How to Treat Bile Reflux Gastritis

Bile reflux gastritis occurs when bile and intestinal fluids flow back into the stomach, causing irritation and damage to the gastric mucosa. This condition is often linked to dysfunction of the pyloric sphincter or changes in its function after surgery. Common symptoms include bitter taste in the mouth, dry mouth, heartburn, and a feeling of discomfort in the stomach. Here are effective strategies for managing this condition:

Use of Mucosal Protective Agents
Medications such as magnesium aluminum carbonate, sucralfate, and alginate can help protect the stomach lining by binding to bile acids and reducing their harmful effects.

Proton Pump Inhibitors (PPIs)
Drugs like omeprazole, rabeprazole, and lansoprazole are commonly prescribed to reduce gastric acid production, which in turn helps alleviate symptoms and promote healing of the stomach lining.

Gastroprokinetic Medications
Medications such as mosapride and domperidone can improve gastric motility, helping to move food and bile through the digestive tract more efficiently and reduce reflux episodes.

Traditional Chinese Medicine (TCM) Approaches
In TCM, bile reflux gastritis is often attributed to excessive heat in the liver and stomach. Herbs like Scutellaria (Huang Qin) and Coptis (Huang Lian) are used to clear heat and reduce inflammation, while substances like cuttlebone (Hai Piao Xiao) and clamshell (Wa Leng Zi) help neutralize stomach acid and soothe the digestive tract.

Lifestyle and Dietary Adjustments
Avoiding fried, grilled, and spicy foods is crucial. Patients should also stay warm, manage stress effectively, and maintain a positive mood, as emotional well-being plays a significant role in digestive health.

It is important to consult with a healthcare provider for a personalized treatment plan. Always follow the guidance of a licensed physician to ensure safe and effective care.