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 Zhu Dan Hua
Gastroenterology
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Symptoms and Treatment of Bile Reflux Gastritis

The symptoms of bile reflux gastritis generally include abdominal pain, bloating, and nausea, among others, and are relatively common in clinical settings. Typically, the main manifestations are hidden abdominal pain, bloating pain, or even burning pain, which occur repeatedly over time. This condition is often seen in clinical practice and tends to have a prolonged course, generally not accompanied by fever or radiating pain in the lower back or right shoulder blade. A thorough gastroscopic examination in patients will clearly show congested and edematous mucosa in the stomach, and the mucus appears bile-stained, indicating that the inflammation of the stomach is likely caused by bile reflux. For treatment, attention should be paid to diet and medication. The dietary approach involves consuming easily digestible, bland food; medically, the use of acid-reducing and gastroprotective agents, as well as anti-bile reflux medications are recommended. Typically, a treatment course of about two weeks is sufficient for gaining substantial control of the condition. If the patient has other concomitant issues, proactive treatment is advised.

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Written by Zhu Dan Hua
Gastroenterology
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What are the symptoms of bile reflux gastritis?

Bile reflux gastritis is a type of chronic gastritis that is commonly seen in clinical settings. It is generally believed to be caused by bile reflux leading to inflammation of the stomach and discomfort. The symptoms of bile reflux gastritis typically include abdominal pain, bloating, nausea, and belching, among others, with abdominal pain being particularly common. The pain usually occurs in the upper abdomen, specifically above the navel, and is episodic, occurring less frequently at night. It is generally related to diet and tends to improve after eating. The common nature of the pain is usually a dull, bloating, or burning sensation. However, patients generally do not experience fever, anemia, emaciation, or weight loss. The treatment of bile reflux gastritis typically involves strengthening acid suppression and gastric protection, choosing some gastric protective and bile-antagonistic drugs. The treatment effectiveness is generally good and not overly concerning. (The use of drugs should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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How long does bile reflux gastritis take to heal?

How long it takes for bile reflux gastritis to improve varies based on an individual's constitution and medication usage. Clinically, we mainly adopt measures to suppress gastric acid secretion, protect the gastric mucosa, and selectively use antibiotics. During treatment, it is crucial to have regular meals and avoid overeating. It is also important to maintain personal hygiene and a regular routine. Good living habits play a significant role in aiding the treatment of reflux gastritis. Additionally, it is essential to avoid smoking and drinking alcohol, and to keep a relaxed mood. If symptoms recur frequently, one should visit the gastroenterology department of a hospital for a detailed examination and proactive treatment.

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Written by Si Li Li
Gastroenterology
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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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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.