Bile reflux gastritis

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Written by Si Li Li
Gastroenterology
1min 6sec home-news-image

What to do with bile reflux gastritis?

The main symptoms of bile reflux gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, and heartburn. A gastroscopy can reveal bile reflux into the stomach, which can then be diagnosed as bile reflux gastritis. The primary cause is closely related to poor gastric motility, so treatment mainly focuses on acid suppression, gastric protection, promoting gastric motility, and repairing the gastric mucosa, typically over a course of about six weeks. It is also recommended to increase physical activity, as exercise can promote gastrointestinal motility and enhance gastric power, which can have a positive effect on patients with bile reflux gastritis. In terms of diet, it is advised to consume light, easily digestible foods and to avoid fatty, rich, spicy, and other difficult-to-digest foods.

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Written by Huang Gang
Gastroenterology
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What to do if bile reflux gastritis keeps recurring?

Bile reflux gastritis recurs, and an ultrasound examination is needed to determine the cause. If it is caused by conditions such as blockage of the common bile duct or bile duct stones, surgery can be considered when the condition is particularly severe. If it is caused by relaxation of the pyloric sphincter, surgery can also be considered for treatment. Generally, conservative treatment is recommended. If conservative treatment is ineffective and the condition recurs or even worsens, surgery can be considered at that time to improve symptoms.

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Written by Wu Hai Wu
Gastroenterology
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Is it serious that bile reflux gastritis causes frequent hunger?

Bile reflux gastritis, which often manifests as frequent hunger, also needs attention because if not actively treated, it can lead to a worsening of the condition. Therefore, once a patient exhibits the aforementioned symptoms, it is necessary to treat the cause and symptoms accordingly. If there is an infection with Helicobacter pylori, it is necessary to use proton pump inhibitors along with antibiotics and gastric mucosal protectants to eradicate Helicobacter pylori. At the same time, it is necessary to use medications like aluminum hydroxide, sucralfate, and aluminum magnesium suspension to adsorb bile, and drugs such as domperidone to promote gastric motility. (Please use medications under the guidance of a doctor.)

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Written by Huang Gang
Gastroenterology
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Does bile reflux gastritis require hospitalization?

If bile reflux gastritis is not severe, it generally does not require hospitalization, and you can recuperate at home. Treatments should be based on individual clinical symptoms and may include medications that reduce stomach acid secretion and protect the gastric mucosa to control the condition. It is important to avoid overly greasy, hard-to-digest foods and spicy, irritating foods. Eating smaller, more frequent meals and chewing slowly can usually prevent the condition from becoming particularly severe. However, if the condition is serious enough to affect normal life, hospital treatment is necessary.

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Written by Huang Gang
Gastroenterology
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What dishes are good for bile reflux gastritis?

Patients with bile reflux gastritis can eat some leafy and other vegetables such as baby rapeseed, spinach, bok choy, tomatoes, carrots, and cucumbers. It is advisable to avoid eating vegetables with coarse fibers, such as celery, leeks, or chili peppers, as these can exacerbate digestive system disorders and lead to symptoms like nausea, vomiting, and bloating. In cases of severe bile reflux gastritis, it is best to reduce the intake of fruits and vegetables. Consuming soft or liquid foods, such as millet porridge, is recommended.

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Written by Si Li Li
Gastroenterology
1min 32sec home-news-image

How to treat gastritis erosion and bile reflux?

Chronic gastritis typically presents with symptoms such as belching, acid reflux, stomach bloating, stomach pain, nausea, and vomiting. A definitive diagnosis can be made through a gastroscopy, which may reveal signs of edema and hyperemia in the gastric mucosa, and in some cases, erosion. Poor gastric motility may lead to bile reflux, which can be observed during a gastroscopy as bile presence in the stomach. This condition, known as bile reflux, is closely related to poor gastric motility. The treatment focuses on suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility. The treatment usually lasts for 6 to 8 weeks. Additionally, if erosion is found in the gastric mucosa, a biopsy, or pathological examination, is typically conducted to investigate the nature of the erosion under a microscope. If the erosion is inflammatory, it is considered mild. However, if atypical hyperplasia or intestinal metaplasia is present, there is a very small risk of cancer development. Therefore, if the biopsy results show atypical hyperplasia, it should be taken very seriously. In cases of severe atypical hyperplasia, it is recommended to perform a gastric mucosal stripping surgery under endoscopy.

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Written by Huang Gang
Gastroenterology
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Bile reflux gastritis vomiting is good or bad?

Bile reflux gastritis presents symptoms of nausea and vomiting, which are concerning. Normally, it manifests as dry mouth, bitter taste, poor appetite, acid reflux, belching, nausea, and hiccupping. Severe cases may lead to vomiting or cause stomach pain and a burning sensation behind the chest, among other clinical symptoms. If vomiting occurs, symptomatic treatment should be adopted to control the condition. Medication should be taken regularly according to the prescribed treatment plan. Additionally, it is important to avoid raw, cold, spicy, and irritating foods, and to abstain from alcohol.

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Written by Si Li Li
Gastroenterology
1min 9sec home-news-image

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.

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Written by Wu Hai Wu
Gastroenterology
42sec home-news-image

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.

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Written by Si Li Li
Gastroenterology
1min 11sec home-news-image

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.