Treatment Options for Chronic Gastritis with Bile Reflux

Chronic gastritis with bile reflux can be a challenging condition to manage, but there are effective strategies to reduce symptoms and improve quality of life. The first step in treatment involves making lifestyle and dietary modifications. Patients are advised to follow a light, balanced diet, avoid overeating, and maintain regular meal times. Emotional well-being also plays a role, so managing stress and maintaining a positive mood can support overall digestive health.

When symptoms persist despite lifestyle changes, medication therapy may be necessary. Prokinetic agents such as domperidone or mosapride can help improve gastrointestinal motility and reduce bile reflux. In addition, mucosal protectants like aluminum phosphate gel or colloidal bismuth pectin may be prescribed to shield the stomach lining from irritation.

For patients experiencing excessive bile production, anti-bile medications like hydrotalcite (commonly known as "Daxi" in some regions) can help neutralize bile acids and relieve discomfort. It's also common for bile reflux to coexist with acid reflux symptoms such as heartburn and acid regurgitation. In these cases, proton pump inhibitors (PPIs) such as omeprazole, rabeprazole, or pantoprazole are often prescribed to reduce gastric acid secretion and promote healing of the stomach lining.

If standard treatments fail to provide relief, it is important to consult a healthcare provider for further evaluation. One key consideration is the presence of Helicobacter pylori infection, which can exacerbate gastritis symptoms. If H. pylori is detected, a combination therapy known as quadruple therapy may be recommended under medical supervision to eradicate the bacteria and improve outcomes.

In summary, managing chronic gastritis with bile reflux involves a combination of lifestyle changes, medication, and, in some cases, targeted treatment for underlying infections. Early diagnosis and consistent follow-up care are essential for long-term symptom control and prevention of complications.