Thanks for the invite!

As a gastroenterologist, this is still a good question to answer.

Nowadays, the pace of life is accelerated, work, life stress, irregular sleep, irregular meals lead to gastrointestinal dysfunction, bile reflux patients have increased significantly.

The clinical manifestations of patients with bile reflux gastritis are very similar to those of chronic gastritis, but most of the patients with bile reflux have a more prominent symptom of recurrent bloating and flatulence, especially after meals, sometimes in a bad mood, whether it is on an empty stomach or after a meal are bloated, persistent bloating, up to the point of doubting their lives, and many people think that they have tumors in their stomachs that cause them to be so bloated and then they run over to do a gastroscopy. Many people think they have a tumor in their stomach which causes them to be so bloated and then come here for gastroscopy. The picture below is a patient with yellow bile reflux into the stomach that I found when I did a gastroscopy, and there were no other problems with the gastroscopy except for the bile reflux. For bile reflux and flatulence, it is a matter of comprehensive maintenance.

Let's start by talking about why bile reflux causes bloating.

Our normal stomach contains gastric acid in an acidic environment, the stomach is more normal in an acidic environment, and our bile is alkaline, normal bile in the small intestine. The two digestive juices stay in their respective gastrointestinal tracts without affecting or disturbing each other. But what happens if the alkaline bile refluxes back into the stomach and neutralizes the acidic stomach acid?

Indigestion occurs when the stomach loses the environment of gastric acid, and indigestion and poor digestion are manifested by feeling bloated and poorly digested when you take in food.

So patients with bile reflux have to find ways to not let the bile reflux, reflux back to the bile should also let it where to return to where to go, do not always stay inside the stomach. The details are as follows:

1. Bile should have stayed in the small intestine to help digest the fat and cholesterol we ate, so in order to reduce the secretion of bile to low-fat, low-salt diet, avoid high-fat, high-cholesterol diet. 2. work and life rules, reduce the mental stress of work and life, work pressure will lead to gastrointestinal dysfunction and thus lead to bile reflux. 3. weight loss and control of body weight, the stomach is too big, the high pressure of abdomen will press the bile reflux into the stomach. 4. exercise, more exercise will make the bile flow downward, not reflux back, regular exercise is almost no trouble. Pressure bile reflux into the stomach. 4. exercise, more exercise will make the bile downward flow, not reflux back, often exercise people almost no bile reflux trouble.

Single person if good maintenance still did not get better, it is recommended to further examination to rule out other problems caused by bloating. Excluding other causes of bloating has not improved on the medication with good maintenance, recommended two types of drugs, one is to promote gastrointestinal power of the drug: morpholine, mosapride, trimebutine and other drugs, buy a half hour before meals to eat a piece of the other is eaten inside the stomach will be adsorbed bile to bring the bile inside the intestines of the drug: magnesium aluminum carbonate, aluminum thioglycollate, montmorillonite powder, and so on.

Finally, I would like to say, if you work stress, bad mood and bile reflux, the two will affect each other and aggravate each other, so if you have bile reflux patients must adjust the mood, reduce pressure. You can take a vacation to travel a bit, adjust the work rhythm, appropriate more exercise, to build a strong heart, not to things like, not to their own sadness can live a life of hanging!

At present, more and more people because of the high load of work, often ignore their own health problems, focusing on work and forget to eat, or in order to rush to eat a few mouthfuls of cold food to solve the problem of food and drink. So often appear gastrointestinal flatulence, stomach ringing and other symptoms, many people think that this is the performance of indigestion, in fact, it is a sub-healthy state of the stomach. At this time, gastroscopy may not have found organic lesions, but let it develop over time, they do not have any conditioning interventions, slowly may lead to chronic gastritis, gastric ulcer and other problems.

For digestive diseases, three points rely on medication, seven points rely on nourishment, stomach disease must do a good job of "five nourishment", that is, warmth, dietary nourishment, avoid mouth maintenance, calm and quiet nourishment, exercise and quiet nourishment. One of the most important is the diet regimen. Frequent gastrointestinal flatulence of the crowd in the diet of food selection should be soft, easy to digest food. Foods that nourish the stomach are mainly:

First, rice, such as round-grained rice, can tonify the middle and benefit the qi, strengthen the spleen and stomach, remove the annoyance of thirst, stop diarrhea and dysentery. Corn, such as corn, corn taste sweet, flat, into the spleen, stomach meridian, has the effect of spleen and stomach.

