How to re-examine bile reflux gastritis

Written by Wu Hai Wu

Gastroenterology

Updated on November 09, 2024

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Biliary reflux gastritis requires follow-up examination through gastroscopy to clarify the condition of the cure, treatment effectiveness, the severity of the condition, and other aspects.

The main causes of biliary reflux gastritis are due to the relaxation of the pyloric sphincter or a decrease in gastric motility. Once these conditions occur, it is necessary to actively test for Helicobacter pylori to check for its infection. If positive, it is crucial to eradicate Helicobacter pylori actively and to use some bile-absorbing medications, such as magnesium aluminum carbonate, among others.

Other Voices

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Written by Jiang Guo Ming

Gastroenterology

50sec

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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 Huang Gang

Gastroenterology

43sec

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Can you eat grapes with bile reflux gastritis?

When suffering from bile reflux gastritis in its less severe form, one can occasionally eat grapes without causing significant impact on the digestive tract. However, it is important to avoid consuming too much at once, as this can irritate the esophageal mucosa and worsen the condition. With bile reflux gastritis, it is essential to control one's diet routinely. One should eat less raw and cold fruits and vegetables, avoid spicy and irritating foods, overly greasy and indigestible foods, as well as fried and grilled items, and strictly abstain from alcohol.

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Written by Zhu Dan Hua

Gastroenterology

1min 28sec

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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

55sec

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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 Li Ying

Gastroenterology

51sec

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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.