Patient's question:
I have had bile reflux gastritis for 5 years. I experience severe retching, and domperidone doesn't help. How should it be treated?Doctor's answer:
Bile reflux gastritis is a syndrome characterized by a series of symptoms such as upper abdominal pain, vomiting bile, abdominal pain, and weight loss, caused by bile flowing back into the stomach. It is commonly seen after gastric resection or gastrojejunostomy. The basic condition is the loss of pyloric function or incomplete pyloric closure, which allows bile to flow directly back into the stomach. Treatment can involve taking Domperidone, Metoclopramide, and Prilosec, along with gastric mucosal protectants such as Montmorillonite powder, Sucralfate, etc., to reduce the harm of bile reflux to the gastric mucosa. The diet should be light and avoid the consumption of greasy foods.