Is biliary reflux gastritis related to cholecystitis?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 15, 2024
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Bile reflux gastritis and cholecystitis are not necessarily related, they are two different diseases. Bile reflux gastritis is generally a type of chronic gastritis, mainly characterized by abdominal discomfort, with most patients experiencing abdominal pain such as dull pain, distension pain, and colic, among others. Of course, some patients also experience changes in appetite, nausea, belching, and burping, etc. Patients should visit the gastroenterology department of their local hospital for a gastroscopic examination to confirm the diagnosis. Under a gastroscopy, bile reflux gastritis primarily exhibits symptoms such as mucosal congestion and edema, accompanied by bile, thus confirming the diagnosis. Treatment involves dietary adjustments and medication. It is recommended that patients consume a light diet, develop good living and eating habits, and may choose acid-suppressing and stomach-protecting medications, with a treatment duration of 2-4 weeks. Cholecystitis, on the other hand, is generally a cholecystitis-related condition, typically exhibiting symptoms such as abdominal pain, fever, and jaundice, etc. The general treatment for cholecystitis primarily involves anti-infection therapy.

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Written by Yang Chun Guang
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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 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.

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Written by Ren Zheng Xin
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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.

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Written by Ren Zheng Xin
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Bile reflux gastritis symptoms

Bile reflux gastritis, primarily, its symptoms are caused by the damage of bile to the gastric mucosa, manifesting as acid reflux, belching, abdominal pain, and bloating. This can lead to damage to the gastric mucosa, resulting in erosion and bleeding. In cases of bile reflux gastritis where symptoms are not particularly typical, symptoms may be alleviated by improving dietary habits. More severe cases require medication, including oral drugs that promote gastrointestinal motility, protect the gastric mucosa, and inhibit gastric acid secretion. It is important to maintain a light diet, avoid highly irritating foods, and prevent irritation from smoking and alcohol.

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Written by Zhu Dan Hua
Gastroenterology
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Does bile reflux gastritis cause stomach pain?

Bile reflux gastritis can cause stomach pain, often presenting as pain in the upper abdomen, typically as dull or distending pain which are most commonly seen in clinics. Bile reflux gastritis is generally considered a common disease, characterized by symptoms such as abdominal pain, bloating, and nausea at onset. Diagnosis largely relies on gastroscopy, during which we can observe inflammatory changes in the gastric mucosa, with the mucosa appearing congested and swollen, and the gastric mucus appearing yellow, generally considered to be caused by bile reflux. The treatment for bile reflux gastritis typically consists of dietary adjustments and medications. Dietary recommendations include regular, bland meals, and avoiding intake of coffee, alcohol, and spicy or irritating foods. Medications may include acid reducers, gastroprotective agents, and anti-reflux drugs. A typical course of treatment lasts from 7 to 14 days. Of course, if a patient has severe symptoms or recurrent episodes, a minimal maintenance dose may be used to relieve symptoms. (Note: Medication should be taken under the guidance of a professional doctor.)