The release of bile what to do. Treatment of bile reflux into the stomach: pharmacological and surgical techniques. Bile in the stomach - diet

The secret produced by the liver is considered an indispensable component of digestion. It is a kind of toggle switch that switches the process of food processing from gastric to intestinal. With optimal functioning of the body, this fluid does not reach the epigastrium, but there are exceptions to the rules. The reflux of bile into the stomach, the symptoms and causes of the formation of pathology will be discussed further.

Bile is a fluid secreted by the liver that is needed for the digestion of food in the intestines. It enters this organ through the biliary tract.

Anatomically, bile refers to the liver. However, before going to the intestines, it accumulates in the gallbladder. Hippocrates at one time noted the huge role that this organ plays in the life of the body. In some teachings it is considered Starting point with which to begin recreational activities. The purpose of the gallbladder is to solve the following tasks:

• Provision of duodenum 12 necessary quantity secret.
• Making a significant contribution to metabolic processes.
• The formation of a fluid that is part of the articular membranes.

In standard mode, this element penetrates into gallbladder and starts the digestion of products received through the esophagus. However, in some situations, the bile "goes astray" and goes directly into the stomach. Experts do not classify a failure in the mechanism of food processing as independent diseases. The pathological process is considered a symptom of diseases of the digestive tract.

In the human body, this fluid is responsible for the following tasks:

• leveling of the organic element of pepsin, which is part of the gastric juice;
• revitalization of peristalsis;
• assistance in the production of micelles;
• preventing bacteria and proteins from sticking together;
• the formation of feces;
• activation of the synthesis of intestinal hormones and mucus;
• emulsification of fats;
• intestinal antiseptic.

However, the leading function of bile is to stimulate the transition digestive process from the stomach to the intestines.

The composition of this fluid is quite diverse, and any changes in the balance of the components can lead to ailments, including education.

The process of bile formation

The gallbladder serves as a container that provides the duodenum with the necessary amount of secretion for food processing. The formation of bile ongoing process under the influence of external and internal stimuli.

Features of the formation of hepatic secretions

1. The duration of the unmanifested stage is from 3 to 12 minutes. At the end of the meal, the rate of production of this element increases. The formation of bile is due to the acidity of the "filling" of the stomach, the period of its stay in this organ, as well as the production of hormones responsible for the activation of bile formation.
2. The next stage is bile excretion. It takes 3 to 6 hours. With the help of special fibers, the motility of the bladder and adjacent ducts is activated, stimulating the relaxation of the sphincter of Oddi. Thanks to this, further promotion of bile is carried out.
3. When the body is not busy processing food, bile enters the gallbladder and accumulates there until the next digestive cycle.

The process of bile formation is carried out constantly. The passage of the secret into the duodenum is discrete, only during the digestive process.

Causes of reflux of bile into the stomach

According to the design of nature and evolutionary mechanisms, the passage of food through the body is carried out in only one established course - from top to bottom. A unique protective reaction does not fall under this rule - vomiting, which makes it possible to get rid of toxic substances.

The danger of finding bile in the cavity of the stomach is caused by the possibility of deformation of its walls.

The food transportation scheme is as follows: oral cavity → esophagus → stomach → duodenum → other parts of the intestine. The sphincter prevents the food bolus from returning in the opposite direction. It is a kind of lock that allows food to pass through unilaterally.

If bile is in the stomach, then the work of the sphincter located between this organ and the intestines is disrupted. Pathological processes occurring in it lead to weakening muscle tone, which causes the secret to be passed in the wrong direction.

In addition, such a pathology may be due to the following reasons:

• liver diseases;
• congenital physiological anomalies and acquired injuries;
• spasms of the gallbladder;
• the presence of hernias and tumors;
• cholelithiasis;
• excessive intake of muscle relaxants or antispasmodics.

More detailed information about liver disease you can find in .

