Do you need to take medicine for bile reflux gastritis?

Written by Wu Hai Wu
Gastroenterology
Updated on June 30, 2025
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Bile reflux gastritis requires medication treatment. If not actively treated, it can lead to the aggravation of gastritis, causing conditions such as gastric ulcers in patients. Bile reflux gastritis can also cause symptoms like heartburn and a bitter taste in the mouth, impacting the patient’s quality of life. Therefore, once bile reflux gastritis is diagnosed, active treatment is necessary. Tests for Helicobacter pylori can be conducted, and if there is a positive infection, anti-inflammatory drugs and other medications should be used to eradicate Helicobacter pylori. Additionally, for bile reflux, treatments using aluminum carbonate, magnesium hydroxide suspension, and other bile adsorbents may be required. (Please use medications 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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Bile reflux gastritis is what?

Common symptoms of bile reflux gastritis include stomach pain, bloating, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can reveal bile stains on the gastric wall, which can be used to diagnose bile reflux gastritis. The main cause is closely related to poor gastric motility. It is also recommended to perform a Carbon-14 breath test to determine if there is a Helicobacter pylori infection. If the infection is positive, a 14-day treatment for Helicobacter pylori is required. Additionally, the treatment for bile reflux gastritis involves acid suppression, gastric protection, promoting gastric motility, and protecting the gastric mucosa, typically for a duration of about six weeks. Regular exercise is advised as it can promote gastrointestinal motility and enhance gastric motility, which is very important for the treatment of bile reflux gastritis.

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Written by Jiang Guo Ming
Gastroenterology
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Can bile reflux gastritis heal itself?

Bile reflux gastritis is generally difficult to cure because it has multiple causes, such as gastric emptying disorders, dysfunction of the pyloric sphincter, and post-cholecystectomy patients, which can all lead to bile reflux gastritis. Many cases are related to gastric functional disorders. This condition often recurs and can be treated by suppressing stomach acid and increasing gastric motility, which tends to be effective. At the same time, diet and living habits are also very important. Eating small meals frequently and avoiding raw, cold, greasy, and spicy food can help with bile reflux gastritis.

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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 Huang Gang
Gastroenterology
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Can you eat raw peanuts with bile reflux gastritis?

It is not recommended to eat peanuts if you have bile reflux gastritis. Peanuts are high in protein and fat, and consuming them may increase the burden on the stomach, leading to bloating, stomach pain, and discomfort. They can also irritate the stomach lining, leading to increased gastric acid secretion and worsening stomach ailments. If you have bile reflux gastritis, you should usually use medications that protect the stomach lining to control the condition. In terms of diet, try to eat lightly and avoid overly greasy, indigestible foods, as well as spicy and irritant items, and it is best not to drink alcohol.