reflux esophagitis

Reflux occurs as a result of stomach contents escaping into the esophagus.  irritation of the esophageal mucosa  and mucosal edema first, then  and ulceration and stenosis. Especially  It occurs in the lower part of the esophagus. Reflux  esophagitis occurs in 4 out of 10 people.  most typical  symptom from eating  Occurs after 30-60 minutes and starts with lying down or  increased combustion.

Reflux esophagitis may occur due to reasons such as dysfunction of the valve at the lower end of the esophagus, gastric hernia, deterioration of the protective mechanisms against leakage from the stomach to the esophagus, increased gastric acid secretion, delay in gastric emptying, and the stomach being excessively full and tense.

Reflux esophagitis, aspiration. Complications such as occult or open bleeding, anemia, esophagitis, barret ulcer, stricture, and malignancy may occur.

Since obesity is a stimulating factor in individuals with reflux esophagitis problem, it is necessary for the patient to reach the ideal body weight by restricting energy. At least 3 meals a day should be eaten regularly, skipping meals triggers the reflux problem and is one of the most important mistakes that can be made. The habit of eating before going to bed should be abandoned because the stomach is full. If it is taken to the horizontal position, the pressure on the valve opening from the esophagus to the stomach will increase and it may cause the lower esophageal valve to lose its flexibility and cause the passage of gastric fluid from the stomach to the esophagus. Dark tea, coffee, carbonated drinks, tomatoes, acidic fruit juices, hot spices should be excluded from the diet because they trigger reflux. To increase lower esophageal valve pressure, protein-rich foods are increased. In order to reduce the volume of meals, fluid intake should be reduced at meals and fluid intake should be shifted between meals. Fries, roasts, very hot or very cold foods should not be consumed as they trigger reflux.

Applications that increase intra-abdominal pressure, such as tight belts and corsets, and lying down immediately after meals should be avoided. Raising the head of the bed by 15-25 cm also facilitates the return of the stomach contents, which have escaped into the esophagus at night, with the effect of gravity.

In addition, alcohol should not be used as it reduces the lower esophageal pressure, and exercise on a full stomach should not be done because it will increase the pressure on the lower esophagus.