Bile reflux occurs when the pyloric function of the stomach becomes dysfunctional and the pyloric sphincter becomes dysfunctional, allowing duodenal contents to enter the stomach and cause bile reflux. Treatment includes medication or surgery.
1. Symptoms: mainly indigestion as the main manifestation, common symptoms include abdominal distension, abdominal pain persistent burning sensation, retrosternal pain, nausea and vomiting, loss of appetite and other symptoms and manifestations, and the symptoms worsened after meals, and the serious patients may also vomit blood, black stools, and even gastric cancer and other phenomena.
2. Treatment: including non-drug treatment and drug treatment.
(1) Non-pharmacological treatment: adjust emotions, avoid mental stress and overwork, quit smoking and drinking, suggest eating less greasy food, avoiding rough and spicy food, moderating diet, avoiding oversatiety and overfeeding, and avoiding the use of medicines damaging to gastric mucosa.
(2) Drug therapy: mainly for gastric mucosa protection drugs, commonly used drugs include magnesium aluminum carbonate, aluminum thiogluconate, teprenone and so on.
For patients who are full and uncomfortable, belching (burping), gastrointestinal dynamics drugs can be given, commonly used in the clinic, such as mosapride, domperidone. Apply acid-suppressing drugs to promote gastrin secretion and repair the gastric mucosa, commonly used drugs include omeprazole, ranitidine and so on. In addition, there are also drugs to regulate the composition of bile (ursodeoxycholic acid).
If the above drugs are ineffective or the symptoms are severe, surgery can be performed to prevent bile reflux.
It is recommended that patients who are not feeling well should consult a doctor for a clear diagnosis and treatment under the doctor’s guidance. Blind self-medication should be avoided.