Bile enters the stomach treatment. Causes of the release of bile into the stomach and ways to remove it. Troubleshooting the problem promptly

The consequence of cholecystitis, hepatitis or other inflammations in the liver, bladder, ducts is bile in the stomach. The intensity, nature of the pathology, as well as treatment, depend on the provocateur of the condition. Provoking factors - poor patency of the gallbladder ducts, sphincter failure duodenum(DPC), in which the symptom appears frequently. If a lot of bile is thrown into the stomach no more than once a month, you should not worry. But if the stomach hurts regularly, bitterness appears on an empty stomach, you should seek medical help.

What does it mean?

An important element digestive system is bile. It is produced by the liver and stored gallbladder. When there is a need for bile to further break down food, it must enter the duodenum. AT normal conditions food bolus flows from the esophagus to the stomach, then to the intestines in one direction. Sphincters regulate the process, which prevent the backflow of bile into the stomach. With well-coordinated work, bile should only enter the duodenal process of the intestine with the appearance of a food lump in it. There are a number of disorders and diseases that relax the sphincter, and it does not perform its function. In these cases, cloudy and foamy bile often enters the stomach.

Causes of the release of bile in the stomach

Ingestion of bile into the stomach is possible if:

increased pressure in the duodenum;
weakened sphincter connecting the stomach and duodenum;
the bubble was removed.

Bile can be found in the lumen of the stomach during pregnancy.

Bile will be found in the lumen of the stomach in such conditions and diseases:

Injury to the abdomen with disruption of the musculature of the gastrointestinal tract.
Pathological conditions in the form of oncology, chronic duodenitis, hernia, when increased pressure in the duodenum weakens the sphincter.
Postoperative conditions with muscle damage.
Recovery after bladder removal.
Pregnancy. There is compression of the gastrointestinal tract, which causes a pressure surge. At the same time, a muscle-relaxing hormone, progesterone, is produced, due to which the sphincter relaxes and bile secretion is observed.
The action of medicines. As a result of the influence of some antispasmodics, a strong release of bile into the stomach is possible.
Sleep on a full stomach, especially on the left side.
Insufficient production of protective mucus.

Typical symptoms of the disease

You can identify the reflux of bile into the stomach by the symptoms:

Belching. As a result of interaction with digestive juice there is an increase in the amount of gases, air is emitted with a pungent odor and bitterness in the mouth.
Bitterness in the mouth. It is often associated with a lack of food in the stomach, so the symptom is most pronounced on an empty stomach.
Bile impurities in the vomit. With more frequent casts and an increase in their profusion, the stomach becomes very irritated and begins to contract. Vomiting allows you to get rid of the contents.
Yellow, dense coating on the root of the tongue.
Heartburn. Appears against the background of irritation of the stomach in the absence of protective mucus.
Pain in the epigastrium, but more often without a clear localization. Pain often varies in intensity.

When taking the contents of the stomach, foamy, cloudy, dark bile is detected. In the future, symptoms of gastritis or ulcers appear, which is associated with aggravation against the background of untreated stagnation of bile.

Diagnostic methods

If bile is thrown for several days in a row, you need to go to a gastroenterologist. The doctor will prescribe a diagnosis, as a result of which the cause will be revealed, and a treatment regimen will be determined. More often applied:

ultrasound. Tumors and cysts are detected in the liver, bladder, biliary tract, pancreas.
FGDS. Using a mini-camera, the gastrointestinal tract is examined up to the duodenum, any defects in the mucosa and sphincters are detected. At the same time, a biopsy of suspicious tissues is taken, gastric juice is taken. Bile in pathology is cloudy and frothy.
X-ray with barium contrast. The state of the gastrointestinal tract and sphincters is assessed, their location and functionality if a pathology is found.

It is important to understand that stagnation in the stomach due to frequent reflux of bile is not independent disease, this is a symptom caused by certain disorders in the gastrointestinal tract. Diagnosis is important to identify the underlying cause. If bile is not removed from the stomach in a timely manner, against the background of constant irritation of the organ, more severe chronic pathologies such as gastritis and ulcers.

