Bile Reflux Gastritis with Erosion

Bile reflux gastritis with erosion is a chronic inflammatory condition that occurs when bile and pancreatic fluids flow back into the stomach from the duodenum. This usually results from dysfunction of the pyloric sphincter or previous pyloric surgery. The constant exposure to these digestive fluids causes inflammation, erosion, and even bleeding of the gastric mucosa. Common symptoms include abdominal fullness, persistent burning sensation in the upper abdomen, belching, acid reflux, nausea, vomiting, and reduced appetite.

To manage this condition, patients may be prescribed prokinetic agents such as domperidone or mosapride to enhance gastrointestinal motility and reduce bile reflux into the stomach. In addition, medications like ranitidine, famotidine, and omeprazole are often used to suppress gastric acid secretion and protect the stomach lining. If Helicobacter pylori infection is present, a quadruple therapy regimen is recommended. This treatment not only promotes healing but also lowers the risk of gastric cancer development.

Lifestyle and dietary modifications play a crucial role in managing bile reflux gastritis with erosion. Patients are advised to quit smoking and avoid alcohol consumption. It's also important to avoid strong tea, coffee, raw, cold, or spicy foods. Instead, incorporating more fresh vegetables and fruits into the diet can support gastric health. Maintaining emotional well-being, getting adequate rest, and engaging in regular physical activity can further improve overall health and aid in disease management.