Symptoms and Treatment of Bile Reflux Gastritis

Written by Zhu Dan Hua
Gastroenterology
Updated on September 20, 2024
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The symptoms of bile reflux gastritis generally include abdominal pain, bloating, and nausea, among others, and are relatively common in clinical settings. Typically, the main manifestations are hidden abdominal pain, bloating pain, or even burning pain, which occur repeatedly over time. This condition is often seen in clinical practice and tends to have a prolonged course, generally not accompanied by fever or radiating pain in the lower back or right shoulder blade. A thorough gastroscopic examination in patients will clearly show congested and edematous mucosa in the stomach, and the mucus appears bile-stained, indicating that the inflammation of the stomach is likely caused by bile reflux. For treatment, attention should be paid to diet and medication. The dietary approach involves consuming easily digestible, bland food; medically, the use of acid-reducing and gastroprotective agents, as well as anti-bile reflux medications are recommended. Typically, a treatment course of about two weeks is sufficient for gaining substantial control of the condition. If the patient has other concomitant issues, proactive treatment is advised.

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Written by Zhu Dan Hua
Gastroenterology
1min 19sec home-news-image

Symptoms and Treatment of Bile Reflux Gastritis

The symptoms of bile reflux gastritis generally include abdominal pain, bloating, and nausea, among others, and are relatively common in clinical settings. Typically, the main manifestations are hidden abdominal pain, bloating pain, or even burning pain, which occur repeatedly over time. This condition is often seen in clinical practice and tends to have a prolonged course, generally not accompanied by fever or radiating pain in the lower back or right shoulder blade. A thorough gastroscopic examination in patients will clearly show congested and edematous mucosa in the stomach, and the mucus appears bile-stained, indicating that the inflammation of the stomach is likely caused by bile reflux. For treatment, attention should be paid to diet and medication. The dietary approach involves consuming easily digestible, bland food; medically, the use of acid-reducing and gastroprotective agents, as well as anti-bile reflux medications are recommended. Typically, a treatment course of about two weeks is sufficient for gaining substantial control of the condition. If the patient has other concomitant issues, proactive treatment is advised.

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Written by Ren Zheng Xin
Gastroenterology
55sec home-news-image

Does bile reflux gastritis cause bad breath?

Bile reflux gastritis can cause bad breath due to stomach contents flowing back to the throat through the esophagus, where the remnants of food create an odor in the mouth. First and foremost, maintaining oral hygiene, brushing teeth promptly, and consuming more vegetables and fruits can help improve bad breath. Additionally, active treatment may involve the use of proton pump inhibitors to suppress gastric acid secretion, as well as medications that protect the stomach lining. It is also important to manage diet by eating regular meals, increasing vegetable and fruit intake, and reducing consumption of spicy, stimulating, and greasy foods. Engaging in appropriate exercise after meals can help enhance gastrointestinal motility, speeding up the digestion and absorption of food. (Specific medications should be taken under the guidance of a physician.)

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Written by Jiang Guo Ming
Gastroenterology
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Can bile reflux gastritis heal itself?

Bile reflux gastritis is generally difficult to cure because it has multiple causes, such as gastric emptying disorders, dysfunction of the pyloric sphincter, and post-cholecystectomy patients, which can all lead to bile reflux gastritis. Many cases are related to gastric functional disorders. This condition often recurs and can be treated by suppressing stomach acid and increasing gastric motility, which tends to be effective. At the same time, diet and living habits are also very important. Eating small meals frequently and avoiding raw, cold, greasy, and spicy food can help with bile reflux gastritis.

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Written by Wu Hai Wu
Gastroenterology
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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 Ren Zheng Xin
Gastroenterology
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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.