
Q I was told I have bile reflux gastritis, probably because my gallbladder was removed, with bitter fluid rising up. I also have bloating. Can they improve together?
A Bile reflux often occurs when stomach motility slows and duodenal contents flow backward into the stomach, causing bloating and epigastric discomfort together. When stomach motility is raised, reflux and indigestion symptoms often improve together.
Detailed Answer
Bile reflux gastritis appears when the stomach's emptying motility slows or, after gallbladder removal, duodenal bile flows backward into the stomach and irritates the lining, often accompanied by bitter fluid rising up, bloating, and epigastric discomfort. It is not well controlled by acid-suppressing medication alone, so an approach that also helps stomach motility is needed.
Korean Medicine Clinic Perspective
Korean medicine treatment focuses on restoring the motility and digestive rhythm of the spleen-stomach so that the stomach properly sends food and bile downward. When the stomach empties on time, backward reflux decreases, and the accompanying indigestion and epigastric discomfort often subside together.
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