Bile reflux is not always a disease! If you are hungry and have eaten, you will also have bile reflux, but these are normal, not a disease. When you have a gastroscopy, you will have bile reflux if you wait for a long time and are hungry, or you will have bile reflux if you are too nervous to drink medicine and fight nausea. These times, although bile reflux can be seen in gastroscopy, are normal and not a disease. Bile reflux ≠ bile reflux gastritis When this bile causes inflammation, bleeding and erosion of the gastric mucosa, it is the real bile reflux gastritis. So, just seeing bile reflux on the gastroscope is not necessarily a disease. If it is not necessarily a disease, why must it be treated? So, how do you know whether to treat it or not? First, it needs to be ruled out as normal bile reflux (starving, over-eating, fighting nausea.) Then, some methods are needed to clarify whether it is: 1, gastroscopy: is the most direct way The gastric mucosa is congested, edematous and more fragile; wait a minute can still see the bile; the gastric mucus lake is stained yellow or green; the gastric mucosa is also stained with the color of bile. 2. pathology: biopsy pathology can sometimes help with the diagnosis; 3. nuclear: this method is rarely used; 4. other: aspiration to determine the lumen contents, total bile acid measurement of gastric mucosal tissue, 24-hour continuous HP measurement in the stomach, portable 24-hour bilirubin measurement. If you have bile reflux and have discomfort, it is necessary to cure, cure this reflux; if not bile reflux, but have discomfort, it is also necessary to cure, cure discomfort. So, although both are cured, the things to be cured are different. So, why is it always not cured? Why is it always not cured? Always taking medicine, why is it always not cured? Not because the disease is very difficult to cure, but because: 1, the wrong medication: this reflux is very special, not acid, but alkali, so different from other gastritis, only use “acid” is not working, to neutralize the alkali. The two most important drugs are: magnesium aluminum carbonate (Daxi, etc.) and ursodeoxycholic acid (Eusebio, etc.). 2, other problems: although you have bile reflux, and perhaps bile reflux gastritis, but your stomach discomfort and this is not related, so take the medicine can not be good. You need to do tests to rule out other problems caused by gastric discomfort. 3, emotional problems: the stomach is your largest emotional organs, good anger, poor sleep, think too much, will make your stomach uncomfortable, but also make your reflux has not been good. It is a heart disease is not a stomach disease, how to eat stomach medicine will be good. So, there are many reasons why you can’t be cured by taking medicine, and there are always more ways than problems. What specific method to use, listen to what the doctor said, do not scare yourself! To sum up: 1, normal people will also have bile reflux, not a disease is not all to cure 2, gastroscopy is the best way to diagnose, sometimes also be cheated 3, stomach discomfort is to take drugs to treat, not all reflux mistakes 4, cure is not because the disease is difficult to treat, the specific reasons to ask the doctor