Why was it detected that bile is refluxing during the endoscopic examination?

Patient's question:

Feeling hungry to the point where my stomach feels glued together, but then I get a bloated pain after eating, especially in recent days. Last year, a gastroscopy revealed bile reflux, and now I'm experiencing similar symptoms again. So, I wanted to ask you, doctor, what could be the reason for this?

Doctor's answer:

There are many reasons for bile reflux, such as gastric prolapse, post-cholecystitis surgery, post-gastric resection surgery, pyloric dysfunction, etc. First, medication should be used for treatment (cholestyramine, metoclopramide). If the treatment is successful and the symptoms are severe, surgical treatment should be considered. Daily treatment for patients with gastric diseases is mainly symptomatic treatment. Patients can use many oral medications, coordinate with various vitamins, and pay attention to self-care, proper diet, and avoid cold foods.

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