The injection of bile into the stomach cavity is called bile reflux. The reason for throwing this substance into the stomach is both frequent overeating and inflammatory diseases of the gastrointestinal tract. A gastroenterologist will have to deal with all causal relationships.
Diagnosis of bile reflux, treatment with drugs and folk remedies - everything should be controlled by a doctor. You can’t arbitrarily prescribe yourself drugs, especially if the cause of the pain in the stomach is still unknown.
Reflux - what is it? Types of reflux
The word "reflux" means the opposite movement: reflue translated from Latin means "flow back". Biological substance that moves in the opposite direction is called reflux.
In gastroenterology, there are several main types of reverse reflux reflux:
- Esophageal.
- Gastric reflux of bile.
- Pharyngolaryngeal reflux.
We will discuss mainly duodenogastric bile reflux in this article.
In a healthy person, a certain number of refluxes per day always occurs. But there is a concept of a physiologically acceptable norm of refluxes, and there are pathological conditions caused by an exaggeration of this norm.
When the number of sudden relaxations of the sphincter and reflux of bile into the cavity of the stomach occurs frequently and causes burns to the mucosa, duodenogastric reflux is diagnosed.
As the pathology develops, one species may mix with another. This is a rather dangerous disease. And in our time it is very common due to the lack of a normal food culture and smoking promotion.
GERD. Causes and effects
One of the most common digestive pathologies is acid reflux into the esophagus, or GERD. This type of reflux covers more than 40% of the adult population of Russia. In Europe, the statistics are approximately the same.
GERD, or gastroesophageal reflux disease, usually appears in all those who smoke and abuse caffeine. Another reason is eating hamburgers and hot dogs.
An exacerbation of reflux esophagitis can be:
- Esophageal ulcers and strictures.
- Inflammation of the larynx.
- Pneumonia.
- Barrett's esophagus.
- Destruction of tooth enamel from stomach acid.
- Tonsillitis.
If reflux esophagitis in a person manifests itself along with duodenogastric reflux, then the situation is very difficult, the most serious consequences can be expected soon.
The most serious disease that can occur in such conditions is Barrett's esophagus. This is almost a precancerous condition, which is diagnosed 15-20 years after the first symptoms of reflux appear if left untreated.
Cast bile
Another common form of the disease is bile reflux into the stomach. With this pathology, the symptoms are different and the treatment is slightly different. But it causes the same problems in nutrition, obesity and caffeinated drinks. As well as alcohol.
After digestion with acid in the stomach, semi-digested food enters the duodenum and, mixed with bile and pancreatic enzymes, further advances through the small intestine. When the sphincter separating the stomach from the duodenum ceases to function, bile gradually enters the gastric mucosa.
Since bile is a very aggressive substance produced by the liver to break down fats, it can cause severe burns. And getting into the stomach, it causes significant damage to its walls.
Duodenal gastric reflux: symptoms
Refluxing acid into the stomach causes a number of unpleasant symptoms. If a person observes the same symptoms for a long time, then you need to monitor yourself: what causes the symptoms, how often is the pain felt?
What indicates bile reflux?
- Stomach pain is observed after eating, especially after fried and fatty foods.
- Belching with a bitter taste occurs with reflux, when gases from the fermentation of food accumulate in the stomach.
- Nausea.
- Weight loss, as nutrients do not have time to be absorbed.
- Vomiting of yellow-green color (mixed with bile).
- In the morning, on the tongue, the patient may notice a brown coating and an unpleasant aftertaste in the mouth.
- Heartburn develops in cases where both the lower and upper sphincter are broken, and the acid from the stomach, along with bile, enters the esophagus.
After systematizing all the information about your well-being, you need to see a doctor and go through all the studies that he will prescribe. Sometimes simple symptoms, which the patient himself interprets as a simple malaise or temporary pain in the stomach, hide serious problems with the digestive tract.
Pathology development
How does duodenogastric reflux develop? How long can a person not feel the symptoms of his illness? Strong belching and discomfort in the stomach immediately after eating are the first signs that indicate bile reflux. If you ignore the first symptoms for a long time, it will develop further. And it can lead to gastritis and an ulcer.
In general, duodenal ulcers and gastric ulcers often develop in parallel precisely because the untreated gastritis leads to duodenitis and reflux, and the onset of acute duodenitis leads to reflux gastritis.
Bile reflux as a result of a power failure
The most common cause of GERD is a gross violation of nutritional rules. When the body has been under stress for years due to constant fast foods on the street or caffeinated chocolate on an empty stomach, then all the mechanisms gradually come to an unbalanced state.
It is harmful for such a patient to starve for a long time, and in the evening to fill his stomach very much.