Treatment of the disease

After determining why the secret accumulates and where it comes from in the lumen of the stomach, individual therapeutic regimens. The goals of therapy are to stop the process, eliminate the effects of mucosal irritation, remove excess acid, and therefore prevent the development of complications. You can cure the disease:

mitigation of symptoms: a diet with lifestyle correction, medication;
elimination of the root causes of stagnation of bile in the stomach: antibiotics for Helicobacter pylori, anti-inflammatory, choleretic, hernia surgery.

Surgery

Except chronic inflammation DPC (duodenitis), others pathological conditions in the gastrointestinal tract, accompanied by regular reflux of bile into the stomach, require surgical treatment. Operations are performed using two techniques:

Laparoscopy is a minimally invasive operation. Allows you to remove a tumor or correct another problem through several small incisions on the skin of the abdomen, where a camera with optics and tools for work are inserted. Advantages - a smaller area of injury, a short rehabilitation period, a low probability of postoperative complications.
Laparotomy - classical technique, which suggests a large opening in the peritoneum. So it becomes possible to remove the diseased part of the gastrointestinal tract. There is a higher risk of complications and an increase in the rehabilitation period due to the scale of the operation.

Preparations

The drug regulates the level of acid in the stomach by influencing the secreting glands.

Physiological disorders are treated medically when the accumulation of bile is short-term and intermittent. Chronic duodenitis should also be treated with medications. There is a specific list of drugs that are used to reduce the symptoms of reflux. It includes:

Proton inhibitors - Omeprazole, Nexium. Medicines regulate the level of acid in the stomach by influencing the secreting glands, thereby neutralizing the environment.
Prokinetics - Motillium. Their action is to regulate motor function GIT. When amplifying contractility bile circulates faster.
Anatacids - "Maalox" or "Almagel". Necessary to neutralize acidity.
Ursodeoxycholic acid - "Ursofalk". The medicine is necessary to convert bile into a water-soluble form, relieve symptoms in the form of belching, heartburn, nausea, bitterness in the mouth.
Antispasmodics - to relieve pain.
Drugs that enhance the motility of the bladder, eliminating stagnation - magnesium sulfate, "Cholecystokinin".

In response to malnutrition the body reacts very sharply: constant heaviness in the stomach, heartburn, loss of strength - these are the consequences of eating tasty, but junk food. Bile in the stomach is one of the signs of a malfunction of the digestive system. What can provoke the casting of this aggressive component is determined by modern medical research. Having become acquainted with useful information, you will learn the dangers of finding bile-containing components in the sterile environment of the stomach and esophagus.

What is reflux gastritis

Immediately behind the stomach is the duodenum, where the passage of the pancreas and the bile duct flow into. All enzymes are included here. digestive enzymes, which break down food into fatty components, proteins and carbohydrates. At normal condition bile helps to emulsify, break down fats to a state where they can be easily digested.

If there is a malfunction of the duodenum, then the digestion process stops, inflammation of the stomach occurs: this phenomenon is called reflux gastritis. During this dangerous disease bile contents are thrown into the stomach, where the latter accumulates and stagnates, which leads to severe discomfort. If you do not treat and ignore the symptoms of the disease in time, this will quickly lead to a chronic course.

Symptoms

On the initial stage disease, a person does not always feel the symptoms of the disease. A slight feeling of discomfort often does not make you think about serious problems with health. It is necessary to detect the problem of the stomach in time, because. located next to the stomach important organs: duodenum, gallbladder, liver. Thanks to this anatomical features human body the diagnosis of reflux gastritis is accompanied by comorbidities: pancreatitis, cholecystitis, duodenitis, which have characteristic symptoms.

Bitterness in the mouth and throat

When the bile ducts are clogged, their contents do not enter the duodenum and begin to seep through the walls of the bladder. A lot of bile in the stomach can give a feeling of bitterness in the mouth and throat, especially this feeling complicates life in the morning, on an empty stomach, when the stomach is empty. A bitter taste on the tongue should alert a person and make him turn to a doctor.

Vomiting bile

succession festive feasts, which involve the consumption of large amounts of fatty foods and alcohol, lead to backfire especially in people with digestive problems. When you feel sick, vomiting of bile occurs after alcohol, diarrhea - this means that digestive organs work hard, they can not cope with the problem themselves.

