Presentation
In our study, we found that in patients with BE, bile reflux alone was present in 3 (33.3%) patients and mixed reflux with acid in 6 (66.7%) patients. [saudijgastro.com]
“Proton pump inhibitors are front-line therapy for [GERD] but not completely effective in some of our patients,” he said in his presentation. [healio.com]
Following recommencement of PPI treatment, abnormal bile reflux was still present in 5 patients, but the duration was significantly reduced to 3.9% (2.3%-6.1%) ( P = .04). [jamanetwork.com]
Biases of each of these methods have spurred us to conceive and develop the present ambulatory technique based on the use of a completely new sensor named Bilitec 2000 [ 2 ]. [oeso.org]
Gastric erosion is present in 18% in our study versus 5% in the Romanian study. Furthermore, thickening of gastric folds and gastric atrophy were present in our study and in the Romanian study. [mmjonweb.org]
Entire Body System
- Weight Loss
Unlike acid reflux, bile reflux typically does not respond to such lifestyle changes as diet, weight loss, smoking cessation and reduced alcohol consumption. [gihealthcare.com]
These measurements are significantly different than the Biliopancreatic Diversion with Duodenal Switch for weight loss. [dssurgery.com]
This procedure, which is also a type of weight-loss surgery, may be recommended for people who have had previous gastric surgery with pylorus removal. [sahlhealth.com]
loss When to see a doctor Make an appointment with your doctor if you frequently experience symptoms of reflux, or if you're losing weight without trying. [mayoclinic.org]
Other symptoms of bile reflux may include frequent heartburn (the main symptom of acid reflux), nausea, vomiting bile, sometimes a cough or hoarseness and unintended weight loss. A brief anatomy lesson makes the problem easier to understand. [nytimes.com]
- Falling
This injury does not fall from the sky; therefore, as same as in case of chronic pancreatitis, bile reflux has also three stages: functional, structural and final. You understand that by reading Three Stages of Chronic Pancreatitis. [biotherapy-clinic.com]
They were advised to eat a semiliquid diet (pH>4 and Data analysis Gastroesophageal acid reflux was defined as a fall in esophageal pH below 4. Acid reflux was considered pathological if the DeMeester score exceeded 14.7. [saudijgastro.com]
Recorded data were analyzed for frequency and duration of pH falling below a critical threshold of 4, and persistent abnormal acid reflux was defined as a distal esophageal pH of less than 4 for longer than 4.5% of the total monitoring period. 15 During [jamanetwork.com]
- Surgical Procedure
The other surgical procedure is called a Roux-en-Y (roo-en-wi), which is a term used for diversion surgery (this is the same type of procedure as weight loss bypass surgery). The goal of this procedure is to divert bile away from the stomach. [hubpages.com]
- Chills
I am just trying to chill out about as much as I can I as I'm sure it just makes things worse! I have had a bit of stress going on so I think I need to do nice things like go for a massage's and not focus on it too much!! [cmlsupport.org.uk]
Respiratoric
- Aspiration
On day 1, gastric juice was aspirated by nasogastric suction, and bile acid concentrations were measured. [jhu.pure.elsevier.com]
All the aspirated samples, when quantitatively sufficient, were homogenized and both analyzed spectrophotometrically and evaluated enzymatically for total bile acid concentration. [oeso.org]
At least 10 ml of fluid was aspirated from the stomach of each of 32 patients, and analysed quantitatively for total bile acids (TBA) and total bilirubin (TB). An in vitro assessment of this fluid with the Bilitec probe was performed initially. [onlinelibrary.wiley.com]
There is some evidence that the presence of bile in the aspiration of refluxate into the airways might be very important in the development of respiratory disorders. [ncbi.nlm.nih.gov]
