Esophagitis, an inflammation of the esophagus due to exposure of the esophageal lining to upward or downward irritating chemicals (alkali or acids) causes extreme pain and malnutrition. This is a reversible condition if early diagnosis and proper treatment are employed.
Among the conservative managements of esophagitis is lifestyle changes which mainly consists of exercise, diet, and routines after eating. On the other hand, aggressive managements include drug therapy and surgery. Drug therapy may or may not be in conjunction with the conservative managements. Commonly used drugs for esophagitis are those that directly act on the production of hydrochloric acid (HCl) and those that neutralizes its acidity and damaging effects. Antacids, H2 receptor antagonists, proton pump inhibitors, and prokinetic agents are examples of the said medications. In cases wherein esophagitis don’t respond to conservative managements and drug therapy, surgery is more likely to be ordered. This may include esophagogastrostomy, vagotomy-pyloroplasty, or fundoplication. In some cases, surgeons do dilatation of the esophagus first instead of going for direct surgery. This is to take another mean avoiding the taxing effects of surgery to both the client and the physician.