Best Medications for Bile Reflux Gastritis

Bile reflux occurs when bile flows back from the duodenum through the pylorus into the stomach. In healthy individuals who have not undergone gastric surgery, bile typically does not flow backward into the stomach. Even if occasional reflux happens, it usually does not cause significant harm. However, for patients who have had partial gastrectomy or other gastric surgeries, bile reflux may be more common and severe due to the altered anatomy, where the stomach is directly connected to the intestine.

When it comes to managing bile reflux, there are a limited number of effective medications. Prokinetic agents such as domperidone and mosapride can help stimulate gastric motility, allowing the stomach to move bile downward more efficiently. Another treatment option involves using bile-binding agents, such as hydrotalcid (also known as aluminum magnesium carbonate), which can help neutralize and bind bile acids, reducing their irritating effects on the stomach lining.

In addition to medication, lifestyle modifications such as eating smaller meals, avoiding fatty foods, and elevating the head during sleep can also help reduce symptoms. For long-term management, regular medical follow-up is essential, especially for those with persistent symptoms or complications related to bile reflux. Always consult with a healthcare professional before starting any treatment regimen.