Patient's question:
I am 34 years old. Recently, for some reason, I have been feeling nauseous and like vomiting. My stomach has been, sometimes with symptoms of heartburn and acid reflux. I went to the hospital, and it was treated for a while, but it started again. How should I handle bile reflux gastritis and Helicobacter pylori infection?Doctor's answer:
The main causes of bile reflux are subtotal gastrectomy, bacterial infection, particularly Helicobacter pylori, stomach acid, bile, and other factors that damage the gastric mucosa, causing inflammation, increasing gastrin release, affecting gastric and duodenal motility, leading to coordination disorders between the stomach, pylorus, and duodenum. This results in increased retrograde peristalsis in the duodenum, weakened pyloric closing function, delayed gastric emptying, and excessive reflux of duodenal contents into the stomach. It is recommended to take Shugan Jianwei pills, Domperidone tablets, and Omeprazole capsules for combined treatment. Avoid greasy, fishy, spicy, and cold foods. Regular dietary habits are crucial for treatment.