Vomiting to yellow bile water out of the vomit, that is, the presence of bile components in the vomit, first of all, should be clear about the cause of the disease, may be related to bile reflux gastritis, intestinal obstruction, acute pancreatitis, cholelithiasis, can be prescribed to take gastric protection, antiemetic, rehydration fluid or surgical treatment for intervention.
1. Bile reflux gastritis: the contents of the duodenum can flow back into the stomach under high pressure, and when the food in the stomach is digested or vomited, bile appears in the vomit. Gastric medicines such as omeprazole are often prescribed for treatment; when vomiting is severe, gastric stimulants such as mosapride can be taken under the guidance of the doctor to alleviate the symptoms.
2. Intestinal obstruction: When there is an intestinal obstruction, bile will flow back into the stomach and vomiting will occur. The location of the obstruction needs to be clarified first, and surgical treatment should be taken to relieve the obstruction and effectively relieve the symptoms of vomiting.
3. Acute pancreatitis: Acute pancreatitis is a condition in which a large amount of pancreatic enzymes are released, causing severe vomiting, and pancreatitis leads to insufficient gastrointestinal dynamics and a slow discharge of bile, so the symptom of vomiting bile can also occur. The first thing you should do is to treat the primary disease, fasting and rehydration, take acid-suppressing drugs such as omeprazole as prescribed by the doctor, and reduce the intra-pancreatic pressure by endoscopic treatment if necessary.
4. Cholelithiasis: Cholelithiasis can lead to biliary obstruction, bile can not be discharged normally, and can be discharged with the vomit when vomiting violently. If cholelithiasis is complicated by infection, antibiotics such as cefixime can be used to control the infection, and endoscopic or surgical stone removal can be used to intervene if necessary.
If the patient vomits bile, he should consult a doctor in time to identify the cause of the disease under the guidance of a specialized physician and follow the doctor’s instructions for timely treatment.