What medicine is used for bile reflux gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 18, 2024
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Bile reflux gastritis is often caused by the retrograde movement of bile from the duodenum into the stomach, leading to a series of symptoms. These can include upper abdominal pain, bloating, heartburn, and a bitter taste in the mouth. The fundamental cause of this condition is usually insufficient gastric motility or gastrointestinal motility. Regarding medication, the first choice generally includes acid-suppressing and pro-motility drugs, such as proton pump inhibitors combined with gastric motility drugs. Additionally, aluminum magnesium carbonate has the effect of neutralizing stomach acid and bile salts, which can help with bile reflux gastritis. At the same time, it is necessary to develop good dietary and living habits, and avoid excessive eating and drinking, as well as stimulants like tobacco and alcohol. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Zhu Dan Hua
Gastroenterology
1min 22sec home-news-image

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 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 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 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 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.