Bile Reflux Gastritis

Bile Reflux Gastritis

Q: 25 years old, diagnosed with bile reflux combined with gastric ptosis. I constantly experience upward movement of stomach qi, a sensation of trapped air that won’t release, chest and diaphragm discomfort on both sides, distension and pain in the flanks, and frequent belching that is hard to expel—only when it does come out do I feel relief. What should I do?

A: You likely have bile reflux gastritis. Patients like you often have underlying chronic biliary or pancreatic diseases. It is precisely because of these conditions that bile reflux occurs, leading to damage to the gastric mucosa. You should undergo an ultrasound examination to check for cholecystitis; mild pancreatitis may not be visible on ultrasound.

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