How can esophagitis be treated thoroughly?

summary

How can esophagitis be treated thoroughly? If you have this kind of disease, it's very uncomfortable. These stimulations include stomach acid, bile from duodenum, liquor, pepper, too hot vegetable soup, too hot tea, and so on. It can be divided into primary and secondary esophagitis. There are many reasons for esophageal inflammation; For example, after severe vomiting, patients who have long-term placement of nasogastric tube or taking aspirin, strong acid and strong base, non steroidal anti-inflammatory drugs or receiving chemotherapy or radiotherapy, or patients who have decreased resistance to tuberculosis or Candida or virus infection lead to esophagitis. Next, how can I treat esophagitis thoroughly? Let me tell you this.

How can esophagitis be treated thoroughly?

First: the symptoms of esophagitis can generally be eliminated, anti acid antiemetic oral aluminum hydroxide per kg body weight, 0.1-0.3 mg, or magnesium oxide 0.2 mg. If the effect of antacids is not good, oral administration of formamidine guanidine, 5-10 mg / kg body weight, twice / GL. When vomiting, take metoclopramide orally, 0.2-0.5 mg / kg body weight, 2-3 times / day.

Second: antibacterial and anti-inflammatory intramuscular injection of penicillin and streptomycin, twice a day; Dexamethasone, 0.125-1.0 mg / kg body weight, once a day. 5 mg / kg body weight, once every other day.

Third: remove the cause of disease, give soft liquid food, prohibit coarse, hard, dry, powder and other stimulating food.

matters needing attention

(1) Reduce reflux: because reflux is easy to occur at night, when the patient is in the horizontal position and the head is low and the feet are high, the head of the bed should be raised so that there is an oblique slope from the head of the bed to the end of the bed, so that even the reflux can be eliminated quickly. Ask the patient not to eat before going to bed, the interval between dinner and sleep should be longer than 3 hours. After each meal, let the patient in an upright position or take a walk after the meal, with the help of gravity to promote food emptying. In addition to avoid eating stimulating food, avoid strenuous exercise（ 2) Reduce the irritancy of reflux: reduce the irritancy of reflux can take drugs such as: cimetidine, ranitidine, can inhibit, reduce gastric acid secretion. Losec 20mg once a night can also be used. Aluminium Hydroxide Gel can also be used 3 times a day, oral 10ml, can reduce gastric acid stimulation. 3) To improve the function of lower esophageal sphincter: Taking metoclopramide or modoline 15-30 minutes before meal can increase the pressure of lower esophageal sphincter, accelerate gastric emptying and reduce reflux. Cisapride, a new gastrointestinal motility drug, can also be used.