Patient's question:
Hello! I developed bile reflux gastritis last year. At first, it started suddenly. I ate sea cucumber with honey water, and after finishing it, I went snow shoveling. It was very cold at the time, so suddenly, my left side of the stomach started to ache intensely. I had an ultrasound, and the gallbladder was fine. Later, my stomach also started to hurt, and a gastroscopy revealed bile reflux gastritis. I have been taking medication for a year, but it hasn’t improved. This time, during the re-examination, it was still bile reflux gastritis, and there was also intestinal metaplasia in the small intestine. There was a grayish-white tissue mass in the antrum, and the esophagus had a 0.2 cm biopsy showing chronic inflammation with focal glandular intestinal metaplasia. Now, I have no appetite and no sense of taste. Only drinking millet porridge makes me feel a bit better. I’ve lost a lot of weight. I used to take magnesium-aluminum carbonate tablets, rabeprazole, convalescent liquid, and mosapride. I also took traditional Chinese medicine, but too much medication isn’t good. Now, I’ve been taking aluminum-magnesium hydroxide for several months.Doctor's answer:
According to your description, in terms of clinical diagnosis, bile reflux gastritis is still recommended for medication treatment. The current treatment suggestion is to combine a breath test to understand if there may be Helicobacter pylori infection and provide targeted treatment. Additionally, it is important to cooperate with antidepressant treatments such as Fluoxetine Mirtazapine tablets to prevent gastric neurosis and alleviate the condition. The harm that gastritis brings to patients is very significant. Once symptoms are noticed, it is essential to seek medical attention promptly. At the same time, pay more attention to self-care training, eat more vegetables and fruits, and avoid foods that may affect the condition. It is hoped that gastritis patients can receive professional treatment.