The refluxateis aspirated and examined for bile using the optical properties of bilirubin. Ambulatory acid test: A thin, acid-sensing probe is sent into the esophagus through one of the nostrils to detect the presence of acid. [medlife.com]
- Pharyngitis
A 48-hour dual sensor pH catheter monitoring test (one pharyngeal probe and one esophageal probe) that can measure both acid and nonacid reflux (bile or silent reflux) events is instrumental in establishing a bile reflux diagnosis. [fixyourgut.com]
- Sore Throat
Maybe I should give it a go again as my symptoms are not great, I have the classic cough and sore throat not to mention weight loss which I am trying to stop as I don't have too much to lose. [cmlsupport.org.uk]
Gastrointestinal
- Vomiting
If there is troublesome bilious vomiting then a Roux-on-Y construction is occasionally performed. Links: gastrectomy bilious vomiting [gpnotebook.com]
If you’ve ever suffered through a bout of severe vomiting, you also may have experienced the uncomfortable occurrence of regurgitating a bitter, greenish-yellow fluid. [gihealthcare.com]
There is a range of other reasons why a person may throw up bile, including: binge drinking morning sickness bile reflux intestinal blockage While many cases of vomiting bile have a clear cause, vomiting due to an intestinal blockage or other condition [medicalnewstoday.com]
Reasons you might vomit bile include: vomiting with an empty stomach binge drinking food poisoning a blockage in your intestines If you vomit bile more than once, a medical condition might be causing the problem. [healthline.com]
Symptoms of bile reflux are: Epigastric pain (pain in the upper abdomen) Burning sensation in the stomach Bilious vomiting or throwing up bile Nausea and vomiting Repeated heartburn Unintentional weight loss Risk Factors of Bile Reflux: Narrowing of esophagus [medlife.com]
- Nausea
As well as having nausea about an hour or two after eating, I either feel like I’m going to be sick or actually am sick about twice a day. I’m not vomiting food, just bringing up luminous green bile! [cancerresearchuk.org]
Millions of individuals with digestive and pancreatic symptoms, such as heartburn, stomach fullness, nausea, cramps and chronic abdominal pain, diarrhea, constipation get help by drinking this healing mineral water. [biotherapy-clinic.com]
Pathologic DGR may generate symptoms of epigastric pain, nausea, and bilious vomiting. [dial.uclouvain.be]
Symptoms Symptoms of bile reflux include: Pain in the upper abdomen that can become severe Frequent heartburn Nausea Vomiting a greenish-yellow liquid (bile) Unintended weight loss A cough or hoarseness on occasion Causes Bile reflux into the stomach [humanitas.net]
- Dyspepsia
Gastro-oesophageal Reflux Disease Synonyms: GORD or GERD; reflux oesophagitis See also separate articles Childhood Gastro-oesophageal Reflux Disease and Dyspepsia. A certain amount of... [evidence.nhs.uk]
Gastric biopsies taken from 50 patients presenting with dyspepsia and having (a) negative tests (biopsy urease and histology) for H pylori infection, (b) a clinical history suggestive of non-ulcer dyspepsia (NUD) (that is, predominant epigastric pain, [gut.bmj.com]
The most common symptoms were epigastric pain (48%), heartburn, dyspepsia, and vomiting. [mmjonweb.org]
Comparison of duodenogastric bile reflux in opium addicted and non-addicted patients with dyspepsia in Zahedan at 2009. [dissertation]. Zahedan, Iran: Zahedan University of Medical Sciences; 2008. 6. [esim.eg.net]
The fact that these drugs are also used in so called functional dyspepsia and in gastritis or gastric ulceration makes the problem even more complex. [adc.bmj.com]
- Constipation
This article says that in very rare causes chronic constipation can cause bile reflux. Makes me wonder. This discussion is closed to comments. To start a new discussion in this community, please click here. [inspire.com]
Finally, you may become constipated and your stool might become dry and light brown or clay colored from not producing enough bile. [fixyourgut.com]
