How to treat gastritis erosion and bile reflux?

Written by Si Li Li
Gastroenterology
Updated on January 04, 2025
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Chronic gastritis typically presents with symptoms such as belching, acid reflux, stomach bloating, stomach pain, nausea, and vomiting. A definitive diagnosis can be made through a gastroscopy, which may reveal signs of edema and hyperemia in the gastric mucosa, and in some cases, erosion. Poor gastric motility may lead to bile reflux, which can be observed during a gastroscopy as bile presence in the stomach. This condition, known as bile reflux, is closely related to poor gastric motility. The treatment focuses on suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility. The treatment usually lasts for 6 to 8 weeks. Additionally, if erosion is found in the gastric mucosa, a biopsy, or pathological examination, is typically conducted to investigate the nature of the erosion under a microscope. If the erosion is inflammatory, it is considered mild. However, if atypical hyperplasia or intestinal metaplasia is present, there is a very small risk of cancer development. Therefore, if the biopsy results show atypical hyperplasia, it should be taken very seriously. In cases of severe atypical hyperplasia, it is recommended to perform a gastric mucosal stripping surgery under endoscopy.

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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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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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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.

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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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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.