Treatment Options for Bile Reflux Gastritis

Bile reflux gastritis can be effectively managed through a combination of medication and lifestyle adjustments. Understanding the available treatment options is essential for reducing symptoms and preventing complications.

Medications play a key role in managing bile reflux gastritis. Prokinetic agents are commonly prescribed to enhance gastrointestinal motility, helping to prevent bile from flowing back into the stomach. Additionally, mucosal protective agents such as sucralfate form a protective barrier over the stomach lining by binding with mucoproteins, shielding it from bile damage. Smectite, another protective agent, strengthens the mucosal barrier and supports digestive tract health. Gastrointestinal mucosa stimulants can increase mucus production, which further protects the stomach lining. Also, gefarnate is known for its protective effects on gastric mucosa and its ability to promote the healing of inflamed tissues.

For patients with concurrent Helicobacter pylori infection, antibiotic therapy is necessary. Commonly used antibiotics include clarithromycin and amoxicillin, which help eliminate the bacteria and reduce gastric inflammation.

In addition to pharmacological treatment, dietary and lifestyle changes are crucial in managing bile reflux gastritis. Patients are advised to avoid high-fat foods, as these can stimulate bile production and worsen symptoms. Instead, a bland and easily digestible diet is recommended. Eating slowly and in moderation helps prevent overfilling the stomach, which can trigger reflux. It's also important to avoid irritants such as alcohol, strong tea, and coffee. Smoking and excessive alcohol consumption should be avoided, as they can aggravate gastric symptoms. Lastly, maintaining a calm and positive mental state contributes to overall digestive health.