Secondly, mushrooms, such as mushrooms have the effect of invigorating the stomach and opening the spleen, indigestion can be eaten, Shiitake mushrooms also have the effect of invigorating the spleen and opening the stomach. In addition, the silver fungus, can nourish the body, moisturize the lungs and stomach.

Third, vegetables. For example, kale, tomato, cabbage, etc., can facilitate the intestines and stomach, nourish the stomach and the middle, and yam is also a very good choice for strengthening the spleen and stomach. In addition, carrots have the effect of treating indigestion and strengthening the spleen, while white radish has the effect of eliminating stagnation.

In addition, Chinese medicine believes that worry and anger, emotional upset or dietary irregularities, resulting in liver loss of detachment, stomach loss and descending, or prolonged illness damage to the spleen and stomach, resulting in dysfunction, phlegm condensation and stagnation of qi, heat toxicity and blood stasis, and cross-blocking in the stomach, accumulating into a block resulting in indigestion and other symptoms. Therefore, for people with gastrointestinal dysfunction, it is very important to pay attention to regulating emotions. Usually also pay attention to eat less fried food, pickled food, raw and cold food and other stimulating food, to do regular meals, regular and quantitative, appropriate temperature, chewing and swallowing. Drinking water at the right time, pay attention to the cold, try not to smoke and drink, as long as attention to these details of life, the slow recovery of gastrointestinal function will reach the healthiest state.

Click on the bottom of the page [Learn More] to see more answers or ask the doctor a question for free!

Follow "Family Doctor Online" headline, more health Q&A easy to see~~~~

There are many causes of stomach bloating, and for bloating caused by bile reflux, in addition to cooperating with your doctor to take medications that inhibit or neutralize stomach acid and bile, you also need to pay extra attention to your diet and lifestyle. As the saying goes, "three parts of the cure depend on the treatment, seven parts depend on nutrition", which is even more applicable to the treatment of gastric diseases. In life, gastric flatulence, bile reflux patients need to pay special attention to the following points.

Pay attention to your diet.

The first step is to reduce and control the bile reflux. In addition to cooperating with the doctor to carry out the fundamental treatment of bile reflux, we should also pay attention to the diet should be light, control the intake of greasy food, avoid eating spicy and stimulating food, such as chili, strong tea, coffee and so on. Because greasy food, stimulating food will aggravate the bile reflux disease.

Besides, stomach care is also extremely important. Not eating too cold or too hot food, eating less fried or hard food, paying attention to balanced nutrition in daily meals, and eating regular meals are all effective in relieving flatulence.

Don't lie down immediately after a meal

After meals to moderate activity or sit quietly for a while before lying down, can effectively relieve the bile reflux situation. In addition, sleep posture also needs attention, should not lie too flat, can be appropriate to raise the height of the pillow. The best interval between dinner time and sleep time is more than 3 hours. All these practices can effectively relieve the stomach bloating caused by bile reflux.

give up smoking and drinking

Bile reflux is mostly caused by the pyloric sphincter not being able to close well or the removal of the gallbladder, and both cigarettes and alcohol contain harmful substances that stimulate the pyloric sphincter, which may lead to worsening of the symptoms and be detrimental to the treatment.

Other factors

Good emotions play an important role in relieving flatulence, so you should pay attention to emotional control and regulation in your daily life. Paying attention to the warmth of the stomach can also effectively prevent stomach discomfort; massaging the abdomen and preventing constipation can promote the discharge of gas from the stomach and relieve flatulence.

Bile reflux, also known as "bile reflux gastritis", is a member of the family of chronic gastritis, which, as you can tell from its name, is caused by bile reflux, so let's take a look at a series of uncomfortable symptoms caused by bile reflux and how to deal with them.

