Treatment Options for Chronic Superficial Gastritis with Bile Reflux

Chronic superficial gastritis with bile reflux can cause a range of uncomfortable symptoms, and treatment should be tailored to the individual based on their specific complaints. If abdominal pain is the primary issue, proton pump inhibitors (PPIs) such as omeprazole may be prescribed to reduce stomach acid production. By lowering the acidity in the stomach, these medications help to alleviate irritation to the gastric lining and reduce pain.

Managing Digestive Symptoms

For patients who experience significant indigestion or bloating, digestive enzyme supplements or prokinetic agents—which help speed up gastric emptying—can be beneficial. These treatments support more efficient digestion and help relieve symptoms such as fullness, nausea, and discomfort after eating.

Addressing Bile Reflux

During endoscopic examination, if bile reflux is identified alongside gastritis, medications that bind bile acids may be recommended. One such option is hydrotalcite (e.g., aluminum magnesium carbonate), which works by adsorbing bile acids in the stomach, thereby reducing their harmful effects on the gastric mucosa. This can help protect the stomach lining and reduce inflammation.

Key Considerations for Effective Treatment

Lifestyle modifications also play a crucial role in managing this condition. Avoiding fatty foods, eating smaller meals, and not lying down immediately after eating can help reduce bile reflux episodes. In some cases, weight loss and quitting smoking may further improve symptoms.

Regular follow-up with a gastroenterologist is important to monitor progress and adjust treatment as needed. In certain situations, additional tests may be required to rule out other underlying conditions or complications.