Hi and thanks for the query, management of eosophagitis actually requires use of proton pump inhibitors like Nexium. The dose used is also very important as a determinant for success. Very low doses might at times not produce spectacular results. Life style changes like avoiding late night meals, acid foods, caffeine containing substances, all substances like alcohol that increase crises and raising the head side of the bed before sleeping might help. Prolonged hunger or remaining on an empty stomach must be discouraged. Its worth carrying out a repeat examination for the presence of Helicobacter Pylori , a germ seen in acute gatritis which might aggravate eosophagitis. Consulting a gastroenterologist at some point might be very useful. Thanks and best regards, Luchuo, MD.