Normally, bile is stored in the duodenum and the pyloric valve of the stomach (where food enters the duodenum from the stomach), is contracted and closed. When food moves through the stomach to enter the duodenum, the pyloric valve opens automatically to let food in. When the stomach empties of food, the pyloric valve closes to prevent bile from flowing into the stomach. When the pyloric doorway is diseased and can't do a good job of gatekeeping, then the reverse peristalsis of the duodenum will cause bile to enter the stomach, and some symptoms will appear, such as fullness and stuffiness in the epigastric region, hidden pain or severe pain, accompanied by abdominal distension, belching, acidity, heartburn, nausea, vomiting, lack of food, loss of appetite, and so on.

At this time, it is recommended that you selectively, under the guidance of your physician, take some gastric power drugs, such as morpholine, mosapride, etc., which can enhance the power of gastric peristalsis and prevent bile reflux from the duodenum. There are also gastric mucosal protectants, aluminum sulfate, etc., which can prevent the refluxed bile from harming the gastric mucosa, causing nausea and vomiting and other discomforts. In addition to taking medication, you should also pay attention to your normal life, eat a light diet, eat less or no greasy food, so as not to stimulate excessive bile secretion and aggravate reflux. It is better to chew and swallow slowly when eating, avoid overeating, eating too cold or too hot food, and avoid the stimulation of heavy fried, spicy, rough food, strong tea, coffee, tobacco and alcohol. The last thing is to ensure peace of mind, emotional ups and downs are not good for the stomach.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

The main reason for the formation of bile reflux lies in the fact that the sphincter of the pylorus of the gastric body becomes relaxed due to the action of various stimulating factors, and due to the changes in the pressure difference between the stomach and intestines, the pylorus is unable to resist the reflux of duodenal contents into the stomach, so that the intestinal substances such as bile and pancreatic fluid flow into the gastric body, mixing with the gastric acid, pepsin and other substances, so that a series of pathological changes in the internal mucous membrane of the stomach are produced, which causes abdominal distension, epigastric discomfort, burning sensation and other symptoms. Symptoms. This is bile reflux gastritis, a very common chronic gastric disease, the formation of many reasons, such as Helicobacter pylori infection in the stomach micro-ecological environment changes caused by inflammatory damage to the gastric mucosa; long-term uncontrolled eating habits lead to dyspepsia, gastric dynamics abnormalities, chronic inflammation and other interactions, the formation of a vicious cycle of mutual causation; the autoimmune system, physical differences, gastric mucosal trophic factor Pathological changes.

The main treatment for this symptom is to improve the function of the pyloric sphincter, if this situation can not be resolved in a timely manner, other treatments can only be a short-term control of the condition, can not be fundamentally corrected bile reflux condition. Secondly, to treat the cause of the disease, should be corrected in time or remove the factors that lead to the occurrence of this disease, such as Helicobacter pylori infection patients should be timely under the guidance of the doctor in the form of a combination of drugs, timely control of the infection; autoimmune symptoms, should consider hormone therapy, and need to supplement multivitamins in time in order to improve the nutritional status of the gastrointestinal tract.

Furthermore, symptomatic treatment, appropriate choice of drugs to inhibit gastric acid, timely improvement of gastric acid damage to the gastrointestinal mucosa, so that the patient's symptoms are relieved, and for those who have complications, such as anemia, should be corrected in a timely manner. Finally, health education for patients is also crucial, 2017 China Health Knowledge Dissemination Program's Enjoy Healthy Life Project advocates the "5125" concept is worth knowing and learning, the main advocacy is dietary diversity, you should eat at least 12 kinds of food every day, more than 25 kinds of food per week; moderate diet, not too hungry, not too full, eat less at dinner, not too much food. The main ideas are to eat a varied diet, with at least 12 food items per day and more than 25 food items per week; to eat moderately, not too hungry and not too full; to eat less greasy and fried food for dinner; to eat no moldy, pickled, smoked or nitrate-containing food; to quit smoking and drinking; and to maintain a moderate amount of physical activity so as to keep both body and mind in a good state.

Answer: Wang Ze, M.S., M.A.

Welcome to Apricot Island for more interesting health facts!

