Conservative treatment of duodenogastric reflux is aimed at reducing the symptoms of this functional disorder. For this purpose, certain drugs are used.
The drug Ursofalk (other trade names - Ursahol, Ursolit, Ursolvan, Cholatsid)
Take one capsule (250 mg) once a day (in the evening). Among its contraindications are indicated acute cholecystitis, dyskinesia of the bile duct, gallstones and pregnancy. And the main side effects are hives, pain in the stomach and mild diarrhea.
Activate the motor system of the digestive tract tablets Ganaton (Itopride, Itomed, Primer), which appoint one tablet three times a day (one hour before meals). The drug is not used for gastric bleeding, intestinal stenosis, pregnant in the first trimester and patients younger than 16 years. There may be side effects in the form of an intestinal and dysuria disorder, epigastric pain, dry mouth, insomnia.
For the coordination of gastroduodenal motility, the drug Metoclopramide (Cerucal, Gastrosil) is used. Dose for adults - a tablet (10 mg) three times a day; for children older than three years - 0.1-0.5 mg per kilogram of body weight. The medicine should be taken 30 minutes before meals. Contraindications include intestinal obstruction, pheochromocytoma, epilepsy, pregnancy (the first three months) and the period of breastfeeding, as well as children under three. Metoclopramide can cause side effects, in particular: headache, fatigue, depression and anxiety, heart palpitations, dry mouth, diarrhea, menstrual irregularities.
Gastroprotective agent Sukralfat (Sukrafil, Sukrat, Ulgastran, etc.) promotes the release of the stomach from bile and the protection of its mucosa from inflammation. It is taken 500 mg to four times a day (before each meal and at night). This drug is contraindicated in the treatment of duodenogastric reflux with intestinal stenosis, difficulty swallowing, kidney failure, pregnancy and lactation, children under four years. Possible side effects are violations of the intestine, nausea and dry mouth, head and stomach pain and pain in the lumbar region.
Spasmolytic Trimebutin (Trimedat) can be used in patients older than 12 years - 0.1-0.2 g three times a day; children 5-12 years - 50 mg, 3-5 years - 25 mg three times a day. Of the side effects noted the appearance of rashes on the skin.
Homeopathy in the treatment of bile reflux is represented by Gastritol (in the form of drops), containing extracts of such medicinal plants as the carrot, chamomile, wormwood, St. John's wort, as well as extracts from the roots of licorice, angelica and thistle. The medication is taken only by patients older than 12 years - 25 drops three times a day (before meals). Drops are contraindicated for hypertension, cholelithiasis and pregnancy. Side effects include nausea, vomiting, abdominal pain, dizziness.
With duodenogastric reflux, vitamins such as E, A, B vitamins and vitamin U (methionine) are especially useful.
Physiotherapeutic treatment consists in the use of natural alkaline mineral waters (Borzhomi, Svaliava, Luzhanskaya, Polyana-Kvasova, etc.).
Surgical treatment can be an extreme measure - if nothing else reduces the severe symptoms of bile reflux or when precancerous changes in the gastrointestinal tract are detected.
Alternative treatment of duodenogastric reflux
What does alternative treatment offer to eliminate the main symptoms of duodenogastric reflux? For breakfast, there is oatmeal, natural yogurt or kefir, as well as baked apples (pectin contained in them neutralizes bile acids). It is advised to systematically use honey - in the form of honey water (a teaspoon per glass of slightly warm boiled water), which should be drunk in the evening. And with heartburn, drink a small gulp of a glass of warm water: it will help wash the bile from the stomach mucosa.
It is also recommended to treat duodenogastric reflux with linseed oil, which contains omega-3 fatty acids (oleic, linoleic and alpha-linolenic). These fatty acids have strong anti-inflammatory properties and, in addition, have a calming effect on the stomach.
Herbal treatment also helps to relieve the condition with bile reflux. In the first place - tea from a chemist's daisy (a couple of cups a day). Licorice root is also considered useful for reflux of bile, but it should be borne in mind that licorice contains glycyrrhizin, which, as is known, reduces the production of testosterone in men.
Cover the mucous of the stomach with decoctions from the root of the althaea or forest mallow (tablespoon of dry crushed roots with 250 ml of water).
The same action is exerted by the alcohol tincture of the red elm bark (Ulmus rubra), for preparation of which it is necessary to take only the inner layer of the bark of this tree.
Diet with duodenogastric reflux
According to experts, unlike acid reflux, a diet with duodenogastric reflux, as a rule, can not completely control the manifestation of symptoms. However, without changes in the diet or way of life can not do.
First of all, you can not overeat. It is also necessary to restrict foods high in fat and spicy foods. More details - in the publication Diet for heartburn. It is best to include in your menu dishes that will not overload the stomach. The most suitable menu for duodenogastric reflux is given in the article - Diet with erosive gastritis.
It is recommended to give up alcohol and carbonated drinks, coffee and chocolate. It is most useful to eat small portions 5-6 times a day: it revitalizes digestion, and also prevents excessive formation of bile. And the last meal should be three hours before bedtime.
Special therapeutic exercise with duodenogastric reflux has not been developed, but experts say that one of the best and available to each remedy against excess bile is regular exercise. And they advise you to practice Chinese Qigong health-gymnastics.