Bile taste in the mouth in women and men

Bitter taste of bile in the mouth can occur in people of different ages under the influence of external or internal factors. In some cases, the problem disappears after a high-quality cleaning of teeth or rinsing the oral cavity. However, often the aftertaste becomes compulsive, constant, which indicates the development of serious diseases that require mandatory medical consultation and treatment.

In order to correct the disorder, it is important to find out the cause of the disorder correctly and as soon as possible.

Epidemiology

Diseases that can cause the appearance of a taste of bile in the mouth are considered quite common. For example, more than two hundred million people in the world suffer from chronic liver pathologies, almost 14 million have diagnosed cirrhosis of the organ. The World Health Organization assumes that over the next decades, such morbidity will increase significantly.

The taste of bile in the mouth is most often detected in people with diseases of the liver and biliary system. Especially susceptible to pathology are people over 30 years old, obese, with alcohol dependence.

Women suffer from an unpleasant taste of bile in the mouth almost three times more often than men. Specialists explain this fact by the peculiarities of hormonal regulation, because in the female body there are frequent changes in the balance of hormones - for example, this happens in adolescence, during pregnancy, with the onset of menopause, as well as systematically with the arrival of a new menstrual cycle.

Possible appearance of problems in people over 30-40 years old is related to age-related changes: over the years the gallbladder lengthens, increases in size, muscle tone decreases, elasticity of the walls deteriorates. The motor and concentration function of the gallbladder also decreases, which leads to gradual stagnation of bile.

Causes of the a taste of bile in the mouth

The taste of bile in the mouth can appear suddenly and disappear just as abruptly, and sometimes it is present for some time or even permanently. For example, a long-lasting bitter sensation is characteristic of intoxication or hormonal disorders, and the taste that occurs after eating is most often associated with disorders of the liver, biliary tract or pancreas.

The possible causes of abnormal bile flavor can be described as follows:

• Impaired hepatic, biliary function: Hepatocytes produce bile secretion, which is directed to the gallbladder and further - if necessary - to the intestinal lumen. Any of the stages of this process can be disturbed, which leads to the development of congestion (bile seeps into the tissues), or secretion into the esophagus.
• Digestive disorders: The taste of bile in the mouth can also be a problem in some gastrointestinal diseases, such as gastroesophageal reflux, enterocolitis, peptic ulcer disease, gastritis, and food poisoning.
  • In patients with gastroesophageal reflux, there is a risk of partial ingestion of gastric contents into the esophagus, resulting in a sour and bitter taste in the mouth;
  • if the stomach does not work properly, impaired enzyme activity may be a disorder of digestive motility, a feeling of fullness in the stomach.
• Parasites, helminths: Parasites that penetrate the body, destroy immune defenses, disrupt digestive processes, aggravate intoxication. For example, with giardiasis there is traumatization of the intestinal mucosa, digestion is disturbed, the assimilation of useful substances is blocked, resulting in metabolism suffers. Toxic products provoke the development of allergic reactions and other pathological processes.
• Dental diseases: Sometimes the taste of bile in the mouth occurs as a result of diseases of teeth and gums, allergic reactions, or after some dental manipulations. An additional risk factor is considered trauma to the mucous membranes, periodontitis, stomatogingivitis, periodontal disease.
• Changes in hormonal status: thyroid abnormalities disrupt the production of thyroid hormones, which can lead to increased release of adrenaline and noradrenaline. This, in turn, provokes spasm of smooth muscle. As a result - bile stasis and the appearance of bile taste. Often the problem arises due to other hormonal changes - for example, during pregnancy, diabetes mellitus and so on.
• Improper diet, abuse of alcohol and junk food. Overeating, starvation, eating too fatty or spicy food, heavy dinners before bedtime also have a negative impact.
• Intoxication, stress: Poisoning (medicinal, food, chemical) worsens the work of all digestive organs, can lead to damage to internal organs and the central nervous system.
• Stresses, emotional or physical strain.