Pregnant women are at risk. In the process of development, the fetus exerts pressure on the duodenum 12, which provokes the reflux of bile to the wrong destination. During surgical interventions, there is a risk of injury to the sphincter muscles, which is fraught with a reverse movement of the digestive fluid. This is especially true for patients undergoing gallbladder surgery.

Factors contributing to the weakening of the natural valve:

• regular overeating;
• sleep on the left side with a full stomach;
• violation of the meal schedule;
• increased physical activity after a meal;
• simultaneous intake of carbonated water and a large amount of food;
• smoking;
• overweight, exceeding the allowable norm by 20 kg;
• constant consumption of smoked and fried foods.

If bile enters the stomach as a result of these factors, the root cause should be eliminated in a timely manner. In this situation, you can exclude the passage of drug therapy.

Symptoms and possible consequences of reflux of bile into the stomach

With coordinated work gastrointestinal tract The fluid produced by the liver does not reach the stomach. Entering the intestines, bile neutralizes the destructive effects of gastric acid and is involved in the process of fat breakdown. However, once in the stomach, it turns from a creative element into a destructive one, capable of causing the development of gastritis or erosion.

The release of bile into the stomach - symptoms

If the secret has passed into the epigastrium in a large volume, there is a risk of injury to the walls of the esophagus. As a result of exposure to the acids that make up this fluid, the tone of the sphincter that protects the food tube decreases.

Table 1. Symptoms of bile reflux

This process is also accompanied by:

• physical weakness and constant fatigue
• increased gas formation;
• feeling of heaviness in the epigastric zone;
• bloating;
• puffiness;
• increased sweating;
• fever after eating;
• constant feeling of thirst.

If bile is in the stomach for a long period, such a situation may be fraught with the occurrence of the following diseases:

• Barrett's esophagus - a precancerous stage of the lower part of the esophagus;
• reflux gastritis - ejection of the contents of the duodenum into the stomach;
• gastroesophageal reflux disease is a regular discharge of stomach contents into the esophagus, contributing to injury to its walls.

Note! AT similar situations necessary surgical intervention.

Diagnosis and treatment

Despite many progressive methods of research, an accurate history and a thorough examination of the abdominal cavity are considered to be the leading ones for detecting bile in the stomach.

For these purposes, the following methods are used:

• liver function tests;
• magnetic resonance cholangiography to detect stones;
• duodenal sounding;
• cholescintigraphy;
• fibrogastroduodenoscopy.

Every year, the diagnostic potential increases, and specialists are given the opportunity to detect pathology in a timely manner.

Table 2. Treatment regimen

The primary measure in this pathology is the appointment of drugs, the action of which is aimed at improving the motor processes of the organs of the gastrointestinal tract.

Table 3. Preparations for improving the motor processes of the digestive tract

A drug	Description
Motilium	Stimulates peristalsis. It has an excellent antiemetic effect.
	Accelerates the movement of food in all areas digestive tract.
Cerucal	Supports the digestive tract in good shape.

Great importance in therapy is given to Motilium. This remedy has the ability to accelerate the elimination stool, improves peristalsis and the functioning of the gallbladder, which is useful for the body with an excess of bile. The drug is available in several variations, including a suspension that is convenient for the treatment of young children.

Work with the wrong flow of bile should be complex. An important factor is the use of funds whose action is aimed at regulating the level of acidity.

Table 4. Means for regulating the level of acidity

A drug	Additional properties
Phosphalugel	Neutralizes the action of acid, envelops the walls of the stomach, protecting from irritation.
Maalox	It has carminative and choleretic properties.
	Enhances the regenerative processes occurring in the gastric mucosa.

The use of inhibitors is very important in therapy. proton pump. Medicines can reduce the pathological activity of cells and reduce the production of hydrochloric acid. This has a positive effect on sphincter motility, which prevents bile reflux. For this purpose, the following means are used.

