Bile Reflux Gastritis Diagnosis and Treatment Options
No reflux is good reflux, but bile reflux gastritis can be much more of a nightmare than it’s similarly named related condition, acid reflux. One of the first problems sufferers face when encountering this condition is getting a proper diagnosis. Unfortunately, unlike acid reflux, determining whether or not a patient has bile reflux gastritis poses greater challenges to health care providers. Symptoms of the illness present very similarly to common reflux and, unlike H. pylori gastritis which reveals almost no symptoms in many people, bile reflux does cause abdominal pain and heartburn, nausea and sometimes vomiting and a cough and weight loss in some cases. It can be caused by many things but one of the most common bile gastritis causes is surgery, whether it is a result of a gallbladder surgery, or complications resulting from various other types. Peptic ulcers can also increase the likelihood for development of bile reflux gastritis.
Your body won’t give you any big clues that this other form of reflux is to blame for your symptoms, and your doctor will have some investigative work to do if he or she feels that something more sinister is going on than common heartburn. One popular method of diagnosis for all types of reflux and gastritis in children and adults is various methods of endoscopy. It can show inflammation and ulcers and provide your physician an opportunity to take a biopsy if need be. Acid tests are another common diagnostic tool and they work by taking a sample to measure acid. While they can help to eliminate acid reflux as a suspect, it’s not a definitive diagnostic tool for bile reflux gastritis. Esophageal impedance is another test designed to identify gas or liquids refluxing into the esophagus.
Treating this particular condition is a bit more challenging than over the counter and prescription remedies normally employed to deal with chronic or frequent reflux. While proton pump inhibitors have also been used to treat bile reflux gastritis, aside from blocking acid production, they have little role in the treatment of bile reflux. Other medications, such as those designed to disturb the distribution of bile and also those which can promote bile flow, are often used. In some cases surgery is required and there are two options. A re-routing so to speak of the drainage passage for bile to redirect it away from the stomach, and another surgical procedure that involves an intricate replacement of the lower part of the stomach; the latter however being reportedly non effective for bile reflux gastritis in most cases.
Lifestyle changes are a big part of proper chronic gastritis treatment and regardless of what type you are afflicted with, you can make modifications to your nutritional intake and exercise routine that can help alleviate some of the symptoms of this condition. A gastritis diet consisting of smaller meals that lack fatty fare, alcohol and other problematic foods, along with weight loss and stress reduction can all be helpful to controlling various types of gastritis.