Risk factors

The risk group includes people who self-medicate, take medicines without prior consultation with a doctor. Without considering contraindications and side effects, people start taking medications, and at the same time there is an increased load on the liver. Those who suffer from diabetes mellitus or obesity have an additional risk.

A widespread pathology is hepatic steatosis - the initial stage of fatty infiltration of the liver, as well as fatty hepatitis. The presence of stones in the biliary system is no less dangerous.

Other provoking factors of bile taste in the mouth can be:

• Hormonal disorders, including thyroid disease and diabetes mellitus;
• infectious inflammatory pathologies;
• prolonged antibiotic therapy, radiation therapy, chemotherapy;
• regular or severe stress, provoking spasm of bile ducts and cholestasis.

One of the most common factors of bile taste in the mouth is pregnancy. The increased secretion of the hormone progesterone, which is responsible for maintaining pregnancy, can lead to a weakening of the digestive sphincter. As a consequence, women often complain of a sour or bitter taste, which worsens as the uterus enlarges.

Other likely factors include excessive physical exertion. Therefore, athletes and those who are engaged in heavy physical labor are also in the risk group of bile taste in the mouth. However, the most common negative factors should include chronic intoxication - in particular, alcohol intoxication.

Pathogenesis

Bile secretion is a dark yellowish-brownish or greenish bitter fluid produced in the liver that plays an important role in digestive processes. The main components of the secretion are cholesterol, phospholipids, pigments and salts of bile acids. When metabolic disorders may change the qualitative and quantitative composition of bile, which creates conditions for its impaired outflow and the appearance of a corresponding bitter taste in the mouth.

Hereditary predisposition plays an important role in the appearance of bile taste. In particular, there is a proven propensity to gallstone disease, and more on the mother's side than on the father's side. Disorders of pigment metabolism (bilirubin), bile stasis, inflammatory processes, stone formation often become "culprits" of unpleasant taste.

If the taste of bile occurs in the morning, it in most cases indicates congestion in the biliary tract. This, in turn, may be associated with:

• with an unbalanced diet, chaotic eating habits, improperly distributed nutrition (predominance of light carbohydrate and fatty foods);
• with alcohol or coffee abuse;
• with hepatic and digestive disorders;
• with a sedentary lifestyle;
• with general body intoxication.

In addition to pathologies of the digestive and hepatobiliary system, other disorders may contribute:

• hormonal changes (imbalance of sex hormones, thyroid disease, diabetes mellitus);
• dental disease;
• prolonged use of certain medications (antibiotics, chemopreparations);
• frequent stressful situations provoking spasm of biliary tract and biliary stasis);
• excessive physical activity, or vice versa - their complete absence.

Symptoms of the a taste of bile in the mouth

Trying to establish the cause of bile taste in the patient's mouth, the doctor should pay attention to additional symptomatology. In many patients.

We're looking at pathologic signs like this:

• bouts of nausea;
• vomiting with the presence of bile in the vomit;
• increased gas, abdominal bloating;
• difficulty breathing without exercise;
• plaque on the back of the tongue (whitish, yellowish, gray);
• dry oral mucous membranes, unpleasant odor of exhaled air;
• discomfort behind the sternum;
• Light-colored (yellow-white) feces;
• dark-colored urine;
• diarrhea, loose stools;
• gauntness;
• abdominal pain in the area of the projection of the liver;
• hand tremors;
• yellowing of the sclerae, skin and mucous membranes;
• head pain, dizziness;
• increased sweating;
• feeling tired, sleepy;
• trouble concentrating;
• irritability.

Symptomatology is determined by the underlying disease, the presence of other ancillary pathologies, the general condition of the patient.