Pain in the stomach

Due to the fact that on the walls of the stomach a large number of nerve endings, with any of his diseases, a person feels pain in the abdomen. They can give to any part of it. The person should be alert heat, stomach pain and belching that occurs even after taking a small amount food: this indicates an inflammatory process.

Ejection of bile into the mouth

Along with belching through the esophagus, the contents of the stomach with bile components may be thrown. This happens at night, during sleep, when there is a relaxation of the overflowing gallbladder and its ducts. A bitter eructation with an unpleasant odor indicates the presence of stones in this organ, which requires immediate medical intervention otherwise there will be complications.

Heartburn

Feelings of burning, hot flashes or tingling behind the breastbone is called heartburn. It occurs with increased acidity and the reflux of aggressive stomach contents into the esophagus, this phenomenon is called reflux gastritis. This symptom is often confused with a disease. of cardio-vascular system Therefore, it is important that a person seeks help from a doctor in time.

acne

Inflammation of the skin is a direct consequence of the uncoordinated work of the stomach with nearby organs. Poor nutrition, constant stress, starvation diets can cause an uncontrolled release of bile, which leads to the appearance purulent acne all over the body. Even proper hygiene cannot cope with this symptom, only A complex approach to treatment.

Causes of reflux of bile into the stomach

The chewed food is processed by gastric juice and hydrochloric acid, after which it moves to the duodenum, where the food is completely digested with the help of incoming bile and pancreatic juice. If any digestive organ fails, these enzymes are not released or enter the intestine at the wrong time, when it is not yet filled with food. What causes unwanted substances to be thrown into the stomach:

eating according to the regimen without the appearance of appetite;
binge eating;
pregnancy;
frequent stress.

Treatment of gastroduodenal reflux

gastric reflux develops with favorable conditions to get on the gastric mucosa of a microbe called Helicobacter. On the early stages diseases standard method The fight against this disease is the adjustment of nutrition. With advanced, progressive forms, when the patient was tortured by nausea and heartburn, drastic measures are needed.

medicines

After examining the intestines by FGDS (fibrogastroduodenoscopy) for its treatment, doctors prescribe a course of medications - antibiotics and tablets:

"Ganaton" is intended to mask the symptoms chronic gastritis. Belching of bile, abdominal pain, bloating, gas formation quickly pass. To be taken as directed: 1 tablet three times daily on an empty stomach.
"Odeston" will perfectly cure bile reflux, relieve the symptoms of the disease. The medicine fights the accumulation of bile, preventing its stagnation. It is taken only on an empty stomach 3 tablets in three doses in 24 hours.

Folk remedies

Remove bile, quickly renew the intestinal mucosa, remove the symptoms of disruption of the digestive system, folk recipes are capable of:

Mix in half a glass of milk or cream and tomato juice. Drink this recovery mixture with every meal. acid-base balance and removal of bile from the stomach.
Grind flax seeds (0.5 cups) with a coffee grinder, pour water (300 ml), leave until swollen. The resulting mixture should be consumed for breakfast, like porridge. This tool will help remove bile from the stomach, thicken its walls.

Diet

For gastritis, get well soon the patient must adhere to the principles proper nutrition and follow a therapeutic diet:

Eliminate from the diet fried foods.
At the time of treatment, it is recommended to refuse food of animal origin: meat, fish, fermented milk products.
Stewed or steamed vegetables that have the ability to envelop the stomach should be included in the diet: pumpkin, zucchini, carrots, sweet potato, beet.
Eat seasonal fruits and herbs.

The backflow of bile into the stomach is called reflux disease. Pathology is dangerous development serious complications associated with deep defeat mucous membranes of the stomach, up to perforation of ulcerative foci and perforation of the walls of the organ.

Treatment of bile reflux into the stomach is always complex, aimed at stopping symptomatic manifestations and elimination of true reflux. In severe clinical situations, the cause is eliminated surgically.

Why is bile thrown into the stomach and what is the treatment? The main cause of reflux is muscle tone. Provoking factors can be injuries, anomalies in the development of the departments and organs of the gastrointestinal tract, constant exposure to aggressive food.

