Let us now take a look at
At this point, we’ve completed a discussion
of our reflux with GERD and Barrett’s.
What kind of pills
might you be taking?
Well here, when you’re swallowing a pill, focal damage in the
mid-esophagus because of the exposure of the pill there more so.
Prolonged stasis of certain meds
in the esophagus may then cause it.
Here, your focus should be on
potassium compounds, NSAIDs for sure.
In addition, there’s quinidine, iron, maybe
a patient is taking alendronate due to
osteoporosis, tetracycline, vitamin C; all
this could be pill-induced esophagitis.
This condition occurs most commonly in the elderly,
and there are several factors thought to be involved.
These include decreased salivary production,
swallowing the pill while in the recumbent position,
falling asleep shortly after taking the medication, and insufficient water intake with the pill.
Treatment for this condition usually starts with discontinuation the offending medication.
Sometimes the medication is one that can’t be stopped, and in those instances,
encouraging lifestyle modifications can be helpful.
These would include taking the pill with a full glass of water,
remaining upright for some period of time after ingesting the pill,
and not taking the medication right before bedtime.
A short course of a PPI or antacid can also help prevent mucosal irritation from excess acid.
Oral sucralfate can be used to help form a protective barrier and avoidance of potentially irritating foods can also be helpful.