First signs

Sometimes the doctor can already suspect a problem associated with the taste of bile in the mouth by the first signs:

Bile taste in the mouth in the morning or after physical activity	Indicates possible problems with the stomach, liver and biliary system.
A taste of bile and bitterness in the mouth.	Inflammatory dental diseases, allergic reactions.
The taste of bile after eating	Diseases of the biliary system, 12-rectum, stomach.
Bitter-sour taste and heartburn.	Gastroesophageal reflux, increased acidity of gastric juice.
A constant taste of bile in the mouth	Endocrine pathologies, gallstone disease, oncopathologies, psychiatric abnormalities.
Bile taste and abdominal pain.	Food poisoning, cholecystitis, cholelithiasis, gallstone disease, hepatic colic.
Transient short-lived bile taste	Stress, taking certain medications (antibiotics, anti-allergic drugs, etc.).
Nausea and a taste of bile in the mouth

An important symptom is pain. Unpleasant sensations of varying intensity can be localized in the right subcostal area or stomach, increasing during the day, or after eating, or in the morning after waking up. If there is a gallstone disease, it is possible to have an attack-like pain - the so-called hepatic colic.

Nausea (with or without vomiting), increased gas formation and stool disorders are signs of digestive disorders, when bile in insufficient quantity enters the intestine, or its composition changes. In both cases, digestive processes are disturbed.

Dark saturated color of urine is a typical indicator that bile acids are absorbed into the bloodstream and enter the urine, which is characteristic of gallbladder pathologies.

Yellowing of the skin, mucous membranes and sclerae is observed if bile acids penetrate into the bloodstream and settle in the tissues. Yellowing may be barely noticeable or pronounced.

Bile taste in the mouth in women

Women are more likely to experience problems related to digestion and the appearance of an unpleasant taste of bile. Regular hormonal changes play a big role here - for example, during pregnancy. There is even such a medical term as "pregnancy cholestasis": it is a syndrome in which bile secretion stagnates in the bladder, which is manifested by yellowing of the skin, itching and bitter taste in the mouth. Such a problem is caused by mechanical compression of the biliary system by an enlarged uterus. This is especially manifested in women with multiple pregnancies, large fetus, biliopulmonary deformity. The outflow of bile secretion is violated, and pigments are absorbed into the blood. Pathology is detected from the second to the third trimester and disappears about 2 weeks after the birth of the child.

In addition to hormonal changes, the most common causes of bile taste in the mouth in women are:

• stress, psycho-emotional outbursts;
• adherence to severe dietary restrictions, prolonged fasting followed by overeating;
• eating disorders (anorexia, bulimia).

A certain role in the appearance of pathology plays and vegetovascular dystonia or neurocirculatory dystonia - disorders of the autonomic nervous system, regulating the functionality of internal organs.

Bile taste in the mouth in men

In males, the causes of an unpleasant bitter taste are somewhat different. Most often such causes are:

• Abuse of alcoholic beverages, including beer;
• Heavy smoking, which causes loss of sensitivity of taste buds in the mouth and distortion of taste sensations;
• Chronic intoxication (both alcoholic and industrial);
• regular consumption of too fatty, spicy, smoked food, eating mainly convenience foods and fast food, eating dry food, overeating (especially at night);
• non-compliance with work and rest, physical overload, stress, neurosis.

Unfortunately, it is also more typical for men to seek medical help late. Most cases of bile taste in the mouth are caused by inflammatory diseases of hepatobiliary and digestive system. Digestion and biliary excretion is a single interconnected mechanism, and pathologies from these organs can consistently appear according to the principle of "dominoes". Therefore, it is very important to treat such diseases in a timely manner, preventing the further development of serious complications.

Complications and consequences

A serious problem can be encountered if the cause of bile taste in the mouth is not detected in time, and the necessary treatment measures are not carried out. The most frequent complications include inflammatory processes in the gallbladder or pancreas (primary or secondary), impaired outflow of bile secretion, damage or rupture of the bladder wall, bile escape into the abdominal cavity (acute peritonitis develops), impaired outflow of pancreatic secretion, etc.

