Diagnosing Bile Reflux Gastritis

Bile reflux gastritis is commonly diagnosed through an endoscopic examination. During the procedure, a large amount of yellow-green bile can be observed within the stomach cavity, along with bile spots adhering to the gastric mucosa. Additionally, bile and duodenal fluid may be seen flowing backward through the pylorus into the stomach.

Endoscopy plays a key role in confirming the condition, allowing doctors to directly visualize the extent of bile presence and any related inflammation. Prior to the procedure, patients are typically required to fast from both food and water for 4–6 hours. Local anesthetics and defoaming agents may be used during the exam to improve comfort and enhance visibility inside the stomach.

Proper preparation is essential for accurate results. It is recommended that patients consume light meals the day before, such as porridge or noodles, and avoid eating after 8 PM. Drinking should stop by 10 PM. For individuals with hypertension, taking blood pressure medication around 4 AM is advised, followed by a blood pressure check before the endoscopy to ensure it is within a safe range for the procedure.

Following pre-exam instructions helps ensure a smooth and effective examination, reducing the risk of complications and increasing diagnostic accuracy. Always consult with your healthcare provider for personalized guidance based on your medical history.