Casting bile into the stomach.

If you have a burning sensation in your stomach, belchingand heartburn, then, perhaps, this is a consequence of a process such as throwing bile into the stomach. The erosion and blurred symptoms of this condition cause late detection and, as a consequence, not very successful treatment. The injection of bile into the stomach occurs mainly with various disorders in the functioning of the liver and gallbladder caused by the inflammatory process in one or both organs.

Bile is characterized by high pH, ​​that is,by its chemical nature, it is an alkaline solution, in contrast to the stomach, which is characterized by an acidic environment due to the content of hydrochloric acid. As a result, throwing bile into the stomach is a traumatic factor for the mucosa of the latter.

In the best case, the casting of bile may be causedbanal overeating on holidays. In this case, because of the large volume of incoming food, it is partially redirected to the duodenum and, stretching the latter, causes reflux or regurgitation of the food masses (ejection of bile into the stomach). The food masses coming from the upper parts of the small intestine, due to an alkaline reaction, irritate the gastric mucosa, causing its hyperemia and forming gastritis.

On the basis of complaints only the patient isit is difficult to determine the transfer of bile to the stomach, the symptoms of which are so meager and similar to the symptoms of almost all diseases of the stomach. The first one to whom you should contact is a gastroenterologist. A competent specialist will assign the whole complex of necessary diagnostic manipulations. To begin it is necessary with inspection of a cholic bubble and its or his ducts, then spend inspection of a liver. In addition, the study of the composition of bile, as well as a general blood test. The main method of examination of these internal organs is ultrasound diagnosis, the results of which is the conclusion about the presence or absence of dilated bile ducts (the thickness of the passable part of the latter), as well as the echogenic uniformity of the structure of the liver.

Among the pathological causes that can causethrowing bile into the stomach, it is worth noting various inflammatory lesions of the liver and gallbladder, as well as violations in patency (obstruction or obturation) of the bile ducts.

Another reason for the development of duodenal gastric reflux may be a disruption of the sphincter between the stomach and duodenum.

The injection of bile into the stomach is accompanied by the following symptoms: burning and pain in the epigastric region, belching and heartburn with acidic aftertaste.

One of the most serious pathologiesgastrointestinal tract, capable of causing a similar symptomatology and accompanied by a similar clinical picture, is peptic ulcer of the stomach and duodenum.

Among the diagnostic procedures it is worth highlightingthe most informative is fibrogastroduodenoscopy (FGDS) or esophagogastroduodenoscopy (EFGDS). In addition, ultrasound examination of the abdominal organs is also popular. Undoubtedly significant is the appointment and a general blood test (as well as a biochemical, to identify free and bound bilirubin in the serum), a coprogram and a general urine test.

Speaking about treatment, it is worth paying special attention tonutrition, which for any diseases of the digestive tract should be regular and fractional, with a multiplicity of meals at least four to five times a day. Among the ways of cooking is to give preference to dishes cooked for steaming, boiled, stewed and baked. Do not abuse alcohol, coffee, chocolate, fatty foods. In addition, it is worth thinking about and refusing to smoke.

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