Expert Treatment for Reflux Esophagitis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms-heartburn, chest or epigastric pain, swallowing difficulty-and assesses diet, lifestyle, medications, and risk factors.
Upper Endoscopy (EGD)
This allows direct visualization of the esophageal lining to detect inflammation, erosions, strictures, or Barrett's esophagus. Biopsies may be taken if needed.
Ambulatory pH Monitoring
A small probe records acid exposure in the esophagus over 24 hours to quantify reflux events and correlate them with symptoms.
Esophageal Manometry
Manometry measures the strength and coordination of esophageal muscles and lower esophageal sphincter (LES) pressure to identify motility disorders.
Impedance Testing or Additional Studies (if needed)
Impedance testing can detect non-acid reflux. Rarely, advanced imaging or gastric emptying studies are ordered to rule out other causes.
Frequently Asked Questions
What causes reflux esophagitis?
Reflux esophagitis occurs when the lower esophageal sphincter weakens, allowing stomach acid to flow back into the esophagus and cause irritation.
What is the ICD-10 code?
The ICD-10 code for reflux esophagitis with esophagitis is K21.0.
What foods should I avoid?
Avoid spicy, fatty, or acidic foods, as well as caffeine, chocolate, soda, and alcohol to help reduce acid reflux symptoms.
Do I need surgery?
Surgery is only considered if lifestyle changes and medications fail. Options include endoscopic fundoplication or placing a LINX magnetic device.
How long does it take to feel better?
Many people notice relief within a few days of treatment. Complete healing of the esophagus may take several weeks.
Can it cause other problems?
Yes. If left untreated, reflux can lead to esophageal ulcers, strictures, or Barrett's esophagus, which carries an increased risk of cancer.
Can children get it?
Yes. Children can develop reflux esophagitis, especially those with gastrointestinal disorders, obesity, or a hiatal hernia.