Where is bile reflux gastritis?

summary

Many patients think that "bitter mouth" is related to bile reflux, as long as we find out the cause of its pathogenesis, then often treatment is not very difficult. Because everyone thinks that bile is bitter, but in fact, unless there is serious gastroesophageal reflux, bile may flow back to the esophagus and pharynx with the contents of the stomach. Generally, bile is difficult to reach the oral cavity. Generally, "bitter mouth" is more related to oral problems, pharyngitis, anxiety and so on. Now let's share about bile reflux gastritis? The knowledge of.

Where is bile reflux gastritis?

First, bile is secreted by the liver and flows into the duodenum through the bile duct. Normally, it should flow down to the small intestine to participate in food digestion. In cases such as pyloric dysfunction, cholecystectomy, nausea and vomiting, gastrointestinal retrograde peristalsis, and stomach surgery, bile reflux is easy to enter the stomach, and gastric mucosa is acid resistant and alkali resistant, For a long time, bile entering the stomach will cause gastric mucosal damage and bile reflux gastritis.

Second: the clinical manifestations of patients with bile reflux gastritis are mainly dyspepsia, the main symptoms are epigastric pain and discomfort, and some patients are accompanied by abdominal distension, early satiety, belching, anorexia, etc. It can be dominated by one symptom or overlapped by multiple symptoms. Some patients have diet, mental and other inducing factors, but most of them have no clear reason, simple antacids are ineffective.

Third: bile reflux gastritis has no specific symptoms, the difference between people is still very big, some people under gastroscope performance of gastric mucosa is very good, almost normal, but its subjective symptoms are very obvious, and some people have multiple gastric erosion, but they do not have a very strong chief complaint.

matters needing attention

Food attention: usually pay attention to food hygiene, avoid liquor, strong tea, strong coffee, eat moderate hot and cold, less rough spicy can damage the gastric mucosa, avoid overeating. Do not eat in emotional or melancholy and other adverse psychological state, lest emotional changes will affect the secretion of digestive juice, eating should pay attention to a small number of meals, low-fat diet, high fat can make small intestinal mucosa release cholecystokinin, gastrointestinal contents more easily reflux, and then increase the frequency of reflux symptoms. Overweight people should lose weight, because the increase of abdominal pressure in obese people can promote gastric juice reflux, especially in supine position, so we should actively reduce weight to improve reflux symptoms. In addition, we should try our best to reduce the activities of increasing intra-abdominal pressure, such as excessive bending, wearing tight clothes, tightening the belt and so on.