The opening of the pylorus at the junction of the stomach and intestines triggers bile gauge reflux and suffers from bile reflux gastritis, with the main symptoms: abdominal distension, heartburn, gastric hemorrhage, vomiting, and bitter taste in the mouth. If left untreated, it can cause complications in the esophagus, pharynx, vocal cords, trachea and lungs. Western medicine takes medication to increase gastric power, promote peristalsis and willow bile reflux. Chinese medicine adopts evidence-based treatment, dredging the liver and supporting the spleen, clearing heat and draining the stomach, clearing heat and dispelling dampness, strengthening the spleen and harmonizing the middle, and resolving phlegm and clearing the channels.

Bile reflux gastritis is a series of clinical symptoms caused by the reflux of bile through the duodenum into the stomach, which damages the gastric mucosa and neutralizes the stomach acid.

Bile is an alkaline substance, and the opening of the bile duct is in the duodenal papilla, according to normal, bile flows out of the duodenal papilla and enters into the small intestine to participate in the digestion and absorption of fatty substances, but patients with bile reflux gastritis are caused by various factors, which makes bile reflux to the stomach, due to the alkaline nature of the bile, while the stomach is a strongly acidic environment, so bile will neutralize a portion of gastric acid and pepsin, and cause a certain degree of damage to the gastric mucosa. Part of the gastric acid, pepsin, and a certain degree of damage to the gastric mucosa, when the gastric acid and pepsin are neutralized, the stomach lacks something to digest food, and thus bloating occurs.

For bile reflux gastritis, the symptoms can be improved by drugs, mainly gastric mucosa protection drugs and drugs to promote gastrointestinal peristalsis.

Gastrointestinal protection medications include: magnesium aluminum carbonate, bismuth pectin, and bismuth potassium citrate.

Drugs to promote gastrointestinal motility include mosapride and trimethoprim.

Patients with bile reflux can also relieve their symptoms by changing their lifestyle habits, mainly by eating easy-to-digest foods, avoiding rough and hard-to-digest foods, not lying down or going to sleep immediately after a meal, not eating too much food before going to bed, and controlling the intake of high-fat foods to avoid stimulating bile secretion.

For obese patients, it is important to lose weight to reduce abdominal pressure, thus effectively relieving symptoms. For patients with more severe symptoms, the head of the bed can be raised appropriately by 10-20 centimeters while sleeping to effectively prevent reflux from occurring.

These are the views of Xiao Ke, welcome your questions and additions, pay attention to Xiao Ke, to learn more about health knowledge.

Bile reflux gastritis is a relatively common gastric disease, which refers to the reflux of bile, pancreatic fluid and other duodenal contents into the stomach due to the dysfunction of the pyloric sphincter or gastric pylorus surgery, causing inflammation, erosion or bleeding of the gastric mucosa.

This gastric disease in addition to dietary regimen, the root cause needs to be addressed is the function of the sphincter, this problem is not resolved, all the treatments are treating the symptoms but not the root cause, this situation must be supplemented with adequate collagen repair, and collagen synthesis requires high-quality proteins, as well as vitamin C, in order to avoid the fire to prevent the protein can not be fully utilized to join the Vitamin B, which is the basic necessities in this foundation. Plus diet and life conditioning.

1. Three meals should be regular and quantitative

Food should be light, do not overeat, fried food barbecue, greasy food will promote bile secretion, aggravate the condition.

2. Foods that are too cold, too hot, hard, and high in fat are not recommended.

A high-fat diet can encourage the release of cholecystokinin from the mucosa of the small intestine, leading to reflux of the contents. Foods that are too cold, too hot, and too hard can irritate and aggravate the damage to the gastric mucosa, and therefore should not be consumed.

3. Eating needs to be chewed and swallowed slowly to reduce the burden on the stomach and intestines

4. Cessation of smoking and restriction of alcohol

Nicotine in tobacco reduces sphincter pressure, leaving it in a relaxed state, smoking and drinking these will stimulate stomach acid secretion aggravate the condition.