No less dangerous is the development of cholelithiasis, which can be asymptomatic for a long time, which depends on the number of concrements, their size, the stage of inflammatory reaction, the general state of the hepatobiliary system and the presence of disorders of other organs. When a concretion enters the bladder neck or duct, an attack of biliary colic develops, inflammation begins. Colic can be provoked by the consumption of fatty, spicy, smoked dishes, as well as stress, physical overload, prolonged stay in an uncomfortable body position.

The appearance of complications can be prevented if you see a doctor in time and carry out the necessary treatment. The main thing is not to self-medicate, but to visit a doctor as soon as possible.

Diagnostics of the a taste of bile in the mouth

When there is a taste of bile in the mouth, in addition to a doctor's examination, it is necessary to conduct laboratory and instrumental diagnostics.

Laboratory tests may include:

• general clinical blood test - to determine the inflammatory processes in the body (determining indicators - COE and leukocyte count);
• urinalysis, urine diastase;
• Biochemical blood test (determination of total bilirubin and fractions, total protein, glucose, amylase, total cholesterol, AsAT, AlAT, alkaline phosphatase, GGTP);
• blood tests for RW, HIV, viral markers;
• study of blood lipid spectrum with assessment of atherogenicity coefficient (high-density and low-density lipoprotein cholesterol);
• biochemical study of bile taken during duodenal probing (determination of cholesterol, bile acids, phospholipids with calculation of cholato-cholesterol coefficient and phospholipid-cholesterol coefficient).

Instrumental diagnostics may be represented by such procedures:

• Duodenal probing (introduction of a special thin probe into the 12-intestine with further collection of bile for examination, determination of its chemical composition, detection of inflammatory or tumor process, as well as for subsequent sowing on nutrient media).
• Ultrasound examination of the abdominal cavity (for visualization of the gallbladder, its possible bends, assessment of its wall thickness, the state of the common bile duct, identification of stones, polyps, etc.).
• Fine-needle biopsy (insertion of a thin needle into the gallbladder under ultrasound guidance to take a piece of tissue and then examine it under a microscope).
• contrast radiography (X-ray examination with intravenous injection of contrast agent, which allows better visualization of the size and shape of the gallbladder).
• Computed tomography or magnetic resonance imaging (is the performance of layer-by-layer images of tissues and organs, which allows you to identify even small tumor elements, polyps, stones, as well as pathological changes in tissues).

Differential diagnosis

In case of bile taste in the mouth, differential diagnosis may present certain difficulties. In particular, such pathologies should be suspected:

• liver disease;
• diseases of the biliary system;
• functional digestive disorders, intoxication;
• 12-bowel disease;
• pancreatic disorders.

For differentiation, additional diagnostic tests are used. The patient may be prescribed review fluoroscopy of the abdomen, ultrasound of the abdominal cavity, chromocystoscopy, urography, endoscopy of the upper digestive tract, cholangiography (with oral, intravenous contrast, as well as percutaneous transhepatic CT).

Treatment of the a taste of bile in the mouth

After finding out the root cause of bile taste in the mouth, the doctor prescribes a comprehensive treatment, taking into account the primary pathology and detected painful changes in the body. Therapeutic measures are used according to the basic medical principles. Thus, etiotropic therapy is directed to the eradication of the factor that led to the appearance of bile taste. For example, patients with cholecystitis are prescribed antibiotic therapy, and patients with cholelithiasis or tumor processes more often require the help of a surgeon.

Pathogenetic therapy is used to restore the functionality of the biliary tract, reduce intoxication. For example, in hyperkinetic dyskinesia prescribe antispasmodic drugs, and to improve digestion are shown enzymatic agents with bile acids.

Symptomatic treatment is aimed at improving well-being, eliminating discomfort - including the taste of bile in the mouth. Analgesics, anti-inflammatory and antispasmodic drugs and their combinations are prescribed individually.

