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 Jiang Guo Ming
Gastroenterology
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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 Jiang Guo Ming
Gastroenterology
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Can you eat meat with bile reflux gastritis?

Biliary reflux gastritis is often due to insufficient gastrointestinal motility, dysfunction of the pyloric canal, or post-cholecystectomy, among other causes. It is considered a type of gastrointestinal dysfunction and is characterized by recurrent episodes. Along with conventional medical treatment, it is crucial to pay attention to regular dietary and living habits. Regarding diet, the principle is to eat light and easily digestible food, such as soft, mushy rice, fresh vegetables, and fruits. In terms of meat and fatty foods, which provide essential fats, proteins, amino acids, etc., these should be consumed in small quantities and not excessively. Additionally, during cooking, it is important to keep the food mild and avoid frying or spicy preparations.

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Written by Zhu Dan Hua
Gastroenterology
1min 22sec home-news-image

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.)

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Written by Huang Gang
Gastroenterology
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What to do if bile reflux gastritis keeps recurring?

Bile reflux gastritis recurs, and an ultrasound examination is needed to determine the cause. If it is caused by conditions such as blockage of the common bile duct or bile duct stones, surgery can be considered when the condition is particularly severe. If it is caused by relaxation of the pyloric sphincter, surgery can also be considered for treatment. Generally, conservative treatment is recommended. If conservative treatment is ineffective and the condition recurs or even worsens, surgery can be considered at that time to improve symptoms.

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Written by Wu Hai Wu
Gastroenterology
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Is it serious that bile reflux gastritis causes frequent hunger?

Bile reflux gastritis, which often manifests as frequent hunger, also needs attention because if not actively treated, it can lead to a worsening of the condition. Therefore, once a patient exhibits the aforementioned symptoms, it is necessary to treat the cause and symptoms accordingly. If there is an infection with Helicobacter pylori, it is necessary to use proton pump inhibitors along with antibiotics and gastric mucosal protectants to eradicate Helicobacter pylori. At the same time, it is necessary to use medications like aluminum hydroxide, sucralfate, and aluminum magnesium suspension to adsorb bile, and drugs such as domperidone to promote gastric motility. (Please use medications under the guidance of a doctor.)