Which part is good for moxibustion in bile reflux gastritis?

Written by Si Li Li
Gastroenterology
Updated on October 25, 2024
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Bile reflux gastritis can be treated with moxibustion on acupuncture points such as Zhongwan and Shenque, as well as the back-shu points Wei-shu and Pi-shu. This treatment can strengthen the spleen, boost qi, nourish the stomach, and relieve pain. The main symptoms of bile reflux gastritis include upper abdominal pain, belching, acid reflux, nausea, and vomiting. A gastroscopy showing bile reflux into the stomach or bile patches on the stomach wall can diagnose bile reflux gastritis. The primary cause is largely related to poor gastric motility. In terms of treatment, the focus is on enhancing gastric motility, protecting the gastric mucosa, and acid suppression. Additionally, increasing physical activity can promote gastrointestinal motility and strengthen gastric dynamics, playing a positive role in alleviating the symptoms of bile reflux gastritis.

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Written by Zhu Dan Hua
Gastroenterology
1min 30sec home-news-image

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 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 Zhu Dan Hua
Gastroenterology
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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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Written by Wu Hai Wu
Gastroenterology
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How to re-examine bile reflux gastritis

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.

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Written by Zhu Dan Hua
Gastroenterology
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What causes bile reflux gastritis?

Bile reflux gastritis is generally believed to be caused by bile reflux leading to inflammation in the stomach. It can cause abdominal discomfort in patients, where the discomfort typically presents as abdominal pain, bloating, nausea, and vomiting. The abdominal pain is often in the upper abdomen, characteristically above the navel and typically episodic; it may improve after eating, with fasting pain being the most common. The pain is primarily in the upper abdomen, without accompanying radiating pain to the upper back, fever, etc. Nausea and vomiting are also fairly common, considered to be reactions of the digestive tract, and closely related to bile reflux. Regarding treatment, the main approaches include dietary adjustments and medication. Medications can include acid reducing, stomach protecting, and anti-bile reflux drugs. For diet, it is recommended that patients maintain a regular, bland diet and avoid spicy and irritating foods. (Medication should be used under the guidance of a doctor.)