Does bile reflux gastritis require hospitalization?

Written by Huang Gang
Gastroenterology
Updated on February 17, 2025
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If bile reflux gastritis is not severe, it generally does not require hospitalization, and you can recuperate at home. Treatments should be based on individual clinical symptoms and may include medications that reduce stomach acid secretion and protect the gastric mucosa to control the condition. It is important to avoid overly greasy, hard-to-digest foods and spicy, irritating foods. Eating smaller, more frequent meals and chewing slowly can usually prevent the condition from becoming particularly severe. However, if the condition is serious enough to affect normal life, hospital treatment is necessary.

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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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Does bile reflux gastritis cause fever?

Bile reflux gastritis, considered a type of chronic gastritis, generally does not cause fever. Its typical symptoms include abdominal pain, bloating, nausea, vomiting, and a sense of fullness, among others. As the name implies, bile reflux gastritis is believed to be caused by bile inducing damage to the gastric mucosa, characterized by congested and swollen mucosa, erosion, and ulcers, typically without causing fever. If a patient with gastritis also presents with fever, other causes should be considered, such as gallstones, pancreatitis, or stones outside the gallbladder. In terms of treatment, medication is generally considered, potentially including the use of acid reducers and gastroprotective agents, as well as medicines that constrict bile, which are usually effective. If the patient has recurring fevers, other causes should be considered, as fever is generally not considered to be caused by bile reflux gastritis.

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What to do with bile reflux gastritis?

The main symptoms of bile reflux gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, and heartburn. A gastroscopy can reveal bile reflux into the stomach, which can then be diagnosed as bile reflux gastritis. The primary cause is closely related to poor gastric motility, so treatment mainly focuses on acid suppression, gastric protection, promoting gastric motility, and repairing the gastric mucosa, typically over a course of about six weeks. It is also recommended to increase physical activity, as exercise can promote gastrointestinal motility and enhance gastric power, which can have a positive effect on patients with bile reflux gastritis. In terms of diet, it is advised to consume light, easily digestible foods and to avoid fatty, rich, spicy, and other difficult-to-digest foods.

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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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Can bile reflux gastritis heal itself?

Bile reflux gastritis is generally difficult to cure because it has multiple causes, such as gastric emptying disorders, dysfunction of the pyloric sphincter, and post-cholecystectomy patients, which can all lead to bile reflux gastritis. Many cases are related to gastric functional disorders. This condition often recurs and can be treated by suppressing stomach acid and increasing gastric motility, which tends to be effective. At the same time, diet and living habits are also very important. Eating small meals frequently and avoiding raw, cold, greasy, and spicy food can help with bile reflux gastritis.