Can people with bile reflux gastritis do heavy work?

Written by Huang Gang
Gastroenterology
Updated on September 23, 2024
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Bile reflux gastritis is a disease of the digestive system. Avoid heavy physical labor as much as possible; engaging in strenuous physical activities can lead to stomach spasms, twitching, and increased contractions, and the bile reflux can irritate the esophageal mucosa. It is also important to rest regularly. When lying down, try to elevate the head to help alleviate the symptoms of reflux. Maintain a light diet; avoid overeating, and do not consume foods that are too greasy, too sweet, too sour, too spicy, or difficult to digest. Strictly abstain from alcohol.

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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 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 Zhu Dan Hua
Gastroenterology
1min 28sec home-news-image

Is biliary reflux gastritis related to cholecystitis?

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 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 Wu Peng
Gastroenterology
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What should be paid attention to for bile reflux gastritis?

Bile reflux gastritis is caused by factors such as abnormalities in the pyloric sphincter, gastric surgery, and gastrointestinal motility disorders, leading to the reflux of pancreatic juices, bile, and other contents from the duodenum, which causes damage to the gastric mucosa and leads to chronic gastritis. Its treatment primarily includes two aspects: medication and lifestyle adjustments. If the patient is infected with Helicobacter pylori, treatment with medication should first aim to eradicate Helicobacter pylori. Additionally, drugs that enhance gastrointestinal motility, gastric mucosal protectants, bile acid drugs, and acid-suppressing drugs can be used to treat bile reflux gastritis. Apart from medication, diet is also crucial. It is important to minimize consumption of unhealthy foods, diversify one's diet, focus on foods high in vitamins, avoid prolonged and excessive alcohol consumption and smoking, maintain a positive mood, and ensure adequate sleep.