Clinicians distinguish two main medical directions after the final diagnosis is established, surgical intervention and conservative therapy. Both methods often complement each other. For the vast majority it is enough conservative treatment medications. How to remove bile in the stomach and get rid of pathology?

Drug therapy

Used to treat reflux of bile secretions into the stomach wide range drugs that relieve unpleasant symptoms and may affect the cause of treatment.

Mandatory aspect successful therapy is compliance special diet, which reduces the digestive load, normalizes the secretion of bile and ensures its normal distribution along the hepatobiliary tract. If there is a lot of bile in the stomach, what should I do?

Drugs to reduce the secretion of the proton pump

A proton or proton pump (pump) is a kind of enzymatic protein that is involved in the production of hydrochloric acid necessary for normal digestion.

Too much protein or proton pump, acid begins to be produced in an increased volume, which negatively affects the condition of the mucous membranes of the digestive tract as a whole. Inhibitors reduce the activity of the enzyme, normalize the release of hydrochloric acid and minimize traumatic injury mucous membranes. The following drugs are usually prescribed:

Note! Preparations for the treatment of bile in the stomach have many analogues, so it is almost impossible to independently understand the effectiveness of drugs without consulting a doctor. Inhibitors proton pump have a whole range of contraindications, including pregnancy and lactation, children under 12 years of age (according to indications), individual intolerance.

Antacids

Antacids are "on-duty" drugs in the medicine cabinet of every patient suffering from various diseases upper divisions digestive system. Antacids quickly neutralize the acidity in the stomach, reduce the intensity of heartburn, alleviate the patient's condition during exacerbation of gastritis, peptic ulcer stomach, gastroesophageal reflux gastric juice into the esophagus) and the reflux of bile secretions into the stomach. Common medications for symptomatic relief include:

Phosphalugel;
Almagel and Almagel A(with an anesthetic component);
Maalox;
gastracid;
Topalkan;
Gaviscon.

For emergency assistance, you can use non-traditional methods. From folk remedies considered effective baking soda, magnesium carbonate, burnt magnesia.

Antacids are not used in pediatric practice for the treatment of children under 3 months of age. It is unacceptable to use the drug during pregnancy and lactation.

Important! Contraindications to the appointment are more conditional and, as prescribed by a doctor, can be used in patients of any amnestic group.

Prokinetic agents in the fight against reflux

Prokinetics are a group of drugs that provide normal motility of the digestive tract and stimulate quick evacuation food bolus through the digestive tract. The appointment of prokinetics is due to stagnation of food, heartburn, impaired peristalsis and the appearance of constipation against the backdrop of bile reflux into the stomach. The main agents with prokinetic properties are the following:

Motorix,Motilium, Motinorm;
Bromopride, Raglan, Cerucal;
Propulsid, Coordinax, fractal, Zelmak.

Many drugs for the treatment of gastroenterological diseases have prokinetic properties, which is important to consider when prescribing. drug therapy. Exceeding the dose can lead to diarrhea, persistent diarrhea.

The combination of prokinetics with Erythromycin, Ketoconosal, Telithromycin and other inhibitors of the CYP3A4 isoenzyme is unacceptable. Prokinetics are contraindicated for internal bleeding, hypersensitivity to the components of the drug during pregnancy and lactation.

Antispasmodics

Antispasmodic drugs are prescribed for spastic pain in the abdomen, stomach to reduce tone smooth muscle and normalization of digestion. The main antispasmodics are the myotropic agents Papaverine and No-Shpa (analogous to Drotaverine). Papaverine is widely used for stagnation of bile in choleretic tract due to spasm of muscle structures. Papaverine is widely used in pediatric practice, suitable for the treatment of reflux in young children.

Drotaverine has a similar effect on the body, is prescribed for pain in the hepatobiliary region, stomach. Both drugs should not be taken with kidney failure, individual intolerance to the drug, with glaucoma and oncological tumors any localization. Other drugs include:

Papazol;
Bioshpa;
Neobutin;
Duspatalin;
mebeverine;
Odeston;
Simethicone.

Important! Despite widespread use antispasmodic drugs, for the treatment of reflux disease in children and adults, the use of medicines without a doctor's prescription is unacceptable.