Table 5. Proton pump inhibitors

A drug	Description
	Reduces the secretion of the gastric glands. Has anti-ulcer effect.
Lansoprazole	Blocks the formation of hydrochloric acid at the final stage.
	An anti-ulcer agent that reduces the production of hydrochloric acid.

Therapeutic diet

Compliance medical nutrition plays a huge role in preventing bile reflux. It significantly alleviates the unpleasant manifestations of diseases accompanied by the penetration of the secret into the stomach.

Principle nutritional therapy consists in fractional nutrition. Food should be taken in small portions 5 times a day. The daily diet should be rid of the following components:

• fried, fatty and salty foods;
• smoked meats;
• hot spices;
• alcoholic and carbonated drinks.

It is desirable to reduce consumption vegetable oils and broths cooked using fatty meats.

To optimize the activity of the intestines and gallbladder, patients need to enter into the diet following products:

• bran;
• dried apricots;
• bell pepper;
• pears;
• carrot;
• prunes;
• zucchini;

The release of bile into the stomach symptoms and treatment is an issue, the relevance of which is explained by the identification in 40% of patients of problems associated with the functioning of the digestive tract (gastrointestinal tract). If excess bile constantly passes into the stomach, the walls of the organ corrode. Timely diagnosis will eliminate the deviation without serious consequences.

Bile is secreted by hepatocytes. Of these, 80% is the liver. The fluid produced by hepatocytes is involved in digestion. Without bile, the system cannot function properly. When the digestive organs work smoothly, the fluid produced by the liver and stored in the bladder enters the duodenum. The next item is the intestines.

If the bile in the duodenum changes direction, it splashes into the digestive organ. Why is bile in the stomach dangerous? Symptoms are actively manifested with the systematic casting of the secret. In this case, the gastric mucosa is corroded by bile acids.

If the hepatic secret constantly enters the stomach, appear:

1. Painful sensations in a stomach. Sensations are sharp, cutting. The intensity of pain varies.
2. Constant feeling thirst.
3. Bitter taste in the mouth. It is felt when a person is hungry.
4. Flatulence. This is the result of eating.
5. Heaviness in the abdomen and under the ribs with right side body.
6. Belching. Their connection with reflux is explained by the fact that after bile is thrown into the stomach, the secret interacts with gastric juice, promoting gas formation.
7. Bile heartburn is the result of not enough protective mucus in the stomach.
8. A yellowish coating covering the base of the tongue.
9. Vomiting or just nausea, and bile from the stomach may end up in the vomit. Such symptoms of bile release are observed with regular intake of a significant amount of secretion into the stomach.
10. The release of bile from the stomach into oral cavity. Occurs at night when the gallbladder and its ducts are relaxed.

The flow of secretion into the stomach lasts several hours. A constant load on the digestive system leads to the fact that bile in the stomach is regularly, provoking the occurrence of severe symptoms.

These manifestations should be a signal for contacting a gastroenterologist. Ignoring the symptoms will worsen the situation, as a result of which the duration of the treatment course and the rehabilitation period will increase.

The ingestion of bile into the stomach is considered a pathology. The secret must move in the direction of the intestines. The gastric mucosa is not designed for exposure to hepatic fluid. Therefore, people with excessive bile secretion experience serious discomfort.

Doctors name the reasons why a large number of bile is in the stomach:

1. Biliary dyskinesia. The condition is characterized by a violation of the supply of the required amount of secretion for the digestion of food. The reason is the narrowing of the duct. In the future, this leads to malfunctions in the digestive tract (gastrointestinal tract), resulting in the release of bile on an empty stomach.
2. Use harmful products. The more spicy, smoked, fried and fatty foods, the more actively bile is synthesized. The gallbladder is not able to hold such an amount of fluid, so the bile enters the stomach.

The standard volume of the gallbladder is 50 milliliters. Overflow of the organ leads to stretching of the walls and pushing the secret into the stomach.

In general, the violation is provoked various factors.

