How to treat reflux esophagitis?

Written by Si Li Li
Gastroenterology
Updated on April 17, 2025
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Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.

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Written by Wu Hai Wu
Gastroenterology
49sec home-news-image

How to deal with reflux esophagitis causing palpitations and a feeling of panic?

Patients with reflux esophagitis, if experiencing palpitations or a feeling of heart flutter, are advised to complete an electrocardiogram to rule out the possibility of heart disease. If heart disease causing these symptoms has been ruled out, then one may visit the hospital and consider taking oral proton pump inhibitors to suppress stomach acid secretion, reducing the erosive impact of acid reflux on the esophagus. Additionally, one can take protective agents for the stomach and esophageal mucosa, such as magnesium trisilicate, etc. The specific choice of medication and dosage should be used under the guidance of a doctor. Patients with reflux esophagitis should avoid alcohol, strong tea, coffee, etc.

doctor image
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Written by Si Li Li
Gastroenterology
1min 2sec home-news-image

How to treat reflux esophagitis?

Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.

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Written by Si Li Li
Gastroenterology
1min 12sec home-news-image

Is reflux esophagitis serious?

Reflux esophagitis can be observed during an endoscopy as changes in the esophageal mucosa, including hyperemia, edema, erosion, and ulcers. The severity is graded based on the size of the erosion and ulcers, with smaller areas indicating milder conditions and larger areas indicating more severe conditions. An endoscopy can definitively diagnose reflux esophagitis, whose main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. The treatment primarily involves acid suppression, protection of the stomach lining, and promoting gastric motility, with a treatment duration of about six to eight weeks. Dietary considerations include avoiding smoking and drinking alcohol, not consuming strong tea or coffee, and avoiding spicy, stimulating, fried, and barbecued foods that are difficult to digest.

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Written by Zhu Dan Hua
Gastroenterology
1min 16sec home-news-image

Chronic gastritis and reflux esophagitis symptoms

Chronic gastritis and gastroesophageal reflux disease (GERD) manifest clinically with typical symptoms including abdominal pain, bloating, nausea, heartburn, and acid reflux, generally starting with gastrointestinal symptoms and often with a prolonged history. In cases presenting with abdominal pain, this generally occurs in the upper abdomen and can be characterized as dull, distending, or burning pain. These symptoms are usually related to diet, and some patients may feel better after eating. There is generally no associated nighttime pain, fever, or jaundice. GERD typically presents with heartburn and acid reflux, which are commonly seen in clinical settings. The symptoms are usually more noticeable after eating, especially after a full meal, and do not usually occur at night. The pain, generally a burning sensation, occurs in the precordial and esophageal areas and can be episodic, spontaneously resolving. There may occasionally be nausea, and even a tendency to vomit. Diagnosis of GERD primarily relies on gastroscopic examination.

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Written by Wu Hai Wu
Gastroenterology
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Is reflux esophagitis serious in lab results?

Reflux esophagitis of grade LA B is not very severe, indicating one or more esophageal mucosal injuries, approximately five millimeters in length, but without confluence lesions. Patients with reflux esophagitis should take medication regularly, must undergo periodic gastroscopy, and the selection of specific medications and their dosage should be under the guidance of a doctor. Commonly, proton pump inhibitors can be used to suppress gastric acid secretion, and medications like aluminum hydroxide magnesium carbonate can be used to protect the gastric and esophageal mucosa. Additionally, drugs like mosapride and itopride can be used to promote esophageal motility, as well as gastric motility.