Causes of Bile Reflux

Bile reflux can be categorized into physiological and pathological types. The pathological form is often linked to structural abnormalities of the pylorus or dysfunction in the motor activities of the gastric antrum, pylorus, and duodenum. Common contributing factors include post-gastrectomy conditions, post-cholecystectomy states, pyloroplasty, gastric ulcers, and portal hypertensive gastropathy.

The symptoms of bile reflux are often similar to those of regular gastritis and may include bloating, nausea, and vomiting. Standard treatment approaches involve the use of proton pump inhibitors such as omeprazole or rabeprazole, combined with antacids like hydrotalcid. In cases where symptoms like bloating and delayed gastric emptying are present, prokinetic agents may be added to enhance gastric motility.

It is essential to note that the treatment plan should be tailored to the individual patient. Accurate diagnosis and medication should be based on clinical evaluation and direct consultation with a qualified healthcare provider. Self-medication is not recommended, as each case may vary depending on the underlying condition and patient history.