What are the treatments for esophageal erosion?

For esophageal erosion, of course, you should pay attention to understanding scientific and effective treatment methods. If you want to reduce reflux, you should be careful not to eat before going to bed. If you want to effectively reduce the stimulation of reflux, you can also use some drugs, such as ranitidine to reduce gastric acid secretion.

(1) Reduce reflux: Since reflux is more likely to occur at night when the patient is in a horizontal position with the head low and the feet high, the head of the bed should be raised so that there is an inclined slope from the head to the foot of the bed. This way, even if reflux occurs, it can be eliminated quickly. Advise the patient not to eat before bedtime, and the interval between dinner and bedtime should be extended to more than 3 hours. Have the patient sit in an upright position or take a walk after each meal to allow gravity to help promote food emptying. In addition, avoid eating irritating foods and avoid strenuous exercise.

(2) Reduce the irritation of reflux: To reduce the irritation of reflux, you can take drugs such as cimetidine and ranitidine, which can inhibit and reduce gastric acid secretion. You can also use Losec 20 mg once a night. You can also take 10 ml of aluminum hydroxide gel orally 3 times a day to reduce the irritation of gastric acid.

(3) Improve the function of the lower esophageal sphincter: Taking metoclopramide or metoclopramide 15 to 30 minutes before meals can increase the pressure of the lower esophageal sphincter, accelerate gastric emptying, and reduce reflux. Cisapride (Cespside), a new gastrointestinal motility drug, can also be used.

(4) Eating more light foods can reduce the chance of reflux, while foods that are significantly irritating to the gastric mucosa may increase the secretion of gastric juice, causing a significant increase in the main reflux products such as gastric acid in the stomach. Therefore, you should avoid eating irritating foods, or eat less foods that delay gastric emptying, and eat more light, soft and easily digestible foods.

(5) It is best not to eat before going to bed. The interval between dinner and going to bed should be extended to more than 3 hours. After a meal, you should sit in an upright position or take a walk, but avoid strenuous exercise. Reflux usually occurs more often at night, so the head of the bed should be raised so that there is an inclined slope from the head to the foot of the bed, so that even if reflux occurs, it can be eliminated quickly.

(6) General care: The prognosis of this disease is generally good. Nurses should help patients understand the disease and make them pay attention to their diet and living habits in their daily lives. To reduce recurrence and alleviate symptoms.

During the diagnosis of this disease, some laboratory tests are sometimes needed. These tests have strict requirements, such as esophageal pH measurement, discontinuation of all medications 48 hours before the test, and eating a test meal on the same day. In addition to understanding the purpose, methods, and precautions of all examinations, nurses should also make patients understand the significance and requirements of the examinations in order to gain their cooperation.