Cholagogue

Drugs from the group choleretic drugs are prescribed for congestion, when bile stagnates in the gaps bile ducts conditions are created for the development of reflux disease. The active components of the preparations stimulate the flow of bile secretion through the ducts, preventing stagnation and eliminating unpleasant symptoms. effective means are:

Odeston;
Nicodin;
Flamin;
Oxafenadim;
Hofitol;
Pancreazim.

Cholagogue drugs have multiple classifications, so choose necessary remedy important with the help of the attending physician. The doctor will take into account the cost of drugs in order to choose an inexpensive one that fits the patient's budget. Medicines have pronounced side effects: nausea, increased pain in the abdomen, upset stool. You can not take drugs with individual intolerance, pregnancy and lactation, unless otherwise indicated.

Hepatoprotectors

Hepatoprotectors contribute to the restoration of liver tissues, the normalization of the function of the entire hepatobiliary system as a whole. Hepatoprotectors prevent the conversion of bile secretion into a water-soluble form, stop unpleasant symptoms: bitterness in the mouth, nausea, bad smell from the mouth, heartburn. Main effective drugs consider:

Ursofalk;
Ursosan;
Heptral;
Hofitol;
Silimar;
Allochol;
Essentiale-N;
Karsil.

Hepatoprotectors are contraindicated in cholelithiasis, acute liver failure, with cirrhosis of the liver tissue. During pregnancy and in childhood taking hepatoprotectors requires special indications when the expected benefit outweighs the potential harm.

Note! All medications require careful consideration when prescribing. It is important to match correctly active ingredients, observe correct dosage and reception plan. If the doctor's recommendations are not followed drug treatment will bring only temporary results, and patients will need more serious intervention.

Useful video

How to get rid of bile reflux is voiced in this video.

Radical treatments

How to treat the reflux of bile into the stomach with surgery? Duodenal reflux develops practically against the background of any organic pathologies of the digestive tract. If drug therapy does not bring positive dynamics or is impossible, then they resort to surgical intervention. Today, there are several methods for performing the operation:

At effective treatment the function of the gallbladder, the hepatobiliary system as a whole and the gastrointestinal tract is restored. Rehabilitation involves continued adherence therapeutic diet, drug therapy and some restrictive guidelines. In some cases, the diet is lifelong.

Folk methods

Other effective methods there is no cure. Known from folk medicine choleretic herbs: St. John's wort, thyme, immortelle, plantain and others, however, their action can only stop unpleasant symptoms, but not eliminate the cause of the disease.

Much better ethnoscience looks in rehabilitation period or after effective medical treatment.

At home, you should also follow a diet, from the diet of which aggressive foods, carbonated waters (including mineral water, sweet drinks), and alcohol are excluded.

Throwing bile into the stomach requires immediate treatment. Symptoms in violation of the flow of bile appear immediately, differ in intensity and persistence. Against the background of physical discomfort, psycho-emotional disorders develop. Timely treatment prevents the development of complications and the need for surgery in 35% of all clinical cases.

When the body is healthy condition, bile produced by the liver, is considered one of the key components in digestion. It facilitates the transition from gastric to intestinal digestive processes. During the period of proper body function, bile in the stomach does not have the prerequisites for the appearance, since this contributes to the disruption of the proper digestion of food.

Causes of the phenomenon

Food is able to pass through the body in only one direction - from top to bottom, except for a defensive response, as vomiting reflex allowing the elimination of toxins. Food, through the mouth, goes deep into the esophagus, and then into the stomach, then into the duodenum and along the intestines. Make a move to reverse side food is prevented by a sphincter - a muscular valve that allows chyme (a lump of food) to pass in only one direction. When bile is inside the stomach, this indicates that the sphincter that separates the organ itself from the duodenum is undergoing some kind of pathological process leading to muscle relaxation inside.

And yet, the main factors influencing the origin of this phenomenon are believed to be spasms inside the gallbladder, as a result of liver disease and gallstone disease.

The reasons are as follows:

Ingestion of bile into the stomach also occurs in people who do not have symptoms of diseases of the digestive system. Causes that accompany bile reflux:

Regular overeating.
Excessive use of fatty, fried, smoked, salted or peppered. Food not the first freshness can cause a similar phenomenon.
Eating directly at night.
Heavy drinking during the meal, in particular carbonated drinks.
Sudden body movements or significant physical stress after eating, increase the risk of bile reflux into the stomach.

