Does bile reflux gastritis cause stomach pain?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 17, 2024
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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.)

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Written by Wu Hai Wu
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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 Jiang Guo Ming
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Can bile reflux gastritis cause diarrhea?

Bile reflux gastritis is mainly caused by the retrograde movement of bile, which enters the stomach through the pylorus, leading to a series of symptoms such as abdominal distension, abdominal pain, acid reflux, nausea, vomiting, dry mouth, and a bitter taste. This condition should not be directly related to diarrhea, but it is possible for patients with bile reflux gastritis to experience symptoms of diarrhea. This is more commonly seen in patients after gallbladder removal surgery. Due to the loss of the gallbladder's function to store bile, bile not only retrogrades into the stomach via the duodenum but can also directly enter the intestines, stimulating the intestinal mucosa and thus leading to symptoms of diarrhea.

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Written by Si Li Li
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Which part is good for moxibustion in bile reflux gastritis?

Bile reflux gastritis can be treated with moxibustion on acupuncture points such as Zhongwan and Shenque, as well as the back-shu points Wei-shu and Pi-shu. This treatment can strengthen the spleen, boost qi, nourish the stomach, and relieve pain. The main symptoms of bile reflux gastritis include upper abdominal pain, belching, acid reflux, nausea, and vomiting. A gastroscopy showing bile reflux into the stomach or bile patches on the stomach wall can diagnose bile reflux gastritis. The primary cause is largely related to poor gastric motility. In terms of treatment, the focus is on enhancing gastric motility, protecting the gastric mucosa, and acid suppression. Additionally, increasing physical activity can promote gastrointestinal motility and strengthen gastric dynamics, playing a positive role in alleviating the symptoms of bile reflux gastritis.

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Written by Li Ying
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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 Zhu Dan Hua
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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.