The taste of bile in the mouth is an indication for nutritional correction. It is necessary to maximally facilitate the work of the liver and biliary system, and for this purpose dietary table No. 5 is prescribed. The diet excludes the use of animal fats, rich broths, which leads to a decrease in the contractile activity of the gallbladder. Allowed sour milk products, vegetables and fruits, as well as lean meat, steamed or stewed. Food is taken up to five times a day, in small amounts. Dinner is recommended no later than 2-3 hours before going to bed. Completely exclude semi-finished products and food "dry-meat".

How to get rid of the taste of bile in the mouth?

If the apparent cause of the appearance of bile taste in the mouth is absent and pathologies are not detected, then to eliminate the problem you should pay attention to the following recommendations:

• Quit smoking, as the taste of bile can be caused by improper functioning of the taste buds due to regular exposure to toxic tar.
• Avoid overeating and eat in medium portions, which is especially important for people with chronic digestive problems or women carrying a baby.
• If food intoxication is suspected, undergo a course of purification with sorbent preparations.
• After a course of treatment with anthelmintics or antibiotics, take a course of probiotics to normalize intestinal microflora.
• Normalize sleep and rest, avoid stress. Practice active sports, walk in the fresh air.
• Eliminate the consumption of food fatty and heavy for the stomach, minimize the amount of spices, smoked meats, pickles, salt.

It is important to understand that you can not try to eliminate only the taste of bile in the mouth, because it is just a symptom of any disorder in the body. And this disorder must be identified and treated.

Medications

Medicines to eliminate the taste of bile in the mouth should be aimed at combating the root cause of the appearance of the violation. Medications are prescribed by a doctor in accordance with the detected disease.

The following medications may be prescribed:

• Holosas - is a rosehip extract that increases the functional capacity of the liver and reduces bile viscosity. The drug is prescribed for non-calculous cholecystitis, cholangitis, chronic hepatitis, drug and other intoxications. It is taken orally half an hour before meals: the average dosage - 5 ml three times a day. Contraindications to use: diabetes mellitus, bile duct obstruction, gallstones, tendency to blood clots.
• Liobil is a preparation based on lyophilized bovine liver, improves the formation and outflow of bile secretion, facilitates the work of the pancreas, optimizes intestinal peristalsis. Take 1-3 tablets three times a day with meals, for 4-8 weeks. Contraindications are considered obturation processes in the biliary tract, acute pancreatitis.
• Allochol is a combination drug, moderate choleretic, improving the secretory activity of hepatic cells. It is prescribed as part of combination therapy for chronic cholecystitis, gallbladder dyskinesia, postcholecystectomy syndrome, intestinal atony, uncomplicated cholesterosis. Adult patients take Allochol 1-2 tablets up to 4 times a day for a month. Possible side effects: allergic reaction, diarrhea. The drug requires careful use in patients with urolithiasis.
• Hepabene is a combined preparation of herbal origin, which includes an extract of the melon plant and a dry extract of milk thistle. It is used to treat patients with dyskinesia of the biliary system and chronic liver pathologies. Gepabene is taken after meals, 1 capsule three times a day. Possible side effects: nausea, heartburn, diarrhea, increase in the daily amount of urine, allergic reactions.
• Sodium thiosulfate is a preparation from the group of antidotes, has antitoxic, anti-inflammatory and desensitizing effect. It is considered an antidote for hydrocyanic acid, cyanide, arsenic, mercury, lead. The solution is administered intravenously in individually calculated dosages, applying throughout the entire intoxication period. In pediatric practice, the drug is not used. Probable side effects: decrease in blood pressure, tachycardia, dyspnea, headache, a feeling of ringing in the ears, nausea, a feeling of fever.
• Essenciale Forte H - prescribed to patients with steatohepatitis of any origin, acute and chronic hepatitis, liver cirrhosis, toxicosis of pregnant women, radiation syndrome. The standard dosage is 2 capsules three times a day, with food, for 3 months. The scheme of reception can be changed by the attending physician on an individual basis. Side effects in the form of allergies or diarrhea are rare.

Antibacterial therapy is indicated if the taste of bile in the mouth is caused by acute cholecystitis or exacerbation of chronic calculous cholecystitis, in which there is also increased pain in the right subcostal area, increased body temperature, leukocytosis, accelerated COE.