The main causes of bile in the stomach:

1. Neoplasms, hernial protrusions or mechanical injury pressing on the duodenum. Bile in the stomach occurs when the pylorus valve cannot withstand the resulting pressure.
2. Surgical intervention. The reason why bile enters the stomach is damage to the sphincter muscles during the operation. After the incident, bile is thrown into the stomach throughout life.
3. Childbearing period. Due to the production of an excessive amount of progesterone, which has a relaxing effect, the pyloric sphincter may also weaken. Accordingly, there is reflux (ejection of bile into the stomach). Reasons for violations later dates pregnancies are reduced to the pressure of the growing fetus on the internal organs of the mother. Reflux usually disappears after delivery.
4. Congenital defect in the structure of the sphincter.
5. An operation to remove the gallbladder. Having lost storage, the secret fills the ducts, often not fitting in them.
6. Taking certain antispasmodics, the action of which causes relaxation of the pylorus muscles.
7. Chronic duodenitis, in which the duodenal mucosa becomes inflamed and swells.
8. Deficiency of protective mucus produced by cells of the gastric epithelium.

Depending on the cause and symptoms of bile reflux into the stomach, the doctor builds a treatment regimen.

Since reflux is often the result of serious malfunctions internal organs, it is better not to postpone the examination. After elimination of the provoking factor negative manifestations, in most cases, weaken and completely disappear.

Can bile enter the stomach of a person who does not have health problems?

In this situation, reflux is possible:

• when overeating, especially late in the evening, followed by falling asleep on the left side;
• due to the habitual use of fluid immediately after eating;
• on the nervous ground(bile often goes back when stressful situations);
• with physical inactivity or as a result of active loads immediately after eating.

Healthy people can avoid the unpleasant discomfort associated with reflux by rethinking their lifestyle and adjusting their diet.

If there are signs of the presence of bile in the stomach for several days in a row, it is recommended to make an appointment with a gastroenterologist. In the presence of excess secretion, find out the reasons that increase increased excretion bile and provoking its reflux into the stomach will be possible thanks to a well-conducted diagnosis.

Initially, the doctor listens to the patient's complaints, examines him and collects an anamnesis.

Walkthrough required:

1. Ultrasound abdominal organs. The technique makes it possible to see the existing neoplasms, as well as stones in the bile duct and its ducts.
2. Fibrogastroduodenoscopy (FGDS), prescribed for the reflux of bile into the stomach. During the procedure, the specialist sees the condition of the organs digestive system, carries out the collection of affected tissues and gastric juice. Bile reflux is confirmed by the presence of cloudy foamy stomach contents.
3. X-ray using contrast agent. The examination provides information about the state of the gatekeepers and organs of the gastrointestinal tract.
4. Ultrasonography. Using a device that emits ultrasonic waves, the doctor will be able to detect stones formed in the bile ducts and determine their size.
5. Cholescintigraphy. The method determines functional state liver, biliary tract patency, cumulative and contractility gallbladder.
6. Choledochoscintigraphy. During the procedure, contractile disorders esophageal sphincter.

It should be understood that the release of bile is not independent disease. Violation can indicate serious problems in the body. Only medical examination will help to establish the root cause, after which a treatment plan is developed.

Methods that eliminate the release of bile into the stomach are selected on an individual basis.

The prescribed therapy provides for the implementation of specific tasks:

• cessation of further development of the disorder;
• elimination of manifestations resulting from irritation of the gastric mucosa;
• removal of excess liver secretions, which will avoid complications.

When bile is in the stomach, treatment should be comprehensive. In the presence of pathological changes in the gastrointestinal tract, patients are often prepared for surgery. How will they treat patients suffering from the release of bile into the stomach in the future? Based on the diagnostic data, the doctor will prescribe effective medications, will advise dieting and help to adjust the lifestyle.

If the patient is going to get rid of unpleasant discomfort, you will need to determine why bile accumulates in the stomach.

After the presence of bile in the stomach is confirmed by gastroscopy, the patient may be advised surgical treatment. It is assigned in emergency cases.

