Patients with grade B reflux esophagitis can be intervened through lifestyle changes, medication, and anti-reflux surgery.
1. Lifestyle changes: it is not advisable to lie down in bed immediately after eating, and it is not advisable to eat within 2 hours before going to bed, and the head of the bed can be raised 15~20cm when sleeping. avoid eating foods that lower the pressure of the lower esophageal sphincter, such as strong tea, coffee, and chocolate. Avoid eating foods that lower the pressure of the lower esophageal sphincter, such as strong tea, coffee, chocolate, etc. Be cautious of drugs that lower the pressure of the lower esophageal sphincter and drugs that cause delayed gastric emptying, such as nitroglycerin and nifedipine.
2. Drug treatment: Including acid suppressants, gastrointestinal stimulants, antacids and so on.
(1) Acid-suppressing drugs: the damage factors of reflux esophagitis are pepsin and gastric acid, so inhibiting gastric acid is the basic treatment, and the measures mainly include proton pump inhibitors, such as omeprazole, and histamine H2-receptor antagonists, such as ranitidine.
(2) Gastrointestinal stimulants, such as itopride hydrochloride and mosapride, can enhance esophageal peristalsis and promote gastric emptying.
(3) Antacids: such as sodium bicarbonate, aluminum hydroxide and so on.
3. Anti-reflux surgery: Surgery can be considered for patients with ineffective drug treatment or in need of long-term maintenance treatment.
The above drugs should be used under the guidance of professional physicians. Patients with reflux esophagitis should be treated under the guidance of professional doctors, and should not blindly use drugs on their own.