Acid Reflux Treatment

Patients with a history gastrooesofagico typical reflux should be managed initially with health and diet changes. They should avoid foods and beverages that could decrease the LES tone. These include chocolate, peppermint, fatty foods, coffee and alcoholic beverages. Foods or beverages that may irritate or inflame the esophageal mucosa, such as citrus, tomato products and pepper, should be avoided. The elevation of the head while sleeping, not lying down after meals and not smoking are measures that help prevent reflux.

The tto. doctor is directed to reduce the acidity of the refluxed material using H-2 blockers, or inhibitors of the proton pump. The success of tto. be related to the ability to cause increased inhibition of acid. In theory, drugs that promote esophageal motility (including cisapride, metoclorpropamida, domperidone) improve esophageal evacuation, decrease LES tone and improve gastric emptying, but in practice are of little benefit for these patients.

Although tto. physician is very effective in controlling the signs and symptoms of gastroesophageal reflux, aproximadanmente 80% of patients will have recurrence of symptoms within 3 months if therapy is discontinued. Either way the total control of symptoms can be achieved Medinat the tto. inhibitors continuous proton pump.