Does bile reflux gastritis cause fever?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 30, 2024
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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 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 Yang Chun Guang
Gastroenterology
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Can bile reflux gastritis cause chest pain?

Once symptoms such as abdominal bloating, acid reflux, and belching are noticed and diagnosed as bile reflux gastritis, there could be chest pain which should be noted. This supposed chest pain is related to the esophagus; therefore, it occurs in the center of the chest, not on the sides. In such cases, symptomatic medical treatment can be applied. Typically, for bile reflux gastritis, proton pump inhibitors along with mucosal protectants and gastrointestinal prokinetic drugs can be used for treatment. Drugs that improve bile metabolism may also be used. Additionally, it's important to note in terms of diet, that chest pain is not necessarily caused entirely by reflux and other causes of chest pain should also be ruled out.

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Written by Si Li Li
Gastroenterology
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Which part is good for moxibustion in bile reflux gastritis?

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 Huang Gang
Gastroenterology
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Does bile reflux gastritis require hospitalization?

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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Written by Huang Gang
Gastroenterology
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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.