What to eat with bile reflux?

Bile is a gastrointestinal fluid, produced by the liver to help digest fats and absorb nutrients. If your body can't reabsorb it, it can lead to problems like bile reflux. Knowing how to follow a bile reflux diet can help relieve symptoms.

Bile reflux, also known as gastroduodenal reflux, is a condition in which bile - a digestive fluid produced in the liver, flows back up, i.e., back up from the small intestine to the stomach and possibly up. both esophagus.
Bile is a digestive tract secretion produced in the liver. Several components make up bile: Water, cholesterol, bile pigments, bile salts. Bile is produced by the liver, stored in the gallbladder, and released into the duodenum (upper part of the small intestine) as needed to aid in fat digestion. Bile is essential for digesting fats and removing old red blood cells and some toxins from the body.
Bile reflux is the result of bile traveling up from the small intestine into the stomach and esophagus. Bile reflux is caused by damage to the pyloric valve, which is a ring of muscle that separates the stomach from the duodenum. When the pyloric valve does not close properly, bile flows into the stomach, causing pain and inflammation.
Bile reflux is sometimes confused with acid reflux because a person may experience some of the same symptoms and bile irritates the lining of the esophagus, potentially increasing the risk of esophageal cancer.
The difference is:
Acid reflux symptoms are indigestion, heartburn, stomach pain, painful swallowing and esophagitis caused by stomach acid passing through the lower esophageal sphincter into the esophagus. Symptoms of bile reflux are heartburn, gastritis, hoarseness, chronic cough, painful swallowing, esophagitis because bile from the gallbladder passes through the pyloric valve from the small intestine to continue through the lower esophageal sphincter. into the esophagus. Bile reflux damages the lining of the stomach causing gastritis, which can progress to ulcers in the stomach, bleeding, and stomach cancer. In patients with both bile reflux and acid reflux, this combination appears to be particularly harmful, increasing the risk of damage to the esophagus, including conditions such as Barrett's esophagus and esophageal cancer.
Bile reflux is often seen as a complication of surgery, especially gastric bypass surgery or surgery to damage or replace the pyloric valve. Surgery to remove the gallbladder (cholecystectomy) may also be associated with bile reflux. When your gallbladder is removed, the liver is redirected to release bile directly into the small intestine. But when bile is not stored and concentrated in the gallbladder first, it can overflow into your stomach.
The symptoms of people with bile reflux can be alleviated with dietary changes, lifestyle changes and medication treatment from a doctor.

In the daily diet, people with bile reflux should note:
2.1 Should eat more soluble fiber and bile This essential nutrient helps support healthy digestion, prevents constipation and promotes healthy digestion. promote overall health.
There are 2 types of fiber: soluble fiber and insoluble fiber. Soluble fiber turns into a gel during digestion and can help lower cholesterol levels. It helps absorb cholesterol and bile in the digestive tract and carries them out of your body in your stool. Therefore, one way to get rid of bile is to eat more foods that are high in fiber. Furthermore, eating fibrous foods that absorb bile can also help lower blood cholesterol levels by preventing the body from reabsorbing bile.
Foods that absorb bile rich in soluble fiber
Fruits; Vegetable; Cereals such as oatmeal; Nuts and seeds; Legumes such as lentils and beans. Adults should eat the following amounts of fiber each day:
Women: 22 to 28g; Men: 28 to 34g. 2.2 Avoiding fatty foods A dietary change that can help reduce bile production (or at least reduce the effects of bile reflux) is to avoid foods high in fat.
When you eat fat, a signal is sent to the gallbladder to release bile into your small intestine, a high-fat meal also causes your lower esophageal sphincter to relax, which slows down how fast you wake up. food leaves the stomach.
That's why it's best to limit or avoid fatty foods like:
Processed meats like salami and salami; Red meat; Fried food or fast food. Instead, you should choose lower-fat options such as:
Low-fat or fat-free milk or cheese choices; Only egg whites should be eaten, discarding the yolks; Crab, shrimp and light tuna; Beans, peas and lentils; Oatmeal; Rice or noodles; Fruits and vegetables. 2.3 Smaller meals each day Small meals reduce pressure on the pyloric valve (the sphincter between the bottom of the stomach and the beginning of the small intestine) than large, heavy meals. Instead of eating 2-3 large meals, you can break it down into 5-6 small meals that can reduce bile reflux.
Try splitting your normal portion in half and saving half for a few hours afterwards.
It is important that you chew your food thoroughly, drink non-carbonated water with meals, and walk or at least sit up straight for 2 hours after a meal. Do not lie down immediately after eating.
2.4 Drinking non-alcoholic beverages Alcohol can contribute to bile reflux because it relaxes the lower esophageal sphincter, allowing bile and gastric juices to back up into your esophagus. Cut as much alcohol as possible from your diet, and replace it with water or non-citrus juices such as carrot juice, some fresh juices made from cucumber, spinach, watermelon, etc. melon or beetroot. Cut down on caffeinated coffee and tea. Both coffee and some teas (which contain caffeine) relax the lower esophageal sphincter, allowing more bile to back up. If you can't completely give up coffee or tea, you should only drink 1 cup a day. Caffeine can affect the lower esophageal sphincter, so choose decaf coffee or tea. Some teas that do not relax the sphincter that cause reflux include chamomile tea, licorice tea, and slippery elm tea. These teas can help ease bile reflux symptoms. Avoid peppermint tea as it can aggravate