Biliary reflux, also known as deodenogastric reflux, occurs when bile, which is released by the gallbladder in the first part of the intestine (duodenum), goes up to the stomach, including the esophagus, causing inflammation of the gastric lining. Changes in the protective linings of the skin and increase pH in the stomach may occur.
For these reasons, people with biliary reflux tend to be more prone to bacterial proliferation, gastroesophageal reflux, and symptoms such as upper abdomen pain. Treatment involves taking medications that need to be received by your doctor and, in the most severe cases, surgery may be needed.
- Biliary reflux can be difficult to distinguish from gastric reflux because the signs and symptoms are very similar and can occur together.
- The most common symptoms are:.
Although the symptoms are very similar to those of gastroesophageal reflux disease, they are considered distinct problems, so the diagnosis should be made by a gastroenterologist, known as a characteristic symptom of gastroesophageal reflux.
Bile is an essential fluid for digesting fat, eliminating worn red blood cells and certain body toxins. This substance is produced in the liver and stored in the gallbladder.
When fat-containing foods are ingested, the gallbladder releases bile, which is transported to the duodenum, the food passes into the stomach through the pyloric valve, where it is mixed with bile, the valve opens and the mountain only allows food to pass. , but in case of bile reflux, it is correctly in the mountain and the bile fluid rises through the stomach.
In addition, bile and stomach acid can suffer reflexes in the esophagus when the esophageal sphincter, which separates the esophagus from the stomach, does not function properly.
These problems that cause biliary reflux can be caused by surgical complications, such as gastric surgeries, peptic ulcers, which can block the pyloric valve or gallbladder surgery.
Generally, a gastroenterologist, who in addition to assessing symptoms and medical history, should also order diagnostic tests, such as endoscopy and esophageal impedance, to diagnose bile reflux problems, as they can evaluate whether bile reflux actually exists. , mainly for the esophagus.
As the endoscopy is performed and the necessary preparation is performed.
To avoid episodes of biliary reflux, ideally stop smoking, eat unhealthy foods, avoid jamming immediately after eating, avoid fatty foods and alcohol consumption, over-thin and do your needs, because it can slow down reflux symptoms.
Biliary reflux has a cure, however, its treatment might be longer, so it is so important to follow the gastroenterologist’s instructions correctly.
The most common uses of medications indicated by the doctor, one of the most commonly used is ursodesoxycholic acid, which is a means that helps promote the circulation of bile, thus reducing the frequency and intensity of symptoms; However, other medicines known to kill bile Acids may also be indicated, as they attach to all these intestines preventing their reabsorption.
However, when symptoms do not improve with medication use, your gastroenterologist may advise you on performing the surgery. In this procedure, known as bypass surgery, your surgeon creates a new connection for the drainage of bile in your small intestine by diverting bile. from the stomach.
Depending on the liquorice, there are natural ways to reduce bile reflux, such as taking elusive elm capsules (ulmus rubra) or drinking up to chamomile. We know how to prepare the liquorice technique.