What to do with bile reflux gastritis?

Written by Si Li Li
Gastroenterology
Updated on March 31, 2025
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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 Wu Hai Wu
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Can people with bile reflux gastritis eat walnuts?

People with bile reflux gastritis can eat a small amount of walnuts. Those with bile reflux gastritis should avoid overly spicy and irritating foods, and should refrain from smoking, drinking alcohol, strong tea, coffee, high-fat and high-calorie foods to prevent relaxation of the pyloric sphincter, which can exacerbate the symptoms of bile reflux gastritis. It is also necessary to take medications that absorb bile, such as magnesium aluminum carbonate, aluminum magnesium suspension, etc., and to use medications that promote gastric motility and suppress gastric acid secretion for treatment. Medications that promote gastric motility may include mosapride, domperidone, itopride, etc. (Use of medications should be under the guidance of a physician)

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Bile reflux gastritis vomiting is good or bad?

Bile reflux gastritis presents symptoms of nausea and vomiting, which are concerning. Normally, it manifests as dry mouth, bitter taste, poor appetite, acid reflux, belching, nausea, and hiccupping. Severe cases may lead to vomiting or cause stomach pain and a burning sensation behind the chest, among other clinical symptoms. If vomiting occurs, symptomatic treatment should be adopted to control the condition. Medication should be taken regularly according to the prescribed treatment plan. Additionally, it is important to avoid raw, cold, spicy, and irritating foods, and to abstain from alcohol.

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Written by Zhu Dan Hua
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Symptoms and Treatment of Bile Reflux Gastritis

The symptoms of bile reflux gastritis generally include abdominal pain, bloating, and nausea, among others, and are relatively common in clinical settings. Typically, the main manifestations are hidden abdominal pain, bloating pain, or even burning pain, which occur repeatedly over time. This condition is often seen in clinical practice and tends to have a prolonged course, generally not accompanied by fever or radiating pain in the lower back or right shoulder blade. A thorough gastroscopic examination in patients will clearly show congested and edematous mucosa in the stomach, and the mucus appears bile-stained, indicating that the inflammation of the stomach is likely caused by bile reflux. For treatment, attention should be paid to diet and medication. The dietary approach involves consuming easily digestible, bland food; medically, the use of acid-reducing and gastroprotective agents, as well as anti-bile reflux medications are recommended. Typically, a treatment course of about two weeks is sufficient for gaining substantial control of the condition. If the patient has other concomitant issues, proactive treatment is advised.

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Can bile reflux gastritis cause diarrhea?

Bile reflux gastritis is mainly caused by the retrograde movement of bile, which enters the stomach through the pylorus, leading to a series of symptoms such as abdominal distension, abdominal pain, acid reflux, nausea, vomiting, dry mouth, and a bitter taste. This condition should not be directly related to diarrhea, but it is possible for patients with bile reflux gastritis to experience symptoms of diarrhea. This is more commonly seen in patients after gallbladder removal surgery. Due to the loss of the gallbladder's function to store bile, bile not only retrogrades into the stomach via the duodenum but can also directly enter the intestines, stimulating the intestinal mucosa and thus leading to symptoms of diarrhea.

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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.