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Doctor insights on: Bile Reflux Gastritis Diet

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My wife has have bile reflux for yrs. She is 29 has erosive gastritis and GERD. Diet changes and Prilosec doesn't help. What treatments are available?

My wife has have bile reflux for yrs. She is 29 has erosive gastritis and GERD. Diet changes and Prilosec doesn't help. What treatments are available?

Less info: Usually general measures are recommend e.g. small meals, no food 4 hrs before sleeping, sleeping with head propped up, avoiding fatty foods, sodas, caffein, alcohol and keeping normal wt. ...Read more

Dr. Arthur Heller
2,585 doctors shared insights

Diet (Definition)

refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more


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What the best medication for bile reflux gastritis? My endoscopy diagnosis is esofagitis with bile reflux gastritis, i've been sick for almost 2 months

What the best medication for bile reflux gastritis? My endoscopy diagnosis is esofagitis with bile reflux gastritis, i've been sick for almost 2 months

Carafate (sucralfate): Most physicians still use an acid reducing agent (like prilosec) for bile gastritis. Many times that works. If not, then an old-fashion drug, carafate, (sucralfate) usually does the trick. ...Read more

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I was dx. 5 mo. ago with bile reflux gastritis s/p lap choly. Reglan/PPI not working to control n/v & constant burning in esophagus. Other options?

I was dx. 5 mo. ago with bile reflux gastritis s/p lap choly. Reglan/PPI not working to control n/v & constant burning in esophagus. Other options?

Bile reflux gastriti: Discuss with your doctor use of carafate, (sucralfate) adding ranitidine or even adding Questran which binds bile acid (usually used for diarrhea).They now have a new system called LINX -a magnetic bracelet for the lower esophageal sphincter which helps close the gastroesophageal sphincter and prevents reflux. Last resort may be nissen fundoplicaton ...Read more

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What can I do to stop the frequency of gastritis attacks when it's not food or bacteria induced? Also have extra bile in stomach. Biliary reflux.

What can I do to stop the frequency of gastritis attacks when it's not food or bacteria  induced? Also have extra bile in stomach. Biliary reflux.

Consultation advised: Your asking a complicated question that's impossible to answer without knowing more about your symptoms and medical history. There are various causes for "Gastritis". For patient information on the causes and Rx of Gastritis see > http://bit.ly/1U4eRqQ and http://bit.ly/220RDH5 A consultation on Health Tap may be helpful. A voice/video or INBOX Text is best. A text chat is least desirable. ...Read more

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Endoscopy found some gastritis and small hiatal hernia. Did not mention gerd, Gp said I have reflux, would report say acid or bile reflux if so?

Endoscopy found some gastritis and small hiatal hernia.  Did not mention gerd,  Gp said I have reflux,  would report say acid or bile reflux if so?

Not necessary: The gastritis esophagitis can come from the reflux of acid or bile.
The pylorus should keep bile distal.
The esophageal sphincter should keep acid out of esophagus in general.
BUT these can fail.
The PCP knows your symptoms and adds the endoscopy to the facts and will try to guide your treatment. ...Read more

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What type of diet helps to reduce bile reflux? I had a bilroth II in my 20's and I am 70 now. Was treated for acid reflux but now they say it is bil

What type of diet helps to reduce bile reflux?  I had a bilroth II in my 20's and I am 70 now.  Was treated for acid reflux but now they say it is bil

Water?: I do not know if GI specialist know what to do about bile reflux either. I am not a big believer of drinking extra water, but this might be a case that washing the system might be the only way to minimize your symptoms. ...Read more

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So sulcrufate is rarely approved long term? How about for bile reflux? For lpr? For acid reflux? Esp. If diet fails?

So sulcrufate is rarely approved long term?  How about for bile reflux?  For lpr?  For acid reflux?  Esp. If diet fails?

