Common Symptoms of Bile Reflux and Effective Treatment Options

Bile reflux occurs when bile, a digestive fluid produced in the liver, flows backward from the small intestine into the stomach and sometimes into the esophagus. This condition often results from dysfunction of the pyloric sphincter, leading to various uncomfortable symptoms. Common signs include a bitter taste in the mouth, acid reflux, heartburn behind the breastbone, or a burning sensation in the stomach. Additional symptoms such as bloating, stomach pain, and discomfort are also frequently reported.

During a gastroscopy, doctors may observe yellow-green bile in the stomach or esophagus. This bile can irritate the mucous lining, causing inflammation, erosion, and impaired digestion. As a result, individuals may experience persistent pain, burning sensations, and worsening acid reflux.

In Western medicine, treatment typically involves the use of medications that enhance gastrointestinal motility or reduce bile reflux. Prokinetic drugs help speed up stomach emptying, while bile acid sequestrants can bind bile in the digestive tract. Lifestyle changes are also recommended, such as avoiding fatty foods, caffeine, and stimulant-rich meals that may trigger symptoms.

From a traditional Chinese medicine (TCM) perspective, bile reflux is often linked to liver and stomach disharmony. Herbal formulas like Zuojin Wan, containing ingredients such as Evodia fruit and Coptis root, are commonly prescribed. This formula helps soothe the liver, clear heat, and promote proper digestion, making it effective for individuals with liver-stomach heat patterns.

Managing bile reflux involves a combination of medical treatment, dietary adjustments, and lifestyle improvements. If symptoms persist, it is important to consult a healthcare provider for a comprehensive evaluation and personalized treatment plan.