Treatment might include changing your diet or taking medicine to relieve your symptoms. It might also include changing a medicine that is causing your symptoms. If you have reflux, medicine that reduces the stomach acid helps your body heal. It might take 1 to 3 weeks to heal.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
Call your doctor or nurse call line now or seek immediate medical care if:. Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:.
Enter N in the search box to learn more about "Esophagitis: Care Instructions". Adapted with permission from copyrighted materials from Healthwise, Incorporated Healthwise. This information does not replace the advice of a doctor. Healthwise disclaims any warranty and is not responsible or liable for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more about Healthwise, visit Healthwise. Sit upright when eating. Remain in a sitting position for at least minutes after eating. Try to avoid eating for 3 hours before bedtime. Eat small, frequent meals and snacks. The diet plan. Breads and Grains. Esophageal Soft Diet Foods. All except those on opposite list.
Carbonated and iced drinks. Very hot or very cold liquids and foods may not be tolerated. Milk And Milk Products. Do not add raw eggs to milkshakes or drinks for food safety reasons. Meat and Meat Substitutes, Eggs, Beans. Moisten ground meats or poultry with gravy, broth or sauces.
Breads and Starches. Buy or prepare products without seeds, dried fruits, or nuts. Raw, coarse or abrasive fresh fruits.
Dried fruit. Blend fruit in milkshakes or yogurt. Desserts and Snacks. Puddings, soft cookies. Popcorn, chips, tacos, desserts with nuts, seeds or coconut. Medical therapy of reflux esophagitis. Gastroenterology ; Koelz HR. Treatment of reflux esophagitis with H 2 blockers, antacids and prokinetic drugs. An analysis of randomized clinical trials. Scand J Gastroenterol ;24 suppl Effective cisapride on relapse of reflux esophagitis, healed with an antisecretory drug. Scand J Gastroenterol ; Use of omeprazole in the management of reflux esophagitis resistant to H 2 receptor antagonists.
Scand J Gastroenterol ; suppl Barrett's esophagus: a clinical study of 52 patients. Q J Med ; Does medical therapy improve dysphagia in patients with peptic strictures and esophagitis? Gastroenterology ;A Barrett's esophagus. Working party report to the World Congress of Gastroenterology. Sydney, J Gastroenterol Hepatol ;6:l Medications may include:. Some studies have shown that swallowed steroids such as fluticasone Flovent and budesonide Pulmicort may act topically in the esophagus and help treat eosinophilic esophagitis.
The same steroid medications that are inhaled to manage asthma are swallowed to treat eosinophilic esophagitis. Your doctor will instruct you on how to swallow the steroid preparation so that it coats your esophagus. This delivery system of steroids is much less likely to cause serious side effects than taking oral steroid pills.
Elimination and elemental diets. A response to a food allergen is likely the cause of eosinophilic esophagitis. Therefore, elimination of the culprit food may be an effective treatment strategy. However, as no tests are currently available to identify the culprit food, your doctor may recommend that you remove common food allergens from your diet.
Under your doctor's direction, you'll gradually add foods back into your diet and note when symptoms return. Another, more restrictive, approach is to remove all food from your diet and replace it with an amino acid-based formula. New biologic therapies are being developed to treat eosinophilic esophagitis and will likely be available within a few years. These medications stimulate your body's immune response to fight infection, inflammation or disease. Treatment for drug-induced esophagitis is primarily avoiding the problem drug when possible and reducing the risk with better pill-taking habits.
Your doctor may recommend:. Your doctor may prescribe a medication to treat a bacterial, viral, fungal or parasitic infection causing infectious esophagitis. A gastroenterologist may perform a procedure to expand dilate the esophagus.
This treatment is generally used only when the narrowing is very severe or food has become lodged in the esophagus. In esophageal dilation, your doctor uses one or more endoscopic devices — small narrow tubes inserted through the esophagus. Versions of these devices may be equipped with:. There is a problem with information submitted for this request. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time.
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Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Depending on the type of esophagitis you have, you may lessen symptoms or avoid recurring problems by following these steps:. No alternative medicine therapies have been proved to treat esophagitis. Still, some complementary and alternative therapies may provide some relief from heartburn or reflux symptoms when combined with your doctor's care.
Talk to your doctor about what alternative treatments may be safe for you. Options may include:. If you're experiencing severe chest pain that lasts more than a few minutes or if you suspect you have food lodged in your esophagus or are unable to swallow, get emergency medical care.
If you have other signs or symptoms of esophagitis, you'll likely start by seeing your primary care doctor.
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