What is the best medication for bile reflux?

Sep 30, 2024 Source: Cainiu Health
Disease description:

I've been feeling somewhat nauseous all morning today, and I suspect it might be due to some bile reflux, with a sour taste in my mouth. I'd like to ask what medication would be most suitable for my condition?

Doctor's answer (1)
Dr. Shen Yonghua

Bile reflux is a common digestive system disorder. The following are some commonly used medications:

1. Proton pump inhibitors: such as Omeprazole, Lansoprazole, etc., can reduce gastric acid secretion, protect the gastric mucosa, and help alleviate symptoms and promote healing of the gastric mucosa.

2. H2 receptor antagonists: such as Ranitidine, Famotidine, etc., can also reduce gastric acid secretion and are suitable for mild to moderate symptoms of bile reflux.

3. Prokinetic agents: such as Domperidone, Mosapride, etc., can enhance gastrointestinal motility, promote the movement of bile and food toward the lower digestive tract, and reduce the occurrence of reflux.

4. Bile acid binders: such as Cholestyramine, can bind bile acids and reduce their irritation to the gastric mucosa.

5. Gastric mucosal protectants: such as Magnesium Aluminum Carbonate, Bismuth preparations, etc., can form a protective layer on the surface of the gastric mucosa, reducing damage caused by bile.

In addition to drug treatment, patients should also pay attention to dietary and lifestyle modifications. Avoid overeating, high-fat foods, and irritant foods. Maintaining a healthy weight and engaging in appropriate exercise can help improve symptoms of bile reflux. If symptoms persist or worsen, timely medical consultation is recommended.