Treatment Options for Bile Reflux Gastritis

Bile reflux gastritis is a type of gastritis that occurs when bile, a digestive fluid produced by the liver and stored in the gallbladder, flows backward from the small intestine into the stomach. This abnormal flow can irritate and damage the stomach lining, leading to inflammation. Common symptoms include heartburn, upper abdominal pain, bloating, nausea, and a bitter taste in the mouth.

1. Prokinetic Therapy

One of the primary treatment strategies for bile reflux gastritis is improving gastrointestinal motility. When the digestive system functions improperly, bile is more likely to flow back into the stomach. Medications known as prokinetics—such as domperidone, mosapride, and itopride—can help regulate digestive tract movement and reduce the frequency of bile reflux episodes. These drugs are especially effective for patients with underlying motility disorders.

2. Gastric Mucosal Protection

Since bile can erode the stomach lining, protecting the gastric mucosa is crucial. Medications like rebamipide and aluminum magnesium carbonate can form a protective barrier over the stomach wall, reducing irritation and promoting healing. In addition, some herbal remedies and traditional Chinese medicine formulations may offer supportive benefits.

3. Lifestyle and Dietary Adjustments

Making healthy lifestyle changes is essential in managing bile reflux gastritis. Patients are advised to avoid spicy, fatty, and acidic foods, as well as alcohol and caffeine. Eating smaller, more frequent meals and avoiding lying down immediately after eating can also help prevent reflux. Maintaining a regular sleep schedule and managing stress levels contribute to overall digestive health.

4. Monitoring and Long-Term Management

Because bile reflux can be chronic, long-term monitoring and consistent management are important. Regular follow-ups with a healthcare provider, along with necessary diagnostic tests, can help track the condition and adjust treatment as needed. In some cases, surgical intervention may be considered if symptoms are severe and unresponsive to medication.

By combining medical treatment with lifestyle modifications, patients can significantly reduce symptoms and improve their quality of life. Always consult with a qualified healthcare professional before starting any new treatment regimen.