When a patient has a lot of bile in the stomach, it is possible to carry out:

1. Laparoscopy. This is a minimally invasive surgical procedure. Make cuts up to a centimeter in diameter. They include a camera and tools.

If the patient is removed, for example, a tumor, due to the advantages of the technique, it is possible to remove the accumulation of bile from the stomach without serious consequences. The main advantages of laparoscopy are the minimum area of ​​injury, small rehabilitation period, absence postoperative complications.

1. Laparotomy. Traditional technique. Make a large incision in the peritoneum, working with a scalpel. Since the operation is large-scale, the risk of negative consequences increases, and it takes at least a month to recover.

Surgery may be considered in patients with bile in the stomach who have previously had a cholecystectomy to remove the gallbladder.

The use of drugs is appropriate when the accumulation of bile in the stomach is observed infrequently. Also, treatment with medications is carried out to eliminate the reflux of bile into the stomach after removal of the gallbladder. .

To weaken and remove the negative manifestations of reflux, patients are prescribed the following medications:

1. Blockers proton pump(Omeprazole, Nexium). Their task is to control the amount of hydrochloric acid.
2. Antacids (Maalox, Almagel). These drugs help neutralize acidity.
3. Prokinetics (Motilium). The peculiarity of such a medicine for bile in the stomach is the ability to regulate the motility of the digestive tract, which accelerates the circulation of the secret.
4. Antispasmodics. The drugs of the group eliminate painful discomfort.
5. Means that eliminate bile stasis (cholecystokinin, magnesium sulfate). These are drugs for bile in the stomach, which increase the motility of the bile.
6. Hepatoprotectors containing ursodeoxycholic acid (Ursofalk). Medicines of the group reduce the intensity of reflux manifestations. Describes drugs that reduce the amount of bile after release into the stomach, by converting the secret into a water-soluble form.

With uncontrolled use of choleretic, a pill from bile reflux may instead therapeutic effect cause an exacerbation.

How to neutralize bile in the stomach with folk remedies?

After agreement with the doctor who diagnosed the excess bile in the stomach, it is permissible to apply:

1. Ground flax seeds (half a cup). Are poured warm water(300 ml) and left to swell. The resulting mushy mass is suitable for breakfast. It will help to remove the liver secret and strengthen the stomach walls.
2. Dandelion roots (1 tablespoon). It is necessary to pour boiling water (250 ml) and insist 2 hours. How to stop bile from entering the stomach? The decoction is taken before meals 4 times a day.
3. Shells are placed in a half-liter container 20 walnuts. Vodka is poured on top. The product should stand in a dark and warm place for a week. The tincture is drunk on an empty stomach, 2 tbsp. spoons morning and evening.

Folk methods serve as an addition to the main treatment course. You can not ignore medication and diet, relying only on traditional medicine.

Bile in the stomach appears when the anatomical relationship between the duodenum and the antrum is disturbed. The causes of the condition are numerous.

Nosology provokes indigestion, peptic ulcer, gastritis. Some clinical researches confirmed the link between cancer and the appearance of bile.

Bile in the stomach: causes

Causes of bile in the stomach should be sought with liver damage. This body produces substances that are necessary for the digestion of fats. Bile acids contribute to the emulsification of fatty compounds from food.

The release of bile occurs with a spasm of the common bile duct. Inflammation of the gallbladder, duct dyskinesia, cancerous lesions are the main factors contributing to the appearance of gastric bile.

Other causes of nosology:

1. Stale, low-quality products;
2. The use of salted, smoked, fatty foods;
3. Use of drugs that damage the liver;
4. Frequent smoking;
5. Strong physical activity after eating;
6. Overweight;
7. Surgical interventions that led to anatomical disorders of the hepatic-12-duodenal relationship;
8. Gatekeeper insufficiency;
9. Pathology motor function 12 duodenal ulcer;
10. Difficulties in patency bile ducts;
11. Inflammation of the stomach;
12. Spasm duodenum;
13. Left-sided position during sleep.

