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 Si Li Li
Gastroenterology
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Will people with bile reflux gastritis lose weight?

The main symptoms of bile reflux gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. These symptoms can lead to a decrease in appetite and over time, can result in weight loss, making weight loss a potential concern for patients with bile reflux gastritis. The primary cause is related to poor gastric motility. Performing a gastroscopy and observing bile reflux into the stomach or bile stains on the stomach wall can lead to a diagnosis of bile reflux gastritis. Treatment primarily involves promoting gastric motility, repairing the gastric mucosa, and acid suppression to protect the stomach, typically requiring about six weeks of treatment. Regular physical activity is recommended as it can increase gastrointestinal motility and strengthen gastric motility, which can be beneficial for the improvement of the condition.

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Written by Zhu Dan Hua
Gastroenterology
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Does bile reflux gastritis cause stomach pain?

Bile reflux gastritis can cause stomach pain, often presenting as pain in the upper abdomen, typically as dull or distending pain which are most commonly seen in clinics. Bile reflux gastritis is generally considered a common disease, characterized by symptoms such as abdominal pain, bloating, and nausea at onset. Diagnosis largely relies on gastroscopy, during which we can observe inflammatory changes in the gastric mucosa, with the mucosa appearing congested and swollen, and the gastric mucus appearing yellow, generally considered to be caused by bile reflux. The treatment for bile reflux gastritis typically consists of dietary adjustments and medications. Dietary recommendations include regular, bland meals, and avoiding intake of coffee, alcohol, and spicy or irritating foods. Medications may include acid reducers, gastroprotective agents, and anti-reflux drugs. A typical course of treatment lasts from 7 to 14 days. Of course, if a patient has severe symptoms or recurrent episodes, a minimal maintenance dose may be used to relieve symptoms. (Note: Medication should be taken under the guidance of a professional 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 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 Ren Zheng Xin
Gastroenterology
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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.