CLINACASE

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ID: 171
Category: Gastroenterology and Hepatology
CreatedBy: 1
UpdatedBy: 1
createdon: 14 Jul 2017
updatedon: 15 Feb 2023

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Author: Khoa Tran
Published Jul 14, 2017
Updated Feb 15, 2023

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Bile Reflux

Bile reflux is a condition where bile, a digestive fluid produced in the liver, flows back into the stomach and esophagus. This can cause inflammation and irritation of the lining of the stomach and esophagus, leading to symptoms such as heartburn, nausea, vomiting, and abdominal pain.

Bile reflux can be caused by a variety of factors, including surgeries that affect the stomach or gallbladder, diseases such as gastroesophageal reflux disease (GERD), and certain medications. It is often difficult to diagnose, as its symptoms can be similar to those of other digestive disorders.

Treatment for bile reflux may involve medications to reduce the production of bile or to neutralize the acid in the stomach. Lifestyle changes such as avoiding trigger foods, losing weight, and elevating the head of the bed may also be recommended.

In more severe cases, surgery may be required to correct the underlying cause of the bile reflux or to repair any damage to the esophagus or stomach lining. It is important to seek medical attention if you experience symptoms of bile reflux, as it can lead to complications such as ulcers or esophageal cancer if left untreated.

Prevention measures for bile reflux include maintaining a healthy weight, avoiding trigger foods and beverages, and not lying down immediately after eating. It is also important to follow the instructions of any medications and to discuss any concerns or changes in symptoms with your healthcare provider.

Symptoms

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Vomiting a greenish-yellow fluid (bile)
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Acid reflux
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Heartburn
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Chest pain
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Difficulty swallowing
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Sore throat
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Bad breath

Confirmation Tests

- Upper endoscopy
- Ambulatory acid (pH) probe test
- Esophageal impedance

Reference

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