The systematic release of bile into the stomach is the cause chronic inflammation walls. Establishing the cause allows you to develop an adequate treatment.

Symptoms of bile in the stomach

The symptoms of bile in the stomach are varied. Most frequent signs pathologies:

1. Thirst;
2. Epigastric pain;
3. Burning behind the breastbone;
4. Heartburn;
5. Nausea.

The above symptoms are not specific to the disease. Consider the physiology of bile movement:

• Hepatic secretion contributes to the production of the substance. The promotion of bile secretion ensures the contraction of the ducts, the sphincter of the bladder.
• The above mechanisms provide a pressure gradient that depends on the phase of digestion.
• In the absence of food intake, bile enters the bladder, where it accumulates, “waits” for a convenient moment to pass to the intestines. The sphincter of Oddi is closed.
• The digestion phase requires an abundant supply of bile to emulsify dietary fats. Sphincter of Oddi opens.

Bile in the stomach appears in people after the removal of the gallbladder. physiological process bile secretion under such conditions is subject to the following principles:

• Local self-regulation is provided reflexively. Gut receptors are irritated by food particles. In this case, bile enters through the ducts;
• The work of the sphincter of Oddi after cholecystectomy is disturbed. Its functionality begins to depend on the pressure gradient. Low muscle tone ensures the discharge of contents;
• At frequent stress sphincter contracts. In this case, the secretion of bile is disturbed even after eating;
• In a part of the patient, spasms of the ducts can be traced, provoking epigastric pain;
• Syndrome overgrowth bacteria at the site of the gallbladder stump increases the pressure of the bile ducts. Against the background of the condition, bile in the stomach is often observed;
• Duodenal hypertension appears with a disorder intestinal digestion, bladder hypertonicity;
• Increased abdominal pressure contributes to the appearance of reflux gastritis, duodeno-gastric reflux.

The reflux of bile into the stomach in medical circles is called duodenogastric reflux. This condition is due to the reverse flow of bile from the duodenum. Normally, the stomach and duodenum are separated by the pyloric sphincter. This structure is represented by a muscular ring, which opens when it is necessary to move the food bolus. Under certain pathological processes the sphincter tone may weaken, which leads to the loss of the barrier function between two adjacent organs. Treatment of reflux of bile into the stomach is not an easy task requiring a doctor integrated approach to solving the problem.

Location of organs in the upper digestive system

The reasons

Bile is special environment synthesized by liver cells for cleavage nutrients. Normally, bile flows through the intrahepatic ducts and enters the gallbladder, and from there it enters the duodenum through the bile ducts. Primary processing the food bolus is carried out in the oral cavity, then it enters the stomach, where it continues to break down under the influence of hydrochloric acid and gastric enzymes. At the next stage, the chyme (processed food bolus) enters the duodenum (duodenum) where it is further broken down with the help of bile and pancreatic enzymes.

Scheme of reflux of bile into the stomach

Treatment of bile reflux directly depends on the cause that caused this condition. How does bile get into? The reverse flow of duodenal contents is provoked by many pathological factors. The most commonplace of these is congenital pyloric weakness.

In addition, a special role in the development of reflux is played by conditions causing an increase pressure in the duodenum:

• Neoplasms of the duodenum and neighboring organs;
• mechanical injury;
• Inflammation of the duodenum;
• obstruction in upper divisions intestines.

When squeezing the duodenum, the outflow of bile into the underlying sections of the digestive tract is disturbed. As a result, there is an increase in pressure in the duodenum and its contents are thrown back into the stomach.

Typical symptoms of reflux into the stomach and esophagus are:

• Heartburn;
• Heaviness and pain in the epigastrium;
• Discomfort behind the sternum;
• and nausea.

When bile is released into the oral cavity, it is felt.

