Does bile reflux gastritis cause bad breath?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 11, 2024
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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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Can bile reflux gastritis turn into cancer?

Bile reflux gastritis is relatively common in clinical practice and is generally considered a type of chronic gastritis caused by bile reflux. Clinically, it presents with abdominal pain, bloating, nausea, and vomiting. A complete gastroscopic examination can confirm the diagnosis, showing gastric mucosal congestion, edema, and even erosion. Generally, bile reflux gastritis does not lead to cancer; however, it is recommended that patients undergo regular follow-ups, including gastroscopy and histopathological examination, especially for middle-aged and elderly patients who have had gastric diseases for many years. If the gastric mucosa shows signs of congestion, edema, and erosion—particularly if the erosion is atypical and irregular—a biopsy is recommended to rule out cancer. Thus, while bile reflux gastritis generally does not become cancerous, it is advisable for elderly patients to have regular follow-ups with gastroscopy and histopathological exams, typically every six months to a year.

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Written by Yang Chun Guang
Gastroenterology
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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.

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Written by Li Ying
Gastroenterology
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Bile reflux gastritis is what?

Bile reflux gastritis is primarily due to significant partial gastrectomy or gastrojejunostomy, as well as pyloric dysfunction or chronic biliary diseases, including bacterial infections, especially Helicobacter pylori infection. Moreover, inflammation is caused by damage to the gastric mucosa from bile and gastric acid, which affects gastrointestinal motility. This leads to disordered coordinated movements of the gastrointestinal tract and disturbances in gastrointestinal motility, such as abnormal hormone levels and gastrointestinal neuropeptides. All these factors can lead to gastrointestinal dysfunction, which can result in bile reflux.

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Written by Wu Hai Wu
Gastroenterology
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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)

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Written by Si Li Li
Gastroenterology
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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.