Symptoms of bile reflux gastritis include abdominal distension, abdominal pain, nausea and vomiting, etc. When bile reflux is severe, it can flow back into the esophagus, causing symptoms such as acid reflux, heartburn, and retrosternal pain. 1. Abdominal distension: it is caused by indigestion, gastric emptying obstacle and other factors, which is mainly manifested as abdominal distension and feeling of fullness soon after eating. 2. Abdominal pain: mainly in the upper and middle abdominal pain, manifested as a burning sensation in the stomach, and sometimes swallowing discomfort, often worsened after meals. 3. Nausea and vomiting: The specific symptom of bile reflux gastritis is yellowish-green bile in the vomit, which may also contain a small amount of food and blood, and mostly occurs at night. 4. Bile reflux can flow back into the esophagus in severe cases. Therefore, bile reflux gastritis is usually accompanied by acid reflux, belching, heartburn, and retrosternal pain. When bile reflux gastritis causes upper gastrointestinal bleeding, there may also be black stools and vomiting of blood. When suffering from bile reflux gastritis, you should seek immediate medical attention and treatment under a doctor’s supervision to avoid aggravating the condition.