A similar pathogenesis can be observed in late pregnancy. The uterus, enlarged in size, compresses all the organs of the abdominal cavity, including the duodenum. As a rule, the condition is temporary and does not require radical treatment. All symptoms go away after delivery.

Why does bile enter the stomach healthy people? There is a group of pharmacological drugs that have a direct effect on the smooth muscle structures of the gastrointestinal tract. These drugs are called muscle relaxants and are used to relieve pain attack with exacerbation of osteochondrosis, sciatica and to eliminate convulsive syndrome. At long-term use or by increasing the recommended dosage, excessive relaxation of the pyloric sphincter and reflux of bile into the stomach may occur.

During surgical operation possible damage to the muscle fibers of the pyloric sphincter. As a result of this, a window is formed between the stomach and the duodenum through which bile is thrown.

Risk factors

For development duodenogastric reflux may be predisposing factors. Experts note that the leading cause is obesity. Increased intra-abdominal pressure arising from abdominal obesity this is the main reason for the reflux of bile into the stomach. Bad habits such as excessive alcohol consumption and smoking also play a special role.

people leading sedentary image life, have an increased tendency to bile reflux. Hypodynamia contributes to a violation of the motility of the digestive tract in general and a decrease in the tone of the pyloric sphincter in particular.

Diet

For patients suffering from reflux of bile, it is recommended to follow the principle fractional nutrition. This diet involves the use of food in small portions, 5-6 times a day. In order not to bother counting calories, you can take your standard portion and divide it in half. It is forbidden to eat fried, smoked, fatty spicy food. Food is only allowed to be cooked in the oven, double boiler or consumed in boiled form. Food should be thoroughly chewed or pre-crushed. Large under-chewed pieces can overload the stomach and other organs of the gastrointestinal tract.

After eating, do not take horizontal position within 60 minutes, it is also not recommended to perform physical exercises and do another vigorous activity. To reduce acidity and eliminate the damaging effect on the gastric mucosa, it is recommended to avoid the use of citrus fruits, tomatoes and fermented milk products.

Treatment

As already mentioned above, bile reflux is a dependent disease, and a symptom of one of them. To draw up a competent treatment plan, it is necessary to find out the cause that provokes given state, take into account individual characteristics patient and comorbidities.

Symptomatic treatment does not eliminate the underlying disease, but helps to reduce the severity of symptoms and improve the quality of life. A special role in therapy this violation play selective prokinetics. Treatment with this group of drugs allows you to accelerate the evacuation of the contents of the stomach, get rid of excess bile and prevent reflux into the esophagus.

proton pump inhibitors

Antacids

These are medicines used in the fight against acid-dependent diseases of the stomach and duodenum. Preparations from this group began to be widely used more than a century ago. One of the first antacids is considered baking soda. Since then it has been developed great amount medicines with a similar effect. The active ingredient can be various chemical compounds with special pharmacological properties. The drugs based on compounds of aluminum, magnesium and calcium showed the greatest efficiency. As a rule, doctors recommend using drugs with a combined composition ...

Magnesium-based preparations enhance mucus formation, which additionally protects the gastric mucosa from negative impact bile. , containing aluminum, form a protective film over the damaged areas of the stomach and absorb a little on themselves bile acids. Given these features, for people suffering from bile reflux, combined antacids containing aluminum and magnesium are recommended.

Ursodeoxycholic acid

Medicines from this group change chemical composition bile, making it less aggressive for the stomach. Originally Ursohol and others similar drugs developed for the treatment cholelithiasis and excess bile in the stomach. After clinical trials a number of additional positive effects rendered in other diseases of the liver and biliary tract. Not recommended for use in the presence of X-ray positive gallstones and with cirrhosis of the liver in the stage of decompensation. It is forbidden to apply with a pronounced form of hepatic and kidney failure due to metabolic disorders and excretion of the drug from the body.

