Biliary reflux, also known as duodenogastric reflux, occurs when the bile, which is released by the gallbladder into the first portion of the intestine (duodenum), is transferred to the stomach or included in some situations to the esophagus, causing inflammation of the esophagus. gastric mucosa.
When this occurs, changes can occur in the protective covers of the stomach and increase in pH in the stomach, causing the emergence of some symptoms such as abdominal pain, vomiting and burning sensation in the stomach.
To alleviate the symptoms, the treatment for biliary reflux should be indicated by a gastroenterologist, who may recommend the use of medication and, in the most serious cases, surgery may be necessary.
Biliary reflux can be difficult to distinguish with respect to stomach acid reflux, because the signs and symptoms are similar. The most common symptoms are:
- Upper abdominal pain;
- Burning sensation in the pecho;
- Vomiting yellowish-green;
- Tos snorts him;
- Weight loss.
Although the symptoms are very similar to the gastroesophageal reflux, these are considered different problems and, for this reason, the diagnosis must be performed by a gastroenterologist. He knows which are the characteristic symptoms of gastroesophageal reflux.
Bile is a substance produced in the liver and stored in the gallbladder, which is released when red blood cells are worn out, toxic substances accumulate or when they enter foods rich in grease in the intestine to be digested.
The reflux of bile from the intestine to the stomach can be present for several reasons: problems with the functioning of the pyloric sphincter, which is a valve that opens to allow the passage of food from the stomach to the intestine to be absorbed; as a result of gastric or abdominal surgery; or because of the presence of intestinal adhesions, an inflammatory bowel disease, diverticulitis or intestinal cancer.
Furthermore, in some situations the biliary reflux can also reach the esophagus, in these cases there may be problems with the lower esophageal sphincter, another valve that prevents the passage of food from the stomach to the esophagus. This could be due to problems in muscle tone, which does not allow the valve to close completely, due to the presence of a hernia or a gastric ulcer, for example.
In general, to diagnose problems with bile reflux, you should consult a gastroenterologist who, in addition to evaluating the symptoms and clinical history, will also have to ask for some diagnostic tests, such as endoscopy and esophageal impedance, which allow to evaluate if there is really a reflux of la bile, mainly for the esophagus.
Know how the endoscopy is performed and how the necessary preparation is performed.
To avoid episodes of bile reflux, the ideal is to quit smoking, eat less food, avoid getting close immediately after eating, avoid fatty foods and alcohol, lose weight excessively and relax, because stress can make them worse. reflux symptoms.
The biliary reflux has a cure, without embargo, its treatment can be more extensive, which is why it is very important to properly follow the guidelines of the gastroenterologist.
The most common are the use of medications prescribed by the doctor. One of the most used is ursodeoxycholic acid, which is a substance that helps to promote the circulation of bile, thus reducing the frequency and intensity of symptoms. However, other drugs can also be indicated, known as bile acid sequestrants, which bind to the bile ducts in the intestine and prevent their reabsorption.
However, when the symptoms improve with the use of medication, the gastroenterologist can advise the performance of a surgery. In this procedure, known as bypass surgery, the surgeon creates a new connection to drain the bile further down the small intestine, diverting the bile from the stomach.
There are natural ways to reduce biliary reflux, such as taking some elm capsules (ulmus rubra) drinking té de manzanilla, altea or regaliz. Find out how to prepare the regaliz tea.
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