Bile reflux gastritis is what?

Written by Si Li Li

Gastroenterology

Updated on April 09, 2025

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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 Huang Gang

Gastroenterology

36sec

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What to do if bile reflux gastritis keeps recurring?

Bile reflux gastritis recurs, and an ultrasound examination is needed to determine the cause. If it is caused by conditions such as blockage of the common bile duct or bile duct stones, surgery can be considered when the condition is particularly severe. If it is caused by relaxation of the pyloric sphincter, surgery can also be considered for treatment. Generally, conservative treatment is recommended. If conservative treatment is ineffective and the condition recurs or even worsens, surgery can be considered at that time to improve symptoms.

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Written by Zhu Dan Hua

Gastroenterology

1min 9sec

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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

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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 Ren Zheng Xin

Gastroenterology

46sec

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Bile reflux gastritis symptoms

Bile reflux gastritis, primarily, its symptoms are caused by the damage of bile to the gastric mucosa, manifesting as acid reflux, belching, abdominal pain, and bloating. This can lead to damage to the gastric mucosa, resulting in erosion and bleeding. In cases of bile reflux gastritis where symptoms are not particularly typical, symptoms may be alleviated by improving dietary habits. More severe cases require medication, including oral drugs that promote gastrointestinal motility, protect the gastric mucosa, and inhibit gastric acid secretion. It is important to maintain a light diet, avoid highly irritating foods, and prevent irritation from smoking and alcohol.

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Written by Zhu Dan Hua

Gastroenterology

1min 22sec

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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.)