What is the treatment for reflux esophagitis?

Written by Si Li Li
Gastroenterology
Updated on April 14, 2025
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The main symptoms of reflux esophagitis include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. By conducting an endoscopy, the diagnosis of reflux esophagitis can be confirmed if the mucous membrane of the esophagus shows signs of hyperemia, edema, erosion, and ulcers. Treatment mainly involves acid suppression and gastric protection, promoting motility, and mucosal repair, which generally takes six to eight weeks. Dietary adjustments are also important, focusing on a bland and easily digestible diet. It is recommended to avoid spicy, stimulating, fried, grilled, and baked foods, as well as reducing sweet foods. Consumables such as porridge, soup, or noodles, which are easier to digest, are advised.

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Written by Wu Hai Wu
Gastroenterology
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Which severity level of reflux esophagitis is "abcd"?

Reflux esophagitis is divided into four grades: ABCD, with grade A being the least severe and grade D being the most severe. Grade D indicates that the esophageal mucosa shows damage and fusion, involving at least 75% of the esophageal circumference. The symptoms of reflux esophagitis mainly include reflux and a burning sensation in the stomach, and some patients may also experience heartburn, nausea, vomiting, and other symptoms. Reflux esophagitis can occur during nighttime sleep in some patients and is caused by the chemical irritation of sensory nerve endings beneath the esophageal epithelium due to acidic or alkaline reflux material.

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Written by Huang Gang
Gastroenterology
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Can people with reflux esophagitis drink alcohol occasionally?

People with reflux esophagitis should not drink alcohol, as it can irritate the stomach lining and exacerbate the symptoms of esophagitis, leading to frequent recurrences of the condition. If you have reflux esophagitis, you should primarily eat a bland diet, and avoid spicy and stimulating foods. It is also important to avoid alcohol, strong tea, coffee, and foods that are overly sweet, sour, spicy, too cold, or too hot. Normally, it is advisable to consume foods that are easy to digest and absorb and are generally light. Therefore, regular treatment is also crucial for those suffering from reflux esophagitis.

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Written by Si Li Li
Gastroenterology
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Does reflux esophagitis cause mucus in stool?

The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.

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Written by Wu Hai Wu
Gastroenterology
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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.

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Written by Wang Hui Jie
Gastroenterology
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Symptoms of gastroesophageal reflux disease

The symptoms of gastroesophageal reflux esophagitis are quite typical and include a range of symptoms. The most typical symptom is heartburn, primarily referring to a burning discomfort or pain felt behind the sternum or beneath the xiphoid process, usually occurring about an hour after eating, often accompanied by nausea. Another common symptom is acid regurgitation, which tends to occur more frequently on an empty stomach. Additional symptoms include chest pain, mainly due to the irritation of the esophageal mucosa by refluxed digestive juices, causing esophageal spasm and resultant pain. Difficulty swallowing is also a common symptom, initially mainly due to stress-induced spasms leading to swallowing difficulties. In later stages, it is often due to the proliferation of fibrous tissue forming scars that cause esophageal narrowing, resulting in swallowing difficulties. Other common symptoms include bloating, pharyngitis, cough, asthma, and more.