Confer with doctor: Sulcrafate is pretty benign, it is a sort of "covering" for raw and inflamed spots in the digestive tract.. Having reflux is a complex problem, and you may require some testing to answer the question.... ...Read more

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Bile reflux, taking Carafate and 2 aciphex (rabeprazole).Still have burning in gut.Bland diet & small meals are not helping. What can I take to relieve? Pepcid?

Bile reflux, taking Carafate and 2 aciphex (rabeprazole).Still have burning in gut.Bland diet & small meals are not helping. What can I take to relieve? Pepcid?

Bile reflux: Unfortunately bile reflux differs from acid reflux and is not usually helped by medications like prilosec, aciphex, (rabeprazole)nexium,pepcid,zantac,etc. Carafate May be helpful.Avoid greasy and fried foods. A gastroenterologist is best qualified to document the diagnosis and advise you. ...Read more

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How do you deal with bile reflux?

Let me explain: Unlike acid reflux, bile reflux usually can't be completely controlled by changes in diet or lifestyle. Instead, bile reflux is most often managed with medications or, in severe cases, with surgery. ...Read more

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Does bile reflux create burning sensations like acid reflux? Or no sensations at all?

Does bile reflux create burning sensations like acid reflux? Or no sensations at all?

Can be similar: You need to see a doctor for specific diagnosis and advice pertaining to your particular individual situation. Here is an article from the Mayo Clinic about bile reflux symptoms and how they are similar to acid reflux.

http://www.mayoclinic.org/diseases-conditions/bile-reflux/basics/symptoms/con-20025548 ...Read more

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Hida scan looks normal with ejection at 87% but with moderate bile reflux. What is that and is the ejection rate high?

Hida scan looks normal with ejection at 87% but with moderate bile reflux. What is that and is the ejection rate high?

Bile reflux: Hida scan uses isotope injected intravenously then extracted from bloodstream by liver excreted through bile ducts, stored in gb eventually into duodeum. Duodenogastric Redux is bile going from duodenum back into stomach, sometimes causing bile gastritis. 83% high ejection fraction in some patients reported to cause symptoms releived by gb removal. Additional studies needed. ...Read more

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I have been suffering from bile reflux for 8 months with no relief..Every medication given seems to make it worse..What other treatments are available?

I have been suffering from bile reflux for 8 months with no relief..Every medication given seems to make it worse..What other treatments are available?

? Upper GI Endoscopy: Did you mean reflux disease. Occasionally this could be a sign of more serious disorders especially if not responding to usual treatment. You should see a gasteroenterologist and have an upper GI endoscopy possibly. ...Read more

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What are some remedies for bile reflux?

What are some remedies for bile reflux?

Depends: Have you had surgery before? Bile reflux is not a common problem unless someone has surgically altered your anatomy. There are some bile salt binding medications which can help. It may require surgery if you start to develop significant esophagitis. ...Read more

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Is there a surgery for bile reflux?

Is there a surgery for bile reflux?

Bitter taste in : Mouth? This is Acid Reflux and not Bile. And for that if diet and lifestyle change does not help then surgery called FUndoplication is done. Gall stone and inflation of Gall bladder causes bile related problem. When it gets infected than needs surgery. ...Read more

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Bile reflux surgery, can you tell me more?

Bile reflux surgery, can you tell me more?

In Roux-en-Y: ...surgeons make a new connection for bile drainage farther down in the small intestine, diverting bile away from the stomach. Anti-reflux surgery (fundoplication). The part of the stomach closest to the esophagus (fundus) is wrapped and then sewn around the lower esophageal sphincter. Ref. www.mayoclinic.org/diseases-conditions/bile-reflux/basics/treatment/con-20025548 ...Read more

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How can I know difference between acid reflux and bile reflux?

Esophageal test: the only way is with an esophageal ph study with impedance. It is a very specialized test. usually an anti-acid will help symptoms of acid reflux but not those from bile reflux. ...Read more

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Can gallbladder surgery cause you to develop acid/bile reflux?