Millions of individuals with digestive and pancreatic symptoms, such as heartburn, stomach fullness, nausea, cramps and chronic abdominal pain, diarrhea, constipation get help by drinking this healing mineral water. [biotherapy-clinic.com]
A person who is throwing up bile should visit a doctor if they experience any of the following symptoms: waves of abdominal pain and cramps constipation loss of appetite swelling of the abdomen inability to pass gas Symptoms of intestinal blockages may [medicalnewstoday.com]
Cardiovascular
- Chest Pain
The fact that I do not react at all to any form of acid reflux medications and do react positively to liquid Carafate before meals and liquid Di-gel/Maalox if I feel a chest pain attack coming on. [inspire.com]
Symptoms of Bile Reflux : Heartburn Chest Pain Food Regurgitation Upper Abdominal Pain Nausea Unexplained Weight Loss Vomiting Coughing Hoarseness Possible Causes of Bile Reflux : Gastric Bypass RNY or SADI/SIPS/Loop Peptic Ulcer Gastric Motility dysfunction [dssurgery.com]
Get medical help right away if you’re: losing weight without trying having chest pain having trouble breathing having severe pain in your abdomen vomiting up material that is red or that looks like coffee grounds unable to stop vomiting Your outlook depends [healthline.com]
Besides the symptoms, which are described as chronic pancreatitis: constant abdominal and chest pain, indigestion with chronic diarrhea with oily stool, nausea, vomiting weight loss, fatigue, in the gastroscopy can be seen Barrett’s Esophagus. [biotherapy-clinic.com]
People should also see a doctor if they experience any of the following symptoms in addition to throwing up bile: chest pain unexplained weight loss severe abdominal pain inability to stop throwing up difficulty breathing vomit that looks like coffee [medicalnewstoday.com]
Skin
- Ulcer
The significance of these findings is discussed with reference to therapy in gastric ulcer. [tandfonline.com]
The endoscope can show ulcerations or inflammation in your stomach or esophagus and can reveal a peptic ulcer. * Esophageal impedance - Rather than measuring acid, this test can measure whether gas or liquids reflux into the esophagus. [streetdirectory.com]
Untreated, that can result in a bleeding ulcer or even stomach cancer. [nytimes.com]
In the gastroscopy can be seen severe inflammation, ulcers, and deformation in the duodenum, stomach inflammation, ulcers, and traces of bile in the stomach. There are signs of inflammation in the esophagus, as well. [biotherapy-clinic.com]
Face, Head & Neck
- Facial Spasm
I suck on diet candy constantly to make sure I don't taste anything, and don't have to take any antiacids or PPI's the made me even sicker, lose more weight, and have facial spasms! [inspire.com]
Psychiatrical
- Suggestibility
Dietary changes are often but not always suggested by doctors, but I suspect part of the reason is because it is a simple, low risk, low cost suggestion (the only cost is to the individual really as one effect is that people feel it's their fault if they [mumsnet.com]
I suggested to her surgery was for when the problem was mainly reflux and PPIs were for when symptoms were mainly acid. [barrettscampaign.org.uk]
These findings suggest that the overall accuracy of the Bilitec system is probably sufficient for clinical use, although this method is not sufficiently reliable to be regarded as the gold standard for the evaluation of duodeno‐oesophageal reflux. [onlinelibrary.wiley.com]
Esophageal cancer: Some experts suggest that esophageal cancer can result from acid or bile reflux. [humanitas.net]
While the drugs do a great job of masking GERD symptoms by neutralizing stomach acid, Peters’ research suggests they may not be the answer when it comes to blocking Barrett’s esophagus. [urmc.rochester.edu]
- Denial
He urged me to write about the condition, saying that “thousands of suffering people live in a ‘shadow land’ because of the denial and disinterest of the medical profession” in bile reflux. [nytimes.com]
He urged me to write about the condition, saying that "thousands of suffering people live in a 'shadow land' because of the denial and disinterest of the medical profession" in bile reflux. [heraldtribune.com]
