Can bile reflux gastritis cause chest pain?

Written by Yang Chun Guang
Gastroenterology
Updated on September 25, 2024
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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.

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Written by Ren Zheng Xin
Gastroenterology
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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 Zhu Dan Hua
Gastroenterology
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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 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 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 Jiang Guo Ming
Gastroenterology
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What medicine is used for bile reflux gastritis?

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.)