Bile reflux gastritis symptoms

Written by Ren Zheng Xin
Gastroenterology
Updated on September 05, 2024
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Bile reflux gastritis, primarily, its symptoms are caused by the damage of bile to the gastric mucosa, manifesting as acid reflux, belching, abdominal pain, and bloating. This can lead to damage to the gastric mucosa, resulting in erosion and bleeding. In cases of bile reflux gastritis where symptoms are not particularly typical, symptoms may be alleviated by improving dietary habits. More severe cases require medication, including oral drugs that promote gastrointestinal motility, protect the gastric mucosa, and inhibit gastric acid secretion. It is important to maintain a light diet, avoid highly irritating foods, and prevent irritation from smoking and alcohol.

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Written by Wu Peng
Gastroenterology
1min 13sec home-news-image

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.

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Written by Ren Zheng Xin
Gastroenterology
46sec home-news-image

Bile reflux gastritis symptoms

Bile reflux gastritis, primarily, its symptoms are caused by the damage of bile to the gastric mucosa, manifesting as acid reflux, belching, abdominal pain, and bloating. This can lead to damage to the gastric mucosa, resulting in erosion and bleeding. In cases of bile reflux gastritis where symptoms are not particularly typical, symptoms may be alleviated by improving dietary habits. More severe cases require medication, including oral drugs that promote gastrointestinal motility, protect the gastric mucosa, and inhibit gastric acid secretion. It is important to maintain a light diet, avoid highly irritating foods, and prevent irritation from smoking and alcohol.

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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 Si Li Li
Gastroenterology
1min 32sec home-news-image

How to treat gastritis erosion and bile reflux?

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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Written by Huang Gang
Gastroenterology
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Bile reflux gastritis vomiting is good or bad?

Bile reflux gastritis presents symptoms of nausea and vomiting, which are concerning. Normally, it manifests as dry mouth, bitter taste, poor appetite, acid reflux, belching, nausea, and hiccupping. Severe cases may lead to vomiting or cause stomach pain and a burning sensation behind the chest, among other clinical symptoms. If vomiting occurs, symptomatic treatment should be adopted to control the condition. Medication should be taken regularly according to the prescribed treatment plan. Additionally, it is important to avoid raw, cold, spicy, and irritating foods, and to abstain from alcohol.