What should patients with bile reflux gastritis be aware of?

  Have you ever had such an experience? Sometimes you feel full in your stomach, accompanied by acid reflux, heartburn, loss of appetite, and even nausea and vomiting, and then you gradually dread eating because these symptoms will worsen after meals. Over time, you become malnourished, emaciated and depressed, and that original healthy and rosy-faced you seems to have long gone. So did you know that this is a symptom of bile reflux gastritis?  The symptoms are mainly a feeling of fullness or discomfort in the stomach, aggravated after meals, or stomach pain, or chills in the stomach, which can be accompanied by bloating, belching, acid reflux, heartburn, nausea, vomiting, stomach vibrations, bowel sounds, poor bowel movements, loss of appetite and weight loss; in severe cases, there can also be gastric bleeding, manifested as vomiting blood or black stools and positive stool occult blood.  In order to avoid this disease, we need to remove some aggravating factors in our daily life, including quitting smoking and alcohol, avoiding emotional stress and reducing the use of drugs that irritate the gastric mucosa, such as aspirin, anti-inflammatory pain, painkillers and pau d’arco.  Patients with bile reflux gastritis should focus on the following points: 1. Diet: pay attention to a small number of meals and eat a low-fat diet, which can reduce the frequency of reflux symptoms after eating. On the contrary, a high-fat diet can promote the release of cholecystokinin from the small intestinal mucosa, which can easily lead to reflux of gastrointestinal contents.  2, weight: overweight people should lose weight, because excessive obesity in the abdominal cavity pressure increase can promote gastric reflux, especially in the lying position, so should actively reduce weight to improve the reflux symptoms.  3, lying position: the head of the bed is 15 to 20 cm high, to reduce the night gastric reflux is a good and effective way.  4, change the bad sleeping position: some people like to sleep with the two upper arms up or pillow under the head, which can cause the diaphragm to raise the pressure in the stomach and then increase the gastric reflux and up.  5, habits: minimize the activities that increase intra-abdominal pressure, such as excessive bending, wearing tight-fitting clothes and pants, tightening the belt, etc.  6, avoid alcohol and quit smoking: because tobacco contains nicotine can reduce the lower esophageal sphincter pressure, so that it is in a relaxed state aggravated reflux, smoking can also reduce the esophageal mucosal blood flow, inhibit the synthesis of prostaglandins, reduce the body’s resistance to inflammation is difficult to recover. The main component of alcohol is ethanol, which not only stimulates gastric acid secretion, but also relaxes the lower esophageal sphincter, which is one of the causes of gastroesophageal reflux.