Treating Reflux Esophagitis

Cells within the stomach secrete hydrochloric acid, which help to break down food and activate digestive enzymes. Normally, a band of tissue called the lower esophageal sphincter closes off the upper portion of the stomach and prevents the acid from refluxing into the esophagus. However, if this sphincter fails, acid can burn the lining of the esophagus, resulting in a condition known as reflux esophagitis. If untreated, reflux esophagitis can result in internal bleeding, scarring of the esophagus and an increased risk of developing esophageal cancer. There are a number of different approaches for treating reflux esophagitis.

Step 1

Change your diet. Reflux esophagitis is caused by gastroesophageal reflux disease, also known as GERD. If the acid reflux is treated, the esophagus will be able to heal on its own and no further damage will be done. There are a number of substances which can trigger GERD, Medline Plus explains. These include alcohol, chocolate, peppermint, caffeine, tomatoes, citrus fruits, spicy foods, spearmint, carbonated beverages, dairy products and fatty foods. GERD and reflux esophagitis can often be managed by avoiding these foods. The consumption of smaller meals can also help prevent pressure being put on the lower esophageal sphincter, which can lead to acid refluxing into the esophagus.

Step 2

Make lifestyle changes. Acid can reflux from being in a reclining or bent over position shortly after eating, as this causes the contents of the stomach to press up against the lower esophageal sphincter, which can allow the acidic contents of the stomach to escape. Tight clothing can also apply pressure to the sphincter. Excess weight can also promote reflux esophagitis; patients who are overweight and suffering from GERD may be able to relieve their symptoms by beginning an exercise program and reducing their caloric intake.

Step 3

Take antacids. Antacids, Health Scout explains, are medications that neutralize the acid in the stomach. These drugs can be purchased over the counter and are good for treating sporadic flareups of reflux gastritis. Although generally safe, antacids can interfere with the absorption of some medications, so patients should consult with their doctors before taking antacids.

Step 4

Take acid-blocking medications. Some medications known as proton pump inhibitors, work by blocking the cellular mechanism that produces stomach acid, the Mayo Clinic explains. Examples of this type of medication include omeprazole and lansoprazole. Other medications, known as H-2 receptor blockers, inhibit the chemical signals that stimulate acid production. These medications will not provide immediate relief but, if taken daily, will reduce acid production, which will allow the damaged esophageal lining to heal.

Things You'll Need

  • Antacids
  • Proton pump inhibitors
  • H-2 receptor blockers

References

Article reviewed by AKanjuka Last updated on: Sep 2, 2010

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