Bile Reflux Gastritis: Symptoms, Causes, and Management

Bile reflux gastritis is a common gastrointestinal condition, also known as duodenal reflux disease or alkaline reflux gastritis. It occurs when bile and pancreatic fluids from the duodenum flow back into the stomach due to dysfunction of the pyloric sphincter or following gastric surgery. This backflow irritates the stomach lining, leading to inflammation, erosion, and even bleeding. Over time, this chronic irritation weakens the protective barrier of the gastric mucosa and increases hydrogen ion diffusion, contributing to long-term damage.

One of the key characteristics of bile reflux gastritis is abnormal motility in the stomach and esophagus. Common symptoms include a bitter taste in the mouth, heartburn, stomach pain, nausea, bloating, unintended weight loss, and in severe cases, gastrointestinal bleeding. Patients may also experience frequent vomiting, especially after meals, and persistent discomfort in the upper abdomen.

Left untreated, bile reflux gastritis can lead to serious complications such as severe mucosal erosion and chronic gastritis. The condition is more commonly diagnosed in middle-aged adults, particularly women between the ages of 40 and 50. Early diagnosis and proper management, including lifestyle changes, medication, and sometimes surgical intervention, are essential to prevent long-term complications and improve quality of life.

Understanding the underlying causes and seeking timely medical advice can significantly improve outcomes for individuals suffering from this condition. If you experience persistent digestive symptoms, it's important to consult a gastroenterologist for accurate diagnosis and treatment.