What can not be eaten with reflux - throwing bile into the stomach?
- Chocolate.
- Greasy and fried.
- Smoked meats and pickles.
- It is better to replace meat with poultry or fish (low-fat).
- Caffeine.
- Carbonated drinks.
These products weaken the muscle ring, and the muscle is no longer able to completely block the opening in the stomach. Therefore, the disease is considered incurable. Pills only relieve symptoms and facilitate digestion. And to restore the violated pathology can only be done with surgery.
Gastroduodenal cast during pregnancy
The mechanism for casting bile into the stomach from the duodenal region during pregnancy is simple. The child is gaining weight quickly. And the growing fetus begins to put pressure not only on the urea, but also on the intestines, and on the duodenum.
Under pressure, the muscular sphincter opens slightly, and bile enters the gastric mucosa. If this happens quite often, you should consult a doctor to advise the pregnant woman which drug is right for her. And also prescribed the correct dosage.
Complications
The aggravation of the situation is provoked by the habit of overeating at night and smoking on an empty stomach in the morning. Hot coffee is contraindicated in the morning. You can drink only one cup of weak coffee in the afternoon, after dinner.
What else causes bile reflux symptoms? Some drugs. For example, antispasmodics, sedatives or calcium antagonists.
Complications include severe inflammation, erosion, and ulcers. The following diseases can also be a consequence:
- intestinal metaplasia;
- laryngeal ulcer;
- cancer of the stomach or esophagus.
But if you diagnose the disease in time and start a diet, quit smoking, then reflux disease will not progress further.
Diagnostics
How to correctly diagnose reflux? The casting of bile has a number of special clinical signs, according to which the doctor completely determines the pathology. These are changes in blood composition and alkaline balance in the stomach.
What you need to go through:
- Daily pH meter.
- X-ray using contrast.
- Fibrogastroduodenoscopy
- Ultrasound of the abdominal cavity.
- Perhaps do an MRI scan.
It is equally important to take a general blood test and find out by the state of the white blood cells whether there is inflammation in the abdominal cavity. After all the research, the gastroenterologist will determine how serious the disease is and whether traditional medicine will help. In some cases, after gastroscopy, the need for surgery is identified.
Treatment
It is important to understand that treatment is different from ordinary gastritis. Here, those medicines that are prescribed for ordinary gastritis will not help.
With duodeno-gastric bile reflux, treatment is aimed at eliminating the symptoms. Usually several groups of drugs are prescribed:
- Antacids that relieve pain by reacting with stomach acid and gently enveloping wounds on the mucosa. These are Maaloks, Fosfalugel, Gaviscon, Almagel, etc. They are sold both in the form of tablets and suspensions.
- Remedies for nausea and vomiting. Ursodeoxycholic acid is suitable for relieving nausea. And the brand name of the drug is Ursofalk.
- Drugs that reduce the production of hydrochloric acid in the stomach under such trade names as Esomeprazole, Omeprazole and others.
- Prokinetics. These are the drugs that stimulate gastrointestinal motility. With their help, food will move in the right direction and not stagnate in the stomach.
The anatomical defect that causes bile reflux cannot be fixed without a scalpel. But you can help yourself not only with diet and antacids, but also with herbs, recipes from traditional medicine. A careful attitude to your stomach is necessary, otherwise with age all accumulations will go to the treatment of ulcers.
What else needs to be done to recover from a bile reflux attack? Treating pain and nausea comes down to a fat-limiting diet. The bed should be equipped so that the head is elevated more than 10 cm from body level. And after eating you need to relax a bit on this bed in a half-sitting position. Exercise limit within an hour after eating.
Treatment with folk remedies
If you have found duodenogastric reflux, the treatment is not only traditional. In addition to medical preparations of a chemical nature, there are also therapeutic agents created by nature. These are herbs such as celandine, plantain, milk thistle, chamomile and others. Infusions can be mixed.
Instead of black tea, it is better to drink tea from rose hips, currants or mountain ash. Some home healers recommend in these cases to drink choleretic herbs for 5 consecutive days. This is an infusion of dandelion or immortelle leaves. If there is honey at home, try this recipe. We prepare wormwood infusion and every evening for 5-7 days, before bedtime, take 15 drops of the infusion internally, and to reduce bitterness, we seize with honey.
Prevention methods
To prevent complications of throwing bile into the stomach, it is important to quit smoking. This is the first recommendation of all doctors. Another recommendation is to visit a doctor once a year to prevent the development of ulcers. Drugs can only relieve symptoms such as nausea and aching pain. But so that from now on such pains do not appear, you have to sit on a long-term diet.