Symptoms of the disease

Bile mostly contains acids. During the period of its penetration deep into the gastrointestinal tract, it begins to neutralize the influence of gastric juice, participates in the breakdown of fats.

But, in the process of bile entering the stomach, acids can damage the mucous membrane, provoking inflammation, leading to erosions or gastritis. In some situations where there is copious amount bile, the esophagus suffers. This suggests that the tone of the lower muscle valve in the esophagus is reduced as a result of the influence of aggressive acid environment. For the esophagus, the penetration of bile into it is fraught with dangerous consequences, it provokes the transformation of the epithelium into an atypical form.

General symptoms of the disease are as follows:

Painful discomfort of a pulling nature in the abdominal region.
Belching, often with the release of a small amount of liquid.
Nausea, gag reflex with bile secretion.
Feeling of bitterness in the mouth and characteristic plaque on the surface of the tongue.
Feeling of thirst.
Lethargy and malaise.

As indicated earlier, the reflux of bile into the stomach can also be observed in healthy body. The symptoms of reflux vary from single cases just persistence.

Complications of the disease

The reflux of bile into the stomach is dangerous not only as an independent phenomenon. In the course of a prolonged course of the disease, certain adverse effects reflux.

Ways to eliminate the disease

During the treatment of bile reflux, it must be taken into account that it is considered only a symptom, and not independent disease. When the cause of the reflux is not eliminated, the disease accompanies the patient throughout the entire period of life. But still, symptomatic therapy needed. It makes it possible to improve the patient's quality of life and prevent the likely adverse effects of gastroduodenal reflux.

Medical therapy

In order to eliminate this phenomenon, treatment with medications is used:

Surgical intervention

Most of the diseases leading to this phenomenon are treated by surgical intervention. The exception is chronic form duodenitis. He is treated conservatively.

Laparoscopy. It is a minimally invasive method of therapy, during which the operation is carried out without opening the peritoneum. The best option in the period of insufficiency of the pyloric sphincter.
Surgical operation using laparotomy. Depending on the factors that provoked the formation of reflux, apply different types surgical intervention. This way eliminates various neoplasms compressing the duodenum. Permissible methods eliminate the insufficiency of the pylorus muscle valve.

Bile inside the stomach is only a symptom, not a separate disease. But the occurrence of such symptoms needs a comprehensive examination.

It is required to identify and heal the main ailment that has become a factor in this phenomenon. If a full recovery impossible, symptomatic treatment is used to reduce clinical manifestations disease and improve the patient's quality of life.

Traditional medicine

It is permissible to treat bile reflux not only with medications, but also through folk ways. Some of the recipes quite effectively cope with the elimination of symptoms at all stages of the disease.

Therapy of the disease can be carried out using such folk recipes:

It is necessary to emphasize that bile inside the stomach is considered a symptom, not a disease, and therapy, first of all, should be aimed at eliminating the causes due to which bile acid penetrates deep into the organ. To discover real reason reflux, it is necessary to carry out a comprehensive examination, which helps to determine and cure the underlying disease. When complete recovery of the patient is not possible, use symptomatic treatment. It is aimed at improving the quality of life of the patient and reducing laboratory signs diseases.

The entry of bile into the stomach is a symptom of developing. In a healthy person, bile is sent to the duodenum from the liver and then to the lower intestine. During diseases with impaired function of the pylorus of the stomach and high blood pressure in the duodenum, occurs reverse process, that is, the reflux of bile and duodenal contents into the stomach.

Reflux of bile into the stomach is not asymptomatic

The food we eat goes into oral cavity, where it undergoes primary cleavage with the help of saliva. The resulting food lump moves into the stomach. From the stomach, food travels to the duodenum, then to the thin departments intestines, where the digestion process nutrients ends.

Moving along the esophagus to the stomach, the food bolus is pushed through by sphincters - valves equipped with circular muscles, they also prevent the swallowed contents from rising back up the esophagus into the oral cavity. There are times when the body turns on defense mechanism- vomiting, in this case, the sphincters do not work, contributing to the release of toxic substances.

