Patient's question:
Belching and bile reflux for 3 yearsDoctor's answer:
Analysis of the condition: Belching and bile reflux. Medication has not shown improvement.Guidance:
1. Western medicine treatment:
- Prokinetic agents: These medications can increase gastrointestinal motility and inhibit bile reflux into the stomach. Commonly used drugs include: Domperidone, Mosapride.
- Gastric mucosal protectants:
- Sucralfate: Can combine with gastric mucosal glycoproteins to form a protective film, shielding the stomach lining from bile damage.
- Gastric membrane: Can form a membranous substance in the stomach to cover the gastric mucosa, reducing irritation from refluxed bile and stomach acid.
- Smectite: A gastric mucosal protectant that strengthens the gastrointestinal mucosal barrier, promoting gastric mucosal regeneration.
- Progestogen: Can stimulate gastric mucosal mucus secretion, thereby protecting the stomach lining.
- Jifus: Protects the gastric mucosa and promotes inflammation healing.
2. Traditional Chinese Medicine (TCM) treatment:
Most cases of bile reflux gastritis, according to TCM differentiation, fall under the category of disharmony in the spleen and stomach's ascending and descending functions, stagnation of water retention in the stomach, and concurrent liver qi stagnation. Symptomatic treatment based on this differentiation often yields ideal results.
3. Dietary management:
- Maintain a light diet and avoid greasy foods to prevent increased bile secretion, worsening reflux, and the condition.
- Chew food thoroughly and avoid overeating.
- Avoid strong tea, (strong alcohol), concentrated coffee, and spicy, excessively cold, hot, or rough foods.
4. Eliminate factors that exacerbate the condition, including:
- Quitting smoking and alcohol.
- Avoiding mental stress and maintaining a calm mood.
- Avoiding or cautiously using medications that irritate the gastric mucosa, such as aspirin, indomethacin, painkillers, and phenylbutazone.
Dietary management: Maintain a light diet and avoid greasy foods to prevent increased bile secretion, worsening reflux, and the condition. Chew food thoroughly and avoid overeating. Avoid strong tea, (strong alcohol), concentrated coffee, and spicy, excessively cold, hot, or rough foods. Eliminate factors that exacerbate the condition, including quitting smoking and alcohol, avoiding mental stress, maintaining a calm mood, and avoiding or cautiously using medications that irritate the gastric mucosa.