John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
If esophagitis is caused by an infection, it is treated with medications to
eliminate the infection.
If esophagitis is caused by acid reflux it is treated
with medications to reduce or block acid production, for example, heartburn
If esophagitis is due to a medical procedure the patient may need to be
on acid-blocking medications for a long time.
If the cause of esophagitis is due
to taking medications, the patient may need to change those medications. Always
consult a doctor before stopping or changing medication.
If esophagitis is diagnosed early enough, medications and dietary or
lifestyle changes are often enough to allow the body to heal. If the damage is
severe or leads to scar tissue causing difficulty swallowing, more invasive
treatments may be necessary.
Endoscopy can be used to remove any lodged pill fragments, food or foreign
bodies stuck in the esophagus. Stretching (dilatation) of the esophagus can also
be done as part of the endoscopy procedure.
Surgery may be necessary to remove
any damaged portions of the esophagus. In the case of Barrett's esophagus, where
the risk of cancer is increased, surgery might be the treatment of choice.
Eosinophilic esophagitis is treated with gentle stretching of the esophagus
(dilatation) and medications to decrease white blood cells (eosinophils) in the
lining of the esophagus.
Achalasia may be treated with stretching of the
esophagus (dilatation) when oral medications fail to improve symptoms.
Lifestyle changes that may alleviate symptoms of GERD and esophagitis
Remain upright while eating and for a time (about 2-3 hours)
Take small bites and chew food slowly
Avoid eating within 3 hours of
bedtime or laying down
Raise the head of teh bed by 4 to 6 inches (put blocks
or a foam wedge under the head of the bed; don't use pillows as this can put
pressure on the abdomen)