The stomach is filled with bile different reasons. For example, due to injuries, hernia, tumors in abdominal cavity. By squeezing the duodenum, they exert mechanical pressure, forcing bile to avoid the resistance of the pyloric sphincter, throwing it back into the stomach.

During pregnancy, the mechanism for the development of gastroduodenal reflux is the same as described above. Growing in the mother's body, the fetus presses on the duodenum, allowing the duodenal contents to enter the woman's stomach, tormenting her with vomiting. Some medical preparations lead to a decrease in resistance and weakening of the pyloric sphincter muscles. The use of muscle relaxants or antispasmodics contributes to the formation of a lumen between the duodenum and the stomach, which, in turn, leads to leakage of bile.

Surgical interventions. If during the operation there was damage to the muscle fibers of the pyloric sphincter, bile will certainly be thrown into the stomach. In chronic duodenitis, when the duodenal mucosa is in an inflamed, swollen state, the entry of duodenal contents into the stomach occurs constantly.

Symptoms of bile entering the stomach

Heartburn is a symptom of reflux of bile.

Symptoms of bile entering the stomach are sometimes disturbing and healthy people. This happens from overeating or from excessive physical activity after eating. If they happen rarely, it is necessary, if possible, to exclude the causes leading to heartburn, belching.

Prolonged, painful eructations and pain in the abdomen indicate the onset of the disease.
Abdominal pain is enough serious symptom diseases of the digestive system. During the reflux of bile into the stomach, the pain does not have a clear localization. The doctor hears complaints of pain in the abdomen, but without instructions exact location anxiety.
Heartburn is formed due to the ingress of bile from the stomach into the esophagus, causing irritation, a burning sensation.
Belching. Gases formed in the stomach sometimes enter the oral cavity along with bile.
To dangerous symptoms you should add such sensations as: the appearance of an icteric coating on the tongue, vomiting of bile.

All these symptoms are signs of the development of the disease and the reason for going to the doctor.

Reflux gastritis is a disease in which the mucous membrane of the stomach is constantly inflamed due to the effect of bile acid on it. Acidity- a factor that increases the likelihood of developing reflux gastritis.

In gastroesophageal reflux disease, acid from the stomach enters the esophagus, irritates and damages its walls. The progression of the disease is an indication for surgical treatment.
The disease is Barrett's esophagus. Develops due to permanent damage lower divisions esophagus. The epithelium of the lower parts of the flat and multilayer turns into a cylindrical. The danger of this state is that it is a signal possible start oncological disease.

Treatment of excess bile in the stomach

Bile reflux is not an independent disease, but only a symptom. It is important to find and eliminate the cause of bile reflux into the stomach. However, symptomatic treatment can prevent complications of gastroduodenal reflux and improve the patient's condition.

Selective prokinetics - motilium and cisapride, help speed up the evacuation of food from the stomach and empty it, get rid of excess bile, increase the tone of the sphincters.
proton pump inhibitors. The most effective are rabeprazole (pariet) and esomeprazole (nexium). The drugs fight acid-dependent diseases by reducing the content of hydrochloric acid production, blocking it in the gastric mucosa. The use of this group of drugs significantly improves the prognosis for diseases caused by high content acid in the stomach.
Antacids - Maalox, and many other drugs from this group, also reduce the level of acid in the stomach, as do proton pump inhibitors. Their mechanism of action is somewhat different from the latter, but leads to one result - the achievement optimal level acidity. You should choose a drug from one or another group, you should not take them together. Proton pump inhibitors have a longer duration of action, but they are also more expensive. Antacids will have to be taken longer, they are cheaper.
Ursofalk or ursodeoxycholic acid changes shape bile acids on water-soluble, is sparing for a stomach. With reflux, it should be taken twice a day in a glass - 250 ml. Ursofalk eliminates belching bitterness, bilious vomiting. Facilitates general state sick.

Chronic duodenitis is treated conservatively, but many diseases that cause bile reflux into the stomach require surgical intervention. Laparoscopic correction of gastroduodenal reflux is aimed at minimizing surgical intervention and minimizing the degree of injury to body tissues. Laparoscopy is a minimally invasive treatment method aimed at correcting insufficient function of the pyloric sphincter.