Does bile reflux gastritis cause stomach pain?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 17, 2024
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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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How to treat gastritis erosion and bile reflux?

Chronic gastritis typically presents with symptoms such as belching, acid reflux, stomach bloating, stomach pain, nausea, and vomiting. A definitive diagnosis can be made through a gastroscopy, which may reveal signs of edema and hyperemia in the gastric mucosa, and in some cases, erosion. Poor gastric motility may lead to bile reflux, which can be observed during a gastroscopy as bile presence in the stomach. This condition, known as bile reflux, is closely related to poor gastric motility. The treatment focuses on suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility. The treatment usually lasts for 6 to 8 weeks. Additionally, if erosion is found in the gastric mucosa, a biopsy, or pathological examination, is typically conducted to investigate the nature of the erosion under a microscope. If the erosion is inflammatory, it is considered mild. However, if atypical hyperplasia or intestinal metaplasia is present, there is a very small risk of cancer development. Therefore, if the biopsy results show atypical hyperplasia, it should be taken very seriously. In cases of severe atypical hyperplasia, it is recommended to perform a gastric mucosal stripping surgery under endoscopy.

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Written by Wu Hai Wu
Gastroenterology
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What should I do if bile reflux gastritis recurs?

If bile reflux gastritis recurs, proactive treatment measures need to be taken. For instance, if it is caused by Helicobacter pylori infection, active treatment with triple or quadruple therapy to eradicate Helicobacter pylori is necessary. If the recurrence of bile reflux gastritis is due to stomach diseases, it is crucial to actively treat the primary disease. For example, if caused by a malignant tumor in the stomach, aggressive surgical treatments should be employed, followed by adjunctive therapies such as radiotherapy, chemotherapy, and comprehensive treatment measures including traditional Chinese medicine. If caused by peptic ulcers, it is necessary to actively inhibit gastric acid secretion and protect the gastric mucosa, among other treatments.

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Written by Wu Hai Wu
Gastroenterology
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Is it serious that bile reflux gastritis causes frequent hunger?

Bile reflux gastritis, which often manifests as frequent hunger, also needs attention because if not actively treated, it can lead to a worsening of the condition. Therefore, once a patient exhibits the aforementioned symptoms, it is necessary to treat the cause and symptoms accordingly. If there is an infection with Helicobacter pylori, it is necessary to use proton pump inhibitors along with antibiotics and gastric mucosal protectants to eradicate Helicobacter pylori. At the same time, it is necessary to use medications like aluminum hydroxide, sucralfate, and aluminum magnesium suspension to adsorb bile, and drugs such as domperidone to promote gastric motility. (Please use medications under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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What medicine is used for bile reflux gastritis?

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 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.