Tear in Esophagus Treatment
The treatment of Mallory Weiss tears depends on the severity of the upper gastrointestinal bleeding. Most Mallory Weiss tears will heal on their own within 2 weeks. A small number may require treatment with endoscopy, surgery, or medications. Treatment for Mallory Weiss tears usually includes medications that block the production of acid in the stomach, and antacids. Additional treatment includes avoiding alcohol, caffeine, aspirin and nonsteroidal anti-inflammatory medications.
Treatment options for Mallory Weiss tears include:
- Antiemetic agents:
- Stomach acid-blocker:
- Proton pump inhibitor medicine:
- Omeprazole (Prilosec)
- Pantoprazole (Protonix)
- Esomeprazole (Nexium)
- Lansoprazole (Prevacid)
- Rabeprazole (Aciphex)
- Sucralfate (Carafate)
- Upper GI endoscopy
- Interventional radiology to stop bleeding
- Usually reserved for when the above treatments fail
- Fasting until condition is under control
- Diet advanced to clear liquid diet and then to full liquid diet.
- Eat small meals more frequently.
- Avoid food that irritates your stomach.
- Avoid alcohol.
- Avoid caffeine.
- Avoid aspirin.
- Avoid anti-inflammatory medications:
Tear in Esophagus Questions For Doctor
The following are some important questions to ask before and after treatment for Mallory Weiss tears.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for complications?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Tear in Esophagus Specialist
Physicians from the following specialties evaluate and treat Mallory Weiss tears:
Continue to Tear in Esophagus Home Care
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- Gunay K, Cabioglu N, Barbaros U, Taviloglu K, Ertekin C. Endoscopic ligation for patients with active bleeding Mallory-Weiss tears. Surg Endosc. 2001 Nov;15(11):1305-7. Epub 2001 Sep 4 
- Hui AJ, Sung JJ. Endoscopic Treatment of Upper Gastrointestinal Bleeding. Curr Treat Options Gastroenterol. 2005 Apr;8(2):153-162.