Treatment Options for Chronic Gastritis with Bile Reflux

Bile reflux can be categorized into two types: physiological and pathological. In many cases, individuals experience mild bile reflux without developing significant inflammation or complications. This type of reflux typically doesn't require aggressive treatment or a complete cure. However, in patients who have undergone cholecystectomy—the surgical removal of the gallbladder—pathological bile reflux may occur. Without the gallbladder to store bile, the substance is continuously released into the digestive tract, potentially flowing back into the stomach and causing gastritis.

There are three main treatment approaches for managing bile reflux associated with chronic gastritis. One effective method involves using prokinetic medications, which help move bile from the stomach into the small intestine more quickly. Commonly prescribed drugs in this category include domperidone and mosapride.

Another important strategy is the use of gastric mucosal protectants. These medications form a protective barrier over the stomach lining, reducing irritation caused by bile exposure. By shielding the sensitive tissues of the stomach, these agents help minimize inflammation and discomfort.

In addition to medical treatments, lifestyle and dietary adjustments play a crucial role in managing symptoms. Patients are often advised to avoid fatty foods, eat smaller meals, and maintain a healthy weight. Elevating the head during sleep and avoiding lying down immediately after eating can also help reduce nighttime symptoms.

Understanding the underlying cause of bile reflux is essential in determining the most appropriate treatment plan. While physiological bile reflux may not need intervention, pathological cases—especially those following gallbladder surgery—require targeted therapy to prevent long-term damage to the stomach lining.