Treatment Options for Bile Reflux Gastritis

Bile reflux gastritis can be a challenging condition to manage, but with the right combination of medical treatment and lifestyle adjustments, symptoms can be effectively controlled. The primary treatment strategies focus on reducing gastric acid, protecting the stomach lining, and improving gastrointestinal motility. In some cases, surgical intervention may be necessary if conservative treatments fail to provide relief.

Medical Treatments

There are several categories of medications commonly used in the management of bile reflux gastritis. Proton pump inhibitors (PPIs) such as omeprazole and rabeprazole, or H2 receptor antagonists like famotidine and cimetidine, are often prescribed to reduce the production of stomach acid and minimize irritation to the gastric mucosa.

To protect the stomach lining, medications such as hydrotalcite chewable tablets, aluminum phosphate gel, or colloidal bismuth pectin capsules may be used. These agents form a protective barrier over the stomach lining, shielding it from the harmful effects of bile and other irritants.

In addition, prokinetic agents such as mosapride or itopride hydrochloride can help enhance gastrointestinal motility, promoting normal digestive tract movement and reducing the frequency of bile reflux episodes.

If bacterial infection or gut flora imbalance is present—such as in cases of Helicobacter pylori infection—antibiotics may be added to the treatment regimen to address the underlying cause and improve overall outcomes.

Lifestyle and Dietary Modifications

Making changes to daily habits and dietary choices is a crucial part of managing bile reflux gastritis. Eating smaller, more frequent meals can help reduce pressure on the stomach and minimize the risk of reflux. It's also important to avoid foods that can trigger symptoms, including spicy, fatty, or fried dishes such as peppers, garlic, onions, chili, fried chicken, and hot pots.

Maintaining a healthy routine is equally important. Patients should avoid staying up late and refrain from eating late-night snacks. Ideally, no food should be consumed for at least three to four hours before bedtime. After eating, it's best to remain upright—either sitting or standing—to prevent the backflow of bile and reduce symptom flare-ups.

When Surgery Is Necessary

For individuals who do not respond well to medication or who suffer from severe, persistent symptoms, surgical treatment may be considered. Procedures such as choledochojejunostomy or biliary diversion surgery can help redirect bile flow and prevent it from entering the stomach. The decision to pursue surgery should always be made under the guidance of a qualified healthcare professional.

By combining medical therapy with positive lifestyle changes, many patients are able to manage bile reflux gastritis successfully and improve their quality of life.