- Anger
Personal Health In describing an instance of intense anger, you might say, as a figure of speech, that bile rose in your throat. [nytimes.com]
Tuesday Jul 7, 2009 at 12:01 AM In describing an instance of intense anger, you might say, as a figure of speech, that bile rose in your throat. [heraldtribune.com]
Neurologic
- Headache
[…] years old and I got diagnosed with bile reflux. it's hard being young and not knowing anyone with the same condition. if you ... 2 Replies bile reflux and gastritis In: Digestive System Disorders Sometimes I feel really sick, chestpain and such a bad headache [inspire.com]
Treatment
Treatments for Bile Reflux: Bile reflux can be treated with medications or surgery. [medlife.com]
What treatment approach do you recommend? Are there any side effects associated with these treatments? Are there any lifestyle or dietary changes I can make to help reduce or manage my symptoms? I have other health conditions. [mayoclinic.org]
Surgery is a treatment of last resort, used if nothing else reduces severe symptoms of bile reflux or when the esophagus develops precancerous changes. [nytimes.com]
Etiology
Other causes of biliary reflux may be: Peptic ulcer Gallbladder surgery ( cholecystectomy ) A significant fraction of cases are idiopathic, with no identified specific etiology. Diagnosis [ edit ] This section is empty. [en.wikipedia.org]
— Etiology of gastric ulcer.Gastroenterology, 1972,63, 171–182. PubMed CAS Google Scholar RITCHIE W.P. Jr., DELANAY J.P. — The susceptibility of experimental atrophic gastritis to ulceration.Gastroenterology, 1971,60, 554–559. [link.springer.com]
[…] circumstances: gastric resection with ablation of the pylorus and primary biliary reflux due to the failure of the pylorus. [4] Reflux of bile and other contents of the duodenum, along with gastric acid and Helicobacter pylori infection, are the main etiological [mmjonweb.org]
Epidemiology
In: Digestive disease in United States: Epidemiology and impact. Everhart JE, editor. U.S. Government printing office. NIH publication 94- 1447. Washington, DC; 1994:299-356. 25. Spechler SJ. [saudijgastro.com]
Pathophysiology
This study reviews current data regarding duodenogastric and gastroesophageal bile reflux-pathophysiology, clinical presentation, methods of diagnosis (namely, 24-hour intraluminal bile monitoring) and therapeutic management. [dial.uclouvain.be]
Sleisenger and Fordtran's gastrointestinal and liver disease: Pathophysiology, diagnosis, management (9 th ed.). Philadelphia, PA: Saunders/Elsevier; 2010. 7. Katz PO. [mmjonweb.org]
The histological features of gastric mucosa were investigated to better understand the role of bile reflux in the pathophysiological processes of chronic gastritis in children. [wjso.biomedcentral.com]
This can be explained by the underlying functional pathophysiology of primary BRG which is frequent in female patients, contrary to the infection by H. pylori with similar exposure rates in either sex. [esim.eg.net]
Prevention
“Our ultimate goal is to understand the biology of Barrett’s so that we may find drugs that inhibit or reverse the condition, thus preventing cancer,” said lead study author Jeffrey H. [urmc.rochester.edu]
An intestinal blockage is serious and requires urgent medical attention to prevent complications, including sepsis, tissue death, and malnutrition. [medicalnewstoday.com]
Normally, the pyloric sphincter prevents bile from entering the stomach. When the pyloric sphincter is damaged or fails to work correctly, bile can enter the stomach and then be transported into the esophagus as in gastric reflux. [en.wikipedia.org]
Eating smaller, more frequent meals reduces pressure on the lower esophageal sphincter, helping to prevent the valve from opening at the wrong time. Stay upright after eating. [lifewithnogallbladder.com]
Eating smaller, more-frequent meals reduces pressure on the lower esophageal sphincter, helping to prevent the valve from opening at the wrong time. Stay upright after eating. [mayoclinic.org]