Treatment Options for Chronic Superficial Gastritis with Bile Reflux

Chronic superficial gastritis with bile reflux can be effectively managed through a combination of medical treatments and lifestyle adjustments. This condition occurs when bile flows back into the stomach, irritating the gastric lining and causing discomfort. Proper treatment aims to reduce symptoms, promote healing, and prevent complications.

Acid Suppression Therapy

Proton pump inhibitors (PPIs) are commonly prescribed to reduce gastric acid production and help the stomach lining heal. Examples include omeprazole, lansoprazole, pantoprazole, rabeprazole, and esomeprazole. These medications are highly effective in controlling acid levels and relieving symptoms. In addition, newer agents such as potassium-competitive acid blockers (e.g., vonoprazan) may also be used for more rapid acid suppression.

Bile Neutralization and Symptom Relief

To address bile reflux directly, medications such as hydrotalcite chewable tablets can be used. These agents work by neutralizing both stomach acid and bile, providing immediate relief from pain and burning sensations. For patients with severe symptoms, prokinetic agents may be added to improve gastric motility and reduce the frequency of reflux episodes.

Dietary and Lifestyle Modifications

In addition to medication, certain dietary choices can help manage symptoms. Consuming alkaline foods such as soda crackers, milk, or starch-based products may help neutralize stomach acid. Avoiding fatty meals, alcohol, and smoking is also recommended to minimize irritation and support digestive health.

Identifying Underlying Causes

It's important to investigate any underlying conditions that may contribute to bile reflux, such as disorders of the liver, gallbladder, or pancreas. Patients are advised to consult with a specialist for a comprehensive evaluation and personalized treatment plan. Addressing these root causes can significantly improve outcomes and reduce the risk of recurrence.