Can gallbladder surgery cause you to develop acid/bile reflux?

Not usually: Once a bad gallbladder is removed and those symptoms fade, your underlying bile/acid reflux may become more symptomatic. Bile binders and anti acid medications can help you. Okay to check in with your surgeon or your regular doc. Be well. ...Read more

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What medication could or should be given for Gallbladder disease and bile reflux?

What medication could or should be given for Gallbladder disease and bile reflux?

GERD: You may get better with Omeprazole for reflux but you may want to see a doctor for Gall bladder problem. ...Read more

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Low functioning gallbladder causing bile reflux. What is the best treatment for this?

Low functioning gallbladder causing bile reflux. What is the best treatment for this?

Not sure..: That i understand the question. Where is the bile reflux? Do you mean reflux up the esophagus with heartburn? Bile refulx gastritis? There is no relationship between a low functioning gallbladder and esophageal reflux. See a gastroenterologist for a full evaluation. Gallbladder surgery would increase bile into the intestines and might increase bile reflux gastritis. ...Read more

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Had Cholecystectomy 2 months ago and developed bile reflux. Tried PPIs not working. What other meds treat it and is it forever or temporary symptom?

Had Cholecystectomy 2 months ago and developed bile reflux. Tried PPIs not working. What other meds treat it and is it forever or temporary symptom?

Is normal: Is not uncommon to have bile reflux after gallbladder surgery, PPI's not helpful for that. This entity is self limited, may take several months to go away, but you can try small meal more frequent. If your symptoms do not improve you should see a gastroenterologist. ...Read more

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Pre nissen, bile reflux 20 mg aciphex 2 daily. Post Nissen, gurgle and reduced reflux at night. Go back on non-responsive ppis, or is there an alternative?

Pre nissen, bile reflux 20 mg aciphex 2 daily.

Post Nissen, gurgle and reduced reflux at night. Go back on non-responsive ppis, or is there an alternative?

Reflux post nissen: http://www.medscape.com/viewarticle/804147_4

Post Nissen there are several causes . Gas venting , motility, recurrent reflux ( though many who feel like reflux do not have pH evidence of reflux) , would elevate head of bed at night( pillow under mattress) avoid smoking , alcohol, caffeine reflux triggers, eat small meals, check gastrin,gallbladder, consider reglan, ranitidine f/u /w /doc ...Read more

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What are tests and treatment for bile reflux disease?

What are tests and treatment for bile reflux disease?

Ph-impedance : This is a test that requires a tube that passes through the nose and in to the stomach and stays there for 24 hours. If looking specifically for bile reflux, stay on anti-acid medications. I will tell you about liquid reflux, and on medication that would typically be non acid liquid and/or bile. Its important to correlate your symptoms with these reflux events. May need a referral to a GI doc for This. Hope this helps! ...Read more

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Are there any treatments for non acidic reflux / alkaline reflux / bile reflux? Not responding to ppi's or h2's. I am willing to try herbs or meds.

Are there any treatments for non acidic reflux / alkaline reflux / bile reflux? Not responding to ppi's or h2's. I am willing to try herbs or meds.

Hard to treat: You can try amphojel or alternagel because they bind bile, but if they don't work, try cholestryamine (will need an rx) because it binds bile acids. No matter what you use, it is hard to treat. ...Read more

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How is bile reflux cured?

Bile: Bile reflux results from bile in the second half of the stomach, duodenum, refluxing back through the pyloric valve into the stomac or esophagus. Thos can be from a mechanical process or you msy be having difficulty moving food through you gut. I recommend a visit with s GI specialist. ...Read more

Dr. Louis Gallia
3 doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


Dr. Andrew Seibert
891 doctors shared insights

Gastritis (Definition)

Inflammation associated with mucosal injury in the stomach. Gastritis is commonly a result of infectious or autoimmune diseases, although it can also result from drugs, extreme stress ...Read more