Recommended antibiotics:

• Semisynthetic penicillin preparations (Amoxicillin, Amoxiclav orally 0.5 g twice a day for a week);
• Macrolide drugs (Clarithromycin 0.5 g twice a day orally for a week);
• Cephalosporin drugs (Cefazolin, Cefotaxime 1 g every 12 hours intramuscularly for a week;
• fluoroquinolone drugs (Ciprofloxacin 250 mg 4 times a day orally for a week);
• Nitrofuran drugs (Nitroxolin 50 mg 4 times a day orally, for ten days).

In case of pain it is appropriate to prescribe Drotaverine, Metamizole sodium. Selective myotropic antispasmodics are used to stabilize the tone of the sphincter of Oddi:

• Mebeverine (1 capsule 200 mg twice daily);
• Gimecromone (200 mg three times a day);
• Domperidone (10 mg three times a day).

If necessary, enzyme replacement therapy is carried out - in particular, the drug Pancreatin.

Physiotherapy treatment

The possibility of using physiotherapy for bile taste in the mouth is determined individually, depending on the initial cause of this disorder. Many methods are used in pathologies of the liver and biliary tract.

• Drug electrophoresis and galvanization involve the use of direct currents delivered through special electrodes. Thanks to this treatment, blood circulation is improved, intrahepatic metabolism is accelerated, oxygen content in tissues is increased, blood cholesterol level is reduced, phagocytic activity and antibody production are stimulated. Galvanization is prescribed for chronic hepatitis, colitis, non-calculous cholecystitis, dysfunction of digestive organs. Electrophoresis is used if it is necessary to deliver the medication to a certain place and create the necessary concentration of the drug substance in it.
• Application of pulse currents is one of the varieties of electrotherapy. Sinusoidal modulated currents stimulate blood flow and metabolism in organs and tissues, reduce pain sensitivity, which is necessary in case of impaired function of the biliary system (in the absence of stones).
• UHF and microwave therapy involves the use of alternating currents, which, against the background of heat exposure, get well into the tissues. The liver and other parenchymatous structures perfectly absorb energy, thanks to which they improve blood circulation, reduce signs of inflammatory reaction. Alternating currents are actively prescribed for colitis, gastritis, cholecystitis, viral hepatitis (if there is no cytolytic syndrome).
• Inductothermia is an exposure to alternating high-frequency current, which generates heat. Procedures cause increased blood flow, optimization of lymphatic flow, activation of metabolic processes. At the same time, the general well-being improves: pain disappears, immunity is stimulated, and the nervous system is normalized.

In pathologies of the liver and biliary tract is often prescribed intake of mineral waters. Hydrocarbonate-sulfate and hydrocarbonate-chloride waters with high and medium mineralization are indicated in chronic inflammatory processes (cholecystitis, hepatitis), as well as with impaired activity of the biliary tract. If there are large stones in the gallbladder, such treatment is not carried out.

Some patients are shown sanatorium-resort treatment, including diet therapy, compliance with the regime, exercise therapy.

Herbal treatment

Treatment with herbs is started only after consultation with a doctor, most often - in combination with drug therapy.

• Milk thistle is a popular plant that is recommended for patients with acute and chronic hepatitis, liver cirrhosis, intoxication. Milk thistle stimulates cell regeneration, reduces the negative effects of toxins, prevents the development of inflammatory processes. The mechanism of the positive effect of the plant on the body due to the presence in the composition of the substance silymarin - a strong antioxidant that prevents the destruction of liver cells and accelerates tissue regeneration.
• Sand cumin, or immortelle is a plant that contains a large number of flavonoid substances that have hepatoprotective activity. In addition, sand cumin is characterized by antioxidant and anti-inflammatory properties, the ability to prevent the development of infectious and toxic processes. From the inflorescences are prepared infusions and decoctions, recommended for patients with cirrhosis, hepatitis, cholestasis. In addition to chronic liver pathologies, immortelle successfully copes with intestinal diseases and metabolic disorders.
• Rosehip is another plant rich in flavonoids. Rose hips stimulate biliary function, cleanse the liver from toxic substances, relieve spasms, stop the development of inflammatory processes. The use of means based on rose hips is appropriate for hepatocholecystitis, impaired motor function of the biliary tract.

