How to treat gastritis erosion and bile reflux?

Written by Si Li Li
Gastroenterology
Updated on January 04, 2025
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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 Zhu Dan Hua
Gastroenterology
1min 9sec home-news-image

What causes bile reflux gastritis?

Bile reflux gastritis is generally believed to be caused by bile reflux leading to inflammation in the stomach. It can cause abdominal discomfort in patients, where the discomfort typically presents as abdominal pain, bloating, nausea, and vomiting. The abdominal pain is often in the upper abdomen, characteristically above the navel and typically episodic; it may improve after eating, with fasting pain being the most common. The pain is primarily in the upper abdomen, without accompanying radiating pain to the upper back, fever, etc. Nausea and vomiting are also fairly common, considered to be reactions of the digestive tract, and closely related to bile reflux. Regarding treatment, the main approaches include dietary adjustments and medication. Medications can include acid reducing, stomach protecting, and anti-bile reflux drugs. For diet, it is recommended that patients maintain a regular, bland diet and avoid spicy and irritating foods. (Medication should be used under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
1min 6sec home-news-image

What to do with bile reflux gastritis?

The main symptoms of bile reflux gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, and heartburn. A gastroscopy can reveal bile reflux into the stomach, which can then be diagnosed as bile reflux gastritis. The primary cause is closely related to poor gastric motility, so treatment mainly focuses on acid suppression, gastric protection, promoting gastric motility, and repairing the gastric mucosa, typically over a course of about six weeks. It is also recommended to increase physical activity, as exercise can promote gastrointestinal motility and enhance gastric power, which can have a positive effect on patients with bile reflux gastritis. In terms of diet, it is advised to consume light, easily digestible foods and to avoid fatty, rich, spicy, and other difficult-to-digest foods.

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Written by Huang Gang
Gastroenterology
40sec home-news-image

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 Si Li Li
Gastroenterology
1min 7sec home-news-image

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.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 32sec home-news-image

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.