How is esophagitis treated?

Written by Zhai Guo Dong
Gastroenterology
Updated on September 06, 2024
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Esophagitis is clinically common due to acid reflux and various physical and chemical irritants that cause inflammation. Therefore, we often recommend treatments that suppress stomach acid and protect the gastric mucosa. Additionally, if there are physical and chemical irritants, patients should avoid using or accidentally consuming certain medications, foods, or other chemicals that could cause esophagitis.

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Can esophagitis be cured?

Common causes of esophagitis include reflux of stomach acid and inflammation caused by excess stomach acid. Esophagitis can be healed through dietary control and medical treatment. However, it is prone to recurrence, for example, with increased stomach acid, worsening of chronic gastritis or acid reflux, and lack of attention to diet, among other factors. Therefore, we advise patients to avoid irritating foods and appropriately consume medications that protect the mucosa and suppress stomach acid.

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Can esophagitis be treated with surgery?

Esophagitis is relatively common in clinical settings, and the treatment plan generally involves medical therapy rather than surgery as the first choice. However, if complications such as obstruction, bleeding, or even cancer occur, surgical treatment is usually undertaken. For medication selection, one can choose drugs that protect the mucous membrane, reduce acid, and improve gastrointestinal motility. It is important to pay attention to diet and post-meal posture in daily life, avoid binge eating, eat smaller and more frequent meals, and avoid intake of high-sugar, high-fat foods, opting instead for a light, easily digestible diet. Post-meal posture involves not lying down immediately after eating, especially for a nap, and it is recommended that patients sit for half an hour before lying down to rest to prevent reflux. Most patients can control the symptoms of esophagitis with active medical treatment and dietary adjustments, and do not need surgical treatment. (Please use medications under the guidance of a professional physician.)

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Written by Ren Zheng Xin
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What should you avoid eating if you have esophagitis?

There are many foods that should be avoided with esophagitis, as any food that irritates the esophagus and worsens the condition should be avoided. First are dry, hard, cold, overly hot, or gas-producing foods, such as nuts, walnuts, as well as milk, soy milk, bread, and other foods that produce a lot of gas. Also, avoid smoking, alcohol, strong tea, coffee, and other irritating foods. Focus on consuming nutritious and easily digestible foods, maintain a regular eating schedule, and pay attention to food hygiene, ensuring meals are timely and in proper amounts.

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Does esophagitis cause constipation?

Esophagitis generally does not cause constipation. However, if a person has esophagitis and their gastrointestinal motility is reduced, constipation may occur. The main symptoms of esophagitis include feeling like there is a foreign object when swallowing, pain when swallowing, and pain behind the sternum. The diet for esophagitis generally consists of semi-liquid or liquid food. It is advisable to eat more vegetables and soft, easily digestible foods, and to avoid raw, cold, and strongly irritant foods. Additionally, it is important to hydrate regularly and choose antibiotics appropriately for treatment. (Specific medications should be used under the guidance of a physician.)

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What is good to eat for esophagitis?

For esophagitis, first pay attention to dietary hygiene. Meals should be regular, and consume soft, easily digestible foods, such as noodles, rice soup, and vegetable soup. Avoid dry, hard, cold, overly hot, and gas-producing foods, such as bean products, milk, and nuts. Also, eat fresh vegetables and adequately supplement plant-based fiber, reduce the intake of high-fat foods, and avoid smoking, alcohol, strong tea, coffee, and other irritant foods. Make sure to eat on a schedule, in small, frequent meals.