Surgical manipulations

Many organic pathologies of the gastrointestinal tract provoke the development duodenal reflux. In such cases, the leading method of treatment will be surgery. To date, several surgical techniques have been developed that allow access to the abdominal organs:

• Laparotomy. View surgical access, at which the dissection of the anterior abdominal wall along the white line of the abdomen. This is an old surgical technique, but it is still relevant today. this moment. In severe, urgent situations requiring immediate action, only access through an incision in the anterior abdominal wall is used.
• Laparoscopic operations. This type surgical intervention less traumatic than the previous one. The procedure is to use special equipment(laparoscope) for the diagnosis and treatment of organic pathology of the abdominal organs. Laparoscopy is a new word in surgery. Thanks to this method treatment managed to significantly reduce the risk of surgical complications and shorten the rehabilitation period of the patient.

Folk remedies

Treatment of bile reflux into the esophagus with the help of folk remedies comes down to the use of various healing decoctions. Best proven herbal preparations, consisting of plantain, immortelle, thyme and St. John's wort. For cooking, it is necessary to pour boiling water over the herbs and boil them for no more than a minute. Then the broth should stand a little in a cool place. Thereafter healing remedy ready to use.

• Antacids - are prescribed for diseases of the gastrointestinal tract associated with aggressive exposure acid environment on the mucous membrane of the digestive system. The mechanism of action of drugs is that the main active substance envelops the walls of the stomach, thereby reducing negative impact enzymes and bile. Antacids include: Maalox, Phosphalugel, Rennie, etc. Antacids should be taken regularly after meals.
• Inhibitors - reduce the level of acidity of gastric juice and bile. According to the results of exposure, they are similar to antacids. It is not recommended to use these drugs together. The advantage of inhibitors is that they have more lasting effect action than antacids. Most often, gastroenterologists prescribe the following inhibitors: Esomeprazole, Nolpaza, Pantap, Ezocar, Rabeprazole, etc.
• Ursodeoxycholic acid - promotes the dissolution of cholesterol gallstones and changes the state of the enzyme medium, reducing its viscosity. Preparations containing ursodeoxycholic acid: Ursofalk, Ursoliv, Ursosan, Urdox, Ursodez, etc.
• Selective prokinetics - the mechanism of action of drugs is based on the promotion of food boluses through the gastrointestinal tract, due to which it is digested faster. Selective prokinetics: Motilium, Cerucal, Itomed, etc.

In order to prevent the causes of the release of bile into the intestines, without taking medication, the following preventive measures must be observed:

• Diet;
• Cessation of smoking and others bad habits(use of alcohol, caffeine, etc.);
• Refusal of tight clothing, pressing on the abdomen.

In cases where the release into the intestine is an isolated case or occurred due to a violation of the diet, treatment can be carried out at home. If the release of bile or bilious diarrhea is repeated more than once, you should seek help from a specialist.

As measures to eliminate the release of bile, you can apply the following simple methods of treatment:

1. You can eliminate acid and cleanse the digestive organs by drinking boiled water on an empty stomach. warm water;
2. Include the following foods in your diet: jelly, dairy products, oatmeal. Such measures will contribute to the enveloping of the gastric mucosa and, as a result, bile will not enter the intestines;
3. Avoid excessive physical activity;
4. Reception "Smecta" or other sorbent 1-2 times a day. Thus, after three days, the symptoms of the disease must pass. Otherwise, seek the help of a gastroenterologist.

Much easier to stick to simple rules to help you avoid a series of serious illnesses, which are the result of the release of bile into the intestines and stomach, as well as other digestive organs.

Even if the first symptoms of the disease are present, appropriate measures should be taken so that the release of bile from the stomach does not penetrate into other digestive organs. When the release occurs only in the stomach, it is enough to stick to a diet and keep healthy lifestyle life, in order to without taking medicines prevent the development of the disease. If the release began to occur in the intestines, then it is necessary to immediately seek advice from a gastroenterologist to prescribe medications that will block and eliminate further development illness.