In addition to the above-mentioned herbal remedies, the use of other herbs is also indicated for the appearance of bile taste in the mouth:

• Thyme (stimulates bile secretion);
• wormwood, chamomile, ergot (stops the development of inflammatory reaction);
• Nettle leaves (improve metabolism, reduce manifestations of inflammation);
• marigolds (have choleretic properties);
• Corn stigmas (eliminate intoxication, improve metabolism);
• Goldenseal (activates bile secretion).

An excellent collection recommended for the treatment of diseases of the hepatobiliary system is Phytogepatol - a complex mixture consisting of chamomile, mint leaves, marigold, yarrow and fir. The remedy helps patients with chronic non-calculous cholecystitis, cholangitis, dyskinesia of the biliary system. Fitogepatol can be purchased in a pharmacy without a doctor's prescription.

Surgical treatment

If therapeutic measures to eliminate the taste of bile in the mouth are not successful, then the assistance of a surgeon may be required. Surgical intervention is prescribed:

• in acute purulent cholecystitis, necrosis of the gallbladder walls, perforation or its threat;
• in gallstone disease, gallbladder dropsy, mechanical (obturation) jaundice;
• in hepatic colic that does not respond to drug therapy;
• in non-parasitic and parasitic liver cysts, tumor processes, hepatic abscess.

Surgery is prescribed not so much to get rid of the taste of bile in the mouth, but for urgent treatment of the underlying disease, which threatens the health and sometimes even the life of the patient.

Surgical interventions are especially indicated for patients with gallstone disease: the gallbladder is removed together with the stones, or only the stones are removed, leaving the organ (if possible).

The surgery can be performed:

• traditionally, by standard (open) cholecystectomy;
• by cholecystolithotomy;
• by minimally invasive access (video laparoscopy or open laparoscopy).

The tactics of management of patients are determined on an individual basis.

Prevention

An important step in maintaining your health and preventing the taste of bile in your mouth is to take preventive measures such as these:

• It is necessary to take a responsible approach to nutrition and daily regimen, to develop a healthy habit of eating quality, full, regular and balanced meals for yourself and your family. It is mandatory to eat breakfast in the morning: the portion can be small, but nourishing and useful. Further meals should be regular - it is optimal to eat every 3 hours, a little at a time (300-350 g of food). Such a food regimen promotes a constant outflow of bile secretion, preventing stagnation.
• Many of us neglect regular medical preventive examinations, and completely in vain. The fact is that most diseases can be cured without serious interventions and consequences, only if violations were detected in time, as early as possible. And in general, it is better to prevent the problem in advance than to look for ways to solve it later.
• If you already have any disease of the digestive tract, liver or biliary system, it is important to follow all recommendations and fulfill the doctor's prescriptions. If this is not done, the situation may worsen and more complicated treatment (up to surgical intervention) will be required.

Forecast

In case of bile taste in the mouth, the prognosis depends entirely on the underlying disease and its outcome. In latent course the risk of complications is rather low - about 10% for 5 years, 15% for ten years, 18% for 15 years.

If no other symptoms are detected for fifteen years, the likelihood of their occurrence in the future is relatively low. Most patients diagnosed with complications have previously voiced complaints not only of an unpleasant taste, but also of right subcostal or abdominal pain.

An unfavorable prognosis is also noted in patients with diabetes mellitus.

Periodically occurring and then disappearing taste of bile in the mouth is less dangerous than constant or attack-like bitter taste sensation. Nevertheless, medical consultation is necessary in all cases, as early medical attention significantly improves the outcome of the underlying disease.