestyle improvements can help prevent recurrence. Maintain a healthy weight to avoid increased abdominal pressure that can lead to acid reflux; avoid lying down immediately after meals and remain upright for at least 30 minutes; quit smoking and limit alcohol consumption to reduce damage to the mucous membranes; avoid overwork and mental stress, and maintain a regular sleep schedule.
4. Regular check-ups and monitoring of the condition are necessary. Gastroscopy is used to assess mucosal repair and monitor whether Helicobacter pylori infection has been eradicated; treatment plans should be adjusted according to the doctor's advice, avoiding self-discontinuation of medication or changes in dosage; if severe symptoms such as difficulty swallowing, persistent abdominal pain, vomiting blood, or black stools occur, immediate medical attention is required.
If esophagitis and duodenitis are not treated promptly, they can lead to serious complications such as ulcers, bleeding, strictures, and even cancer. With proper treatment, a reasonable diet, and a healthy lifestyle, most patients can effectively control their condition and improve their quality of life. If symptoms persist or worsen, seek medical attention promptly to avoid delaying treatment.