In addition to diet, is the nutritional intervention mentioned above, this link is crucial, the top priority solution is certainly sphincter repair, in addition to the gastric mucosa has been damaged, certainly repair the gastric mucosa should also be placed in the second place, reflux even if good, gastritis will also exist, and the human gastric mucosa is renewed an average of 7 days, the need for nutrients are proteins, vitamins ABCE, calcium, magnesium and minerals, such as the basis of a comprehensive nutrition. Usually you can eat more fluid food, you can use a blender instead of the stomach hungry peristaltic load work, so that the stomach more rest, in order to better repair, some people climbed the mountain tired to know their own rest, the stomach is not comfortable but also a hard to let it overload work, non-stop peristaltic, can be good I believe with you! Always believe in a reason stomach disease must be three points to cure seven points to maintain.

Health advice can follow my headline number, welcome to leave a message to consult and exchange!

Chronic gastritis plus bile reflux I've come up with a regimen of 7 things that if you can do, you'll be at least halfway there, and I'm going to talk about all of them today.

To tell you about my own symptoms, I have chronic gastritis plus bile reflux, and I didn't experience discomfort until after my high school exams.

I think my stomach problems also came quite inexplicably ...... The trigger was eating oranges given to me by my class parents a month before the college entrance exams, and after eating them at night I started to feel nauseous, and I didn't realize how serious it was until I vomited and had diarrhea in the dormitory toilet in the middle of the night ...... But at that time, after going to the hospital, I think it was just a viral type of infection, so I didn't care about it after taking the medicine. But since then it will often commit nausea, often flatulence, and even the appetite is gone, so that period I began to lose weight, with less than three months I lost weight from 100 to almost 70 ......

Then it was off to the hospital for a gastroscopy and other tests, and it was then that I really understood my symptoms. And to be honest, since the discomfort the whole mood started to get worse, but the digestive strength of the gastrointestinal function is also very much related to one's mood.

So there was a reverse progression: the less appetite I had, the worse I felt, and the harder it was for me to get better.

The process of supporting the stomach is really long and painful, every time I eat a meal is difficult to nausea and want to vomit when I will look online to see if there is any good way, in a variety of platforms have checked, but also seen a variety of stomach habits. Like eating more congee, especially millet porridge, more gastric stimulants, keep your mood happy and exercise more ....... But in fact, I know all these reasons, but unfortunately, this kind of disease is a chronic disease, it is slowly torturing you and there is no fast way to get well ...... And then I realized that bile reflux should be eaten with less watery staple food, otherwise it will be easier to reflux the more you eat TUT

This painful feeling has been just like this for more than a year ...... Gradually I also tolerate down, daytime can tolerate on tolerate unless to sleep time will be nausea can not sleep. At the beginning of the stomach is to listen to the doctor's advice every day to eat Western medicine, common is omeprazole, but so insist on eating medicine for several months, found that there is still nothing particularly big effect after not eating. (At that time, I believe that my stomach can slowly get better by itself, and it is not good to take too many western medicines.) Later on, I also tried Tai Wei San, but during the period, there were some great effects: slowly began to have an appetite, and after the flatulence, I was able to pass gas without any problem.

However, I now realize that the most important thing is to keep a happy mood, a good mood will enhance the digestive function of the stomach and intestines, so do not mope around thinking about why you do not have an appetite, you can do more to do something you are interested in to make the mood better! Of course, appropriate exercise is also very important, such as requiring themselves to walk outside at least how long every day, moderate exercise can also help the stomach recovery.

The rest of you will share some of the ways I've learned to feed my stomach over the past two years:

1. Make sure you control yourself not to eat spicy or ice! Not at all! In the early stage of stomach support, you must keep your diet light, no sweets and too salty food. Because these foods must bring you deep discomfort after eating them... And may aggravate your condition

2. Eat less flatulence, soymilk, beans, milk type, if you have flatulence symptoms yourself you are advised not to do so... Otherwise, you will be like me to feel that kind of want to vomit can not be out of the feeling. Especially milk tea, love to drink friends really first quit it, change to not too iced yogurt is also good.

3. Caffeine high things less touch, like tea (can only drink black tea), coffee, soda is best not to drink, these drinks are very easy to acid heartburn.

