Can bile reflux gastritis cause chest pain?

Written by Yang Chun Guang
Gastroenterology
Updated on September 25, 2024
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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 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.

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Written by Huang Gang
Gastroenterology
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What dishes are good for bile reflux gastritis?

Patients with bile reflux gastritis can eat some leafy and other vegetables such as baby rapeseed, spinach, bok choy, tomatoes, carrots, and cucumbers. It is advisable to avoid eating vegetables with coarse fibers, such as celery, leeks, or chili peppers, as these can exacerbate digestive system disorders and lead to symptoms like nausea, vomiting, and bloating. In cases of severe bile reflux gastritis, it is best to reduce the intake of fruits and vegetables. Consuming soft or liquid foods, such as millet porridge, is recommended.

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Written by Wu Peng
Gastroenterology
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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 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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Is biliary reflux gastritis related to cholecystitis?

Bile reflux gastritis and cholecystitis are not necessarily related, they are two different diseases. Bile reflux gastritis is generally a type of chronic gastritis, mainly characterized by abdominal discomfort, with most patients experiencing abdominal pain such as dull pain, distension pain, and colic, among others. Of course, some patients also experience changes in appetite, nausea, belching, and burping, etc. Patients should visit the gastroenterology department of their local hospital for a gastroscopic examination to confirm the diagnosis. Under a gastroscopy, bile reflux gastritis primarily exhibits symptoms such as mucosal congestion and edema, accompanied by bile, thus confirming the diagnosis. Treatment involves dietary adjustments and medication. It is recommended that patients consume a light diet, develop good living and eating habits, and may choose acid-suppressing and stomach-protecting medications, with a treatment duration of 2-4 weeks. Cholecystitis, on the other hand, is generally a cholecystitis-related condition, typically exhibiting symptoms such as abdominal pain, fever, and jaundice, etc. The general treatment for cholecystitis primarily involves anti-infection therapy.