What to do in case of esophagitis

  Patients with esophagitis should usually eat soft meals that are easy to digest, and eat more foods that contain vegetable protein and vitamins, such as tofu and carrots; soy milk and milk are highly nutritious and have a protective effect on the gastric mucosa, and should be listed as commonly used foods. Avoid all kinds of stimulating foods, such as strong wine, strong coffee, strong tea, mustard, raw garlic, etc. Also avoid too hard, too acidic, too spicy, too salty, too hot, too rough food, so as not to aggravate the symptoms of esophagitis.  How to treat esophagitis: 1, fungal esophagitis: for fungal esophagitis, the general antifungal agent treatment, but patients should not use antifungal agent indiscriminately, so it is easy to pay side effects produce danger. The doctor is actively trying to eliminate the causative factors in the treatment, is the reasonable application of antibiotics and corticosteroids.  2, reflux esophagitis: treatment of reflux esophagitis in general methods are diverse, which is mainly due to the cause of the disease in both the esophagus and the stomach, the principle is to reduce the reflux of gastric contents, reduce the irritation of reflux, improve the function of the lower esophageal sphincter.  (1) Reduce reflux: Since reflux is easy at night, when the patient is in horizontal position and low head and high foot position, the head of the bed should be raised so that there is an oblique slope from the head to the tail of the bed, so that even reflux can be eliminated more quickly. The patient should be instructed not to eat before bedtime, and the interval between dinner and sleep should be lengthened to more than 3 hours. After each meal, put the patient in an upright position or take a walk after the meal to promote food evacuation with the help of gravity. In addition, avoid stimulating food and strenuous exercise.  (2) Reduce the irritation of reflux: Reduce the irritation of reflux can take drugs such as: mecamyl chloride, ranitidine, which can inhibit and reduce gastric acid secretion. Also available Loxac 20mg once a night. Another available aluminum hydroxide gel 10ml, taken orally three times a day, can reduce the irritation of gastric acid.  (3) Improve the function of the lower esophageal sphincter: take gastrodia or morpholine 15-30 minutes before meal, which can increase the pressure of the lower esophageal sphincter, accelerate gastric emptying and reduce reflux. Cisapixar, a new gastrointestinal motility drug, is also available.  (4) General care: The prognosis of this disease is generally good. The nurse should help the patient to understand the disease and make the patient pay attention to diet and lifestyle habits in ordinary life. If there is still significant reflux after regular treatment, surgical treatment is considered.  3, septic esophagitis: generally cautious and reasonable use of antibiotic adjuvant therapy, and symptomatic treatment, some complications involving surrounding tissues and adjacent organs should be treated by internal medicine, and those who are ineffective also use repair or surgical removal.