Treatment Options for Chronic Non-Atrophic Gastritis with Bile Reflux

Chronic non-atrophic gastritis with bile reflux is a common gastrointestinal condition that can cause symptoms such as heartburn, bitter taste in the mouth, abdominal pain, and bloating. The treatment approach typically depends on the severity of symptoms and the underlying causes.

One of the most noticeable symptoms is a bitter taste in the mouth, which occurs when bile flows back from the stomach into the esophagus and oral cavity. In such cases, medications like hydrotalcid (magnesium aluminum carbonate) can be used to neutralize both gastric acid and bile, offering quick symptom relief. Additionally, prokinetic agents are often prescribed to enhance gastric motility and reduce the frequency of bile reflux episodes. A typical course of treatment lasts around six weeks.

After completing the initial treatment period, patients who experience significant symptom improvement and remain symptom-free after discontinuation may not need further medication. However, if symptoms return after stopping the medication, it may be necessary to resume treatment for a longer duration. Magnesium aluminum carbonate is generally considered safe for use up to eight weeks, with a maximum recommended duration of three months due to limited long-term clinical data.

It's important to understand that chronic gastritis can be classified into two main types: chronic non-atrophic gastritis (formerly known as chronic superficial gastritis) and chronic atrophic gastritis. Patients with chronic non-atrophic gastritis and concurrent bile reflux often present with classic reflux-related symptoms, including heartburn, bitter taste, and upper abdominal discomfort.

Managing this condition effectively involves lifestyle modifications alongside medical therapy. Recommendations may include avoiding fatty foods, maintaining a healthy weight, and eating smaller, more frequent meals. These changes can complement pharmacological treatments and help prevent recurrence.