What does it mean to vomit yellow bile, and what should be done?
Sep 11, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Intestinal obstruction is generally caused by the inability of intestinal contents to pass smoothly. The accumulation of contents may lead to increased pressure within the intestine. When this pressure exceeds the stomach's capacity, gastric contents may be expelled through vomiting, including bile-stained fluid. It is often accompanied by symptoms such as abdominal pain and distension. Patients may follow medical advice to use medications such as potassium chloride injection and amino acid injection for treatment.
In general, vomiting bile (yellow fluid) may be caused by factors such as diet, pregnancy reactions, bile reflux gastritis, pancreatitis, or intestinal obstruction. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:
1. Dietary Factors
After consuming high-fat foods, gallbladder contractions increase and bile secretion rises, which may lead to temporary bile reflux and result in vomiting yellow bile. Adjusting the diet by reducing intake of high-fat foods and avoiding overeating can help alleviate symptoms.
2. Pregnancy Reactions
During early pregnancy, hormonal changes may cause symptoms such as nausea and vomiting. In some cases, the vomit may contain yellow bile. Maintaining healthy eating habits, eating small meals frequently, and avoiding an empty stomach may help reduce symptoms.
3. Bile Reflux Gastritis
Bile reflux gastritis typically occurs when bile flows back from the duodenum into the stomach. The reflux of bile and other duodenal contents into the stomach can cause inflammation, erosion, and bleeding of the gastric mucosa, potentially leading to vomiting of yellow bile. Common accompanying symptoms include bloating, abdominal pain, and a burning sensation in the stomach. Under a doctor's guidance, patients may take medications such as amoxicillin granules, cefaclor dispersible tablets, or rabeprazole sodium enteric-coated tablets for treatment.
4. Pancreatitis
Pancreatitis is usually caused by factors such as alcohol consumption or blockage of the pancreatic duct. When the pancreas becomes inflamed, digestive enzymes are abnormally activated, disrupting the normal excretion of bile and pancreatic juice. This can cause bile to flow backward into the stomach, resulting in vomiting that includes yellow bile. Symptoms often include severe upper abdominal pain, fever, and nausea. Treatment should follow medical advice and may involve medications such as somatostatin for injection, octreotide acetate injection, or cefoperazone sodium and sulbactam sodium for injection.
5. Intestinal Obstruction
Intestinal obstruction occurs when intestinal contents cannot pass through the digestive tract normally, leading to increased pressure within the intestines. When this pressure exceeds the stomach’s capacity, stomach contents—including bile—may be expelled through vomiting. Other common symptoms include abdominal pain and bloating. Patients may be treated with intravenous solutions such as potassium chloride injection, glucose injection, or amino acid injection, as prescribed by a physician.
It is recommended to maintain healthy lifestyle habits, balance work and rest, and avoid excessive fatigue to support overall health.
