Best treatment for esophagitis

Aug 21, 2024 Source: Cainiu Health
Disease description:

Experiencing acid reflux when eating, with heartburn and a burning sensation. I've undergone gastroscopy several times, and was diagnosed with reflux esophagitis. I have also been taking traditional Chinese medicine for regulation, but the effect has been minimal. Doctor, what exactly is the best treatment for esophagitis?

Doctor's answer (1)
Dr. Shen Yonghua

Common treatments for esophagitis:

1. Lifestyle modifications: This forms the basis of treatment. Avoid overeating, eating dinner too late, consuming food immediately before lying down, and ingesting high-fat, spicy foods or alcohol, as these measures can help reduce the occurrence of acid reflux. In addition, quitting smoking is also very important, as tobacco weakens the function of the esophageal sphincter and increases the risk of acid reflux.

2. Medication: Commonly used medications include proton pump inhibitors and H2 receptor antagonists, which can reduce gastric acid secretion and thereby alleviate irritation and inflammation of the esophageal mucosa. For infectious esophagitis caused by specific pathogens, antibiotics or antifungal medications may be required.

3. Surgical treatment: In a few cases, if medical treatment proves ineffective or if there are severe complications such as esophageal stricture or Barrett's esophagus, surgical intervention, such as anti-reflux surgery, may need to be considered.

Patients should choose an appropriate treatment method under a doctor's guidance and actively cooperate with the treatment plan.