4. cool food also don't touch (not mean the temperature is cool ah): shelled seafood, fungus, nori, coconut, strawberries ....... There is also beef to eat less, because beef is more difficult to digest, but you can eat lamb.

5. If your stomach problem is a symptom of heartburn with stomach pain, eat more light porridge or noodle threads to dilute the stomach acid in your stomach; but if you have bile reflux like me, then don't eat these soupy foods ...... Cook dry rice a bit or a moderate amount of steamed buns.

6. Speaking of drugs, in fact, back and forth on so many kinds, the first are taking drugs, behind are conditioning, mainly to see the conditioning, the right approach may be slowly improving, with a 1 year, two years on the same thing, conditioning, we can refer to two kinds of, a probiotic gold free pylori, one is the Tai Wei San, these two on my part is still more useful for Helicobacter pylori infections, the general joint gold free pylori, the efficiency of the eradication will be much higher. The efficiency of eradication will be much higher, and the late stage of the drug is also needed to supplement at least 2-3 months of Gold Free Pylorus. For a variety of old gastric reflux, ulcers, superficial gastritis need to daily take Tai Wei San, regulating the effect is still more obvious.

7. Improve your routine, go to bed early and get up early, and make sure you get into the habit of eating breakfast! I got into this habit after going to the hospital (out of necessity), but over two years of stomach support has taught me that it's really subtle medicine! It's true that when you go to bed early and wake up early you feel much less sick the next day, and you can feel yourself getting better. On the other hand, if you've stayed up all night the night before... Before I even got to the next day my stomach started bloating like crazy.

These are some of my experiences and summaries in the past two years of stomach care. I hope that my experience can help more people, and I hope that everyone can be healthy and get rid of chronic stomach disease!

Dr. Duan Q&A Online 🔑 Detailed bile reflux gastritis 🔑

I have to say that just seeing bile reflux on gastroscopy with no other findings is not a bad result.

After food passes through digestion in the stomach, it passes through the pylorus into the duodenum; bile enters the intestines, also in the duodenum. It is not difficult to realize that the pylorus is an important gate that prevents bile from entering the stomach. There are no more than a few reasons for this:

① If the bile reflux is due to surgery that destroys or removes this door (pylorus), the bile will reflux if you are not careful;

② Although many people do not have surgery, the function of the pylorus has deteriorated due to infection, dysfunction, etc., and this door does not close as tightly or closes slowly, which may also cause the resulting reflux;

(iii) Those with many chronic gastrointestinal disorders have significantly slower gastrointestinal peristalsis and are prone to intestinal flatulence and bile reflux into the stomach due to pressure;

④Folks who binge eat or drink alcohol may also have bile reflux due to dysregulation of the pylorus or vomiting.

Knowing the above causes, we can treat the symptoms:

1. Basic treatment, not medication, but self-adjustment and management.

Regular eating, refusing to overeat; smoking and alcohol is best to quit, if you really can not quit, but also want to minimize as much as possible; rest is a must, reduce the chances of staying up all night; pay attention to adjusting their own state of mind, the world is very beautiful, there is no need to always be catty.

2. Since the bile into the stomach, the stimulus affects the digestion of the stomach, has led to bloating discomfort, then let's reduce the stimulus - gastric mucosal protective agents. Commonly used here areMagnesium Aluminum Carbonate (Dahi), is the main medication for bile reflux. Also, bile stimulates the secretion of stomach acid, along with the combined use of acid suppressants - omeprazole and the like, etc.

3. Bile should go downward into the intestines and as a result reflux occurs. Then we increase intestinal peristalsis to facilitate the downward movement of bile. Generally usemosaprideI don't know, Itopride or something like that.

4. If combined with H. pylori infection, it may also lead to bile reflux with pyloric dysfunction. So it is very necessary to give antibiotics for the eradication of H. pylori - amoxicillin, clarithromycin, dysentery, etc., just choose 2.

5. Of course, there is another situation that is not ideal - when the internal medicine approach does not work and you are suffering from it. It's time to evaluate and consider surgery.

In fact, most of the stomach problems are caused by your own irregular diet, poor mood, etc., so it is more reliable to treat stomach problems from yourself!

Follow Dr. Duan's Q&A online for lots of health advice!