To treat bile reflux, the symptoms of which include vomiting bile, doctors may recommend medications such as ursodeoxycholic acid, bile acid sequestrants or proton pump inhibitors, or surgical procedures such as diversion surgery or anti-reflux surgery, reports Drugs.com. Lifestyle remedies involve quitting smoking, consuming smaller meals, and avoiding alcoholic, caffeinated or carbonated beverages, chocolates, and citrus foods.
Bile reflux is a condition in which a digestive fluid coming from the liver builds up in the stomach and esophagus, causing symptoms such as bile vomiting, nausea and heartburn, explains Drugs.com. Ursodeoxycholic acid encourages proper bile flow to reduce symptoms, while bile acid sequestrants interfere with bile circulation. Proton pump inhibitors work by obstructing acid production.
Doctors recommend surgery if medications do not relieve serious symptoms or a patient's esophagus develops precancerous symptoms, notes Drugs.com. During diversion surgery, the doctor creates another bile drainage connection in the further end of the small intestine to redirect bile from the stomach. During anti-reflux surgery, the doctor wraps the portion of the stomach near the esophagus and sews it around the esophageal sphincter.
Maintaining a healthy weight is essential, as people with extra weight are more likely to experience heartburn and acid reflux due to extra pressure on the stomach, states Drugs.com. It also helps to sit upright for a few hours after meals and elevate the upper part of the bed by 4 to 6 inches.