What medicine is used for bile reflux gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 18, 2024
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Bile reflux gastritis is often caused by the retrograde movement of bile from the duodenum into the stomach, leading to a series of symptoms. These can include upper abdominal pain, bloating, heartburn, and a bitter taste in the mouth. The fundamental cause of this condition is usually insufficient gastric motility or gastrointestinal motility. Regarding medication, the first choice generally includes acid-suppressing and pro-motility drugs, such as proton pump inhibitors combined with gastric motility drugs. Additionally, aluminum magnesium carbonate has the effect of neutralizing stomach acid and bile salts, which can help with bile reflux gastritis. At the same time, it is necessary to develop good dietary and living habits, and avoid excessive eating and drinking, as well as stimulants like tobacco and alcohol. (Specific medication use should be carried out under the guidance of a doctor.)

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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 Zhu Dan Hua
Gastroenterology
1min 12sec home-news-image

What are the symptoms of bile reflux gastritis?

Bile reflux gastritis is a type of chronic gastritis that is commonly seen in clinical settings. It is generally believed to be caused by bile reflux leading to inflammation of the stomach and discomfort. The symptoms of bile reflux gastritis typically include abdominal pain, bloating, nausea, and belching, among others, with abdominal pain being particularly common. The pain usually occurs in the upper abdomen, specifically above the navel, and is episodic, occurring less frequently at night. It is generally related to diet and tends to improve after eating. The common nature of the pain is usually a dull, bloating, or burning sensation. However, patients generally do not experience fever, anemia, emaciation, or weight loss. The treatment of bile reflux gastritis typically involves strengthening acid suppression and gastric protection, choosing some gastric protective and bile-antagonistic drugs. The treatment effectiveness is generally good and not overly concerning. (The use of drugs should be under the guidance of a doctor.)

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Written by Zhu Dan Hua
Gastroenterology
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What causes bile reflux gastritis?

Bile reflux gastritis is generally believed to be caused by bile reflux leading to inflammation in the stomach. It can cause abdominal discomfort in patients, where the discomfort typically presents as abdominal pain, bloating, nausea, and vomiting. The abdominal pain is often in the upper abdomen, characteristically above the navel and typically episodic; it may improve after eating, with fasting pain being the most common. The pain is primarily in the upper abdomen, without accompanying radiating pain to the upper back, fever, etc. Nausea and vomiting are also fairly common, considered to be reactions of the digestive tract, and closely related to bile reflux. Regarding treatment, the main approaches include dietary adjustments and medication. Medications can include acid reducing, stomach protecting, and anti-bile reflux drugs. For diet, it is recommended that patients maintain a regular, bland diet and avoid spicy and irritating foods. (Medication should be used under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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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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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.