Is it good to treat bile reflex in the stomach? How to treat it?Bile reversal in the stomach did not necessarily mean illness. If it was caused by hunger, after eating, or nervousness, it was a normal phenomenon and did not need treatment. However, if it was a disease such as bile reflex rheumatism, it needed treatment. The treatment was as follows:
** 1. Method to determine if treatment is needed **
1. First, he ruled out whether it was normal bile reflex (caused by hunger, after eating, nausea, etc.).
2. Methods to determine if treatment was needed:
- Stomach examination: It is the most direct method. If the gastric mucus is congested, swollen, and more fragile; if bile can still be seen after waiting for a minute; if the gastric mucus lake is dyed yellow or green; if the gastric mucus is also dyed with the color of bile, it may be that the disease needs treatment.
- Pathology: Pathology can sometimes be used to diagnose bile reflex.
- [Nucleus: Rarely used.]
- Other methods: such as aspiration to measure the contents of the tube, measurement of total bile acid in the gastric mucus tissue, 24-hour continuous measurement of HP value in the stomach, portable 24-hour Bilirubin measurement, etc.
If there is bile repulsion accompanied by discomfort, the bile repulsion needs to be treated; if there is no bile repulsion but discomfort, the discomfort needs to be treated.
** 2. Treatment Method **
1. ** Regular medication **
- ** A medicine that neutralises bile acid **.
- ** Medicines that promote motivation **: such as mosapride, domperitong, and cisapride, which can strengthen the movement of the smooth muscle of the digestive tract, restore the coordinated movement of the stomach, the parantrum, and the intestine, and empty the stomach, thereby reducing the time that bile stays in the stomach and reducing the damage of bile to the stomach.
- ** Medicines that suppress gastric acid **: such as omeprazol, cimetidine, ranitidine, pantoprazol, etc., can suppress the secretion of hydrogen ions in the gastric esophagus, reduce the concentration of gastric acid in the stomach, and reduce the erosion of gastric acid on the stomach wall.
- [Medicines that protect the gastric mucus membrane: For example, sucralfate can be directly applied to the damaged stomach, preventing stomach acid, bile, and other harmful substances from continuing to invade the stomach wall.]
- Ursodesoxidocholic acid: It can regulate the composition of bile, reduce the damage of bile to the stomach, and accelerate the repair and growth of gastric mucus, thereby reducing the damage of bile and gastric acid flowing back into the stomach.
2. ** Lifestyle adjustment **
- Control your weight and avoid being overweight.
- Stop drinking and smoking, eat regularly, raise the head of the bed, and avoid eating before bed.
- In terms of diet, one could eat some grains. The rice washing did not have to be too delicate. One could also supplement vitamins B, oryzantine, and so on.
It should be noted that patients should go to the hospital in time, choose the appropriate medication under the guidance of the doctor, and use the medicine according to the doctor's advice.
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3 answers
2024-10-11 20:29
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