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Bile reflux gastritis
What is bile reflux gastritis?
Bile reflux gastritis refers to the chronic inflammation of the gastric mucosa caused by the reflux of bile or pancreatic juice from the duodenum into the stomach, known as bile reflux gastritis. The main symptoms include upper abdominal bloating, belching, acid reflux, nausea, vomiting, etc. A diagnosis of bile reflux gastritis can be confirmed through a gastroscopy that shows bile reflux into the stomach or bile spots attached to the stomach wall. The treatment primarily involves acid suppression, protection of the stomach, and enhancement of gastric motility, with a typical course lasting about six weeks. Bile reflux gastritis is closely related to poor gastric motility; therefore, regular exercise is recommended as it can promote gastrointestinal motility and strengthen gastric motility, which can be beneficial in the treatment of bile reflux gastritis.
How to re-examine bile reflux gastritis
Biliary reflux gastritis requires follow-up examination through gastroscopy to clarify the condition of the cure, treatment effectiveness, the severity of the condition, and other aspects. The main causes of biliary reflux gastritis are due to the relaxation of the pyloric sphincter or a decrease in gastric motility. Once these conditions occur, it is necessary to actively test for Helicobacter pylori to check for its infection. If positive, it is crucial to eradicate Helicobacter pylori actively and to use some bile-absorbing medications, such as magnesium aluminum carbonate, among others.
Which part is good for moxibustion in bile reflux gastritis?
Bile reflux gastritis can be treated with moxibustion on acupuncture points such as Zhongwan and Shenque, as well as the back-shu points Wei-shu and Pi-shu. This treatment can strengthen the spleen, boost qi, nourish the stomach, and relieve pain. The main symptoms of bile reflux gastritis include upper abdominal pain, belching, acid reflux, nausea, and vomiting. A gastroscopy showing bile reflux into the stomach or bile patches on the stomach wall can diagnose bile reflux gastritis. The primary cause is largely related to poor gastric motility. In terms of treatment, the focus is on enhancing gastric motility, protecting the gastric mucosa, and acid suppression. Additionally, increasing physical activity can promote gastrointestinal motility and strengthen gastric dynamics, playing a positive role in alleviating the symptoms of bile reflux gastritis.
Does bile reflux gastritis cause fever?
Bile reflux gastritis, considered a type of chronic gastritis, generally does not cause fever. Its typical symptoms include abdominal pain, bloating, nausea, vomiting, and a sense of fullness, among others. As the name implies, bile reflux gastritis is believed to be caused by bile inducing damage to the gastric mucosa, characterized by congested and swollen mucosa, erosion, and ulcers, typically without causing fever. If a patient with gastritis also presents with fever, other causes should be considered, such as gallstones, pancreatitis, or stones outside the gallbladder. In terms of treatment, medication is generally considered, potentially including the use of acid reducers and gastroprotective agents, as well as medicines that constrict bile, which are usually effective. If the patient has recurring fevers, other causes should be considered, as fever is generally not considered to be caused by bile reflux gastritis.
Can people with bile reflux gastritis eat walnuts?
People with bile reflux gastritis can eat a small amount of walnuts. Those with bile reflux gastritis should avoid overly spicy and irritating foods, and should refrain from smoking, drinking alcohol, strong tea, coffee, high-fat and high-calorie foods to prevent relaxation of the pyloric sphincter, which can exacerbate the symptoms of bile reflux gastritis. It is also necessary to take medications that absorb bile, such as magnesium aluminum carbonate, aluminum magnesium suspension, etc., and to use medications that promote gastric motility and suppress gastric acid secretion for treatment. Medications that promote gastric motility may include mosapride, domperidone, itopride, etc. (Use of medications should be under the guidance of a physician)
How long does bile reflux gastritis take to heal?
How long it takes for bile reflux gastritis to improve varies based on an individual's constitution and medication usage. Clinically, we mainly adopt measures to suppress gastric acid secretion, protect the gastric mucosa, and selectively use antibiotics. During treatment, it is crucial to have regular meals and avoid overeating. It is also important to maintain personal hygiene and a regular routine. Good living habits play a significant role in aiding the treatment of reflux gastritis. Additionally, it is essential to avoid smoking and drinking alcohol, and to keep a relaxed mood. If symptoms recur frequently, one should visit the gastroenterology department of a hospital for a detailed examination and proactive treatment.
Can bile reflux gastritis cause chest pain?
Once symptoms such as abdominal bloating, acid reflux, and belching are noticed and diagnosed as bile reflux gastritis, there could be chest pain which should be noted. This supposed chest pain is related to the esophagus; therefore, it occurs in the center of the chest, not on the sides. In such cases, symptomatic medical treatment can be applied. Typically, for bile reflux gastritis, proton pump inhibitors along with mucosal protectants and gastrointestinal prokinetic drugs can be used for treatment. Drugs that improve bile metabolism may also be used. Additionally, it's important to note in terms of diet, that chest pain is not necessarily caused entirely by reflux and other causes of chest pain should also be ruled out.
Can you eat meat with bile reflux gastritis?
Biliary reflux gastritis is often due to insufficient gastrointestinal motility, dysfunction of the pyloric canal, or post-cholecystectomy, among other causes. It is considered a type of gastrointestinal dysfunction and is characterized by recurrent episodes. Along with conventional medical treatment, it is crucial to pay attention to regular dietary and living habits. Regarding diet, the principle is to eat light and easily digestible food, such as soft, mushy rice, fresh vegetables, and fruits. In terms of meat and fatty foods, which provide essential fats, proteins, amino acids, etc., these should be consumed in small quantities and not excessively. Additionally, during cooking, it is important to keep the food mild and avoid frying or spicy preparations.
What should be paid attention to for bile reflux gastritis?
Bile reflux gastritis is caused by factors such as abnormalities in the pyloric sphincter, gastric surgery, and gastrointestinal motility disorders, leading to the reflux of pancreatic juices, bile, and other contents from the duodenum, which causes damage to the gastric mucosa and leads to chronic gastritis. Its treatment primarily includes two aspects: medication and lifestyle adjustments. If the patient is infected with Helicobacter pylori, treatment with medication should first aim to eradicate Helicobacter pylori. Additionally, drugs that enhance gastrointestinal motility, gastric mucosal protectants, bile acid drugs, and acid-suppressing drugs can be used to treat bile reflux gastritis. Apart from medication, diet is also crucial. It is important to minimize consumption of unhealthy foods, diversify one's diet, focus on foods high in vitamins, avoid prolonged and excessive alcohol consumption and smoking, maintain a positive mood, and ensure adequate sleep.
Can people with bile reflux gastritis do heavy work?
Bile reflux gastritis is a disease of the digestive system. Avoid heavy physical labor as much as possible; engaging in strenuous physical activities can lead to stomach spasms, twitching, and increased contractions, and the bile reflux can irritate the esophageal mucosa. It is also important to rest regularly. When lying down, try to elevate the head to help alleviate the symptoms of reflux. Maintain a light diet; avoid overeating, and do not consume foods that are too greasy, too sweet, too sour, too spicy, or difficult to digest. Strictly abstain from alcohol.