Is Bile Reflux Gastritis a Serious Condition?

Bile reflux gastritis is one of the most common types of chronic gastritis encountered in clinical practice. It typically presents with symptoms such as a bitter taste in the mouth, bad breath, discomfort behind the breastbone, belching, acid reflux, heartburn, abdominal fullness, upper abdominal pain, loss of appetite, and indigestion. While bile reflux gastritis is not considered a severe form of gastritis, it can significantly affect a person's quality of life due to persistent and uncomfortable symptoms.

This condition occurs when bile, a digestive fluid produced by the liver, flows back into the stomach from the small intestine, irritating the stomach lining. Although it is not life-threatening, timely management is important to reduce discomfort and prevent potential complications such as chronic inflammation or ulcers.

Medical treatment often includes the use of medications such as proton pump inhibitors (PPIs) or antacids like hydrotalcid to neutralize stomach acid and reduce irritation. In addition, prokinetic agents may be prescribed to improve gastrointestinal motility and help regulate the movement of the stomach and esophagus.

In traditional Chinese medicine (TCM), bile reflux is associated with a pattern known as disharmony between the liver and stomach, involving liver heat, spleen deficiency, and impaired stomach function. TCM treatment focuses on clearing heat from the stomach, soothing the liver, and restoring normal digestive function through the use of herbal remedies tailored to the individual's condition.

Managing bile reflux gastritis effectively requires a combination of lifestyle changes, medication, and in some cases, dietary adjustments to reduce symptom flare-ups. Patients are often advised to avoid fatty foods, eat smaller meals, and avoid lying down immediately after eating. Regular follow-ups with a healthcare provider can help monitor the condition and adjust treatment as needed. With proper care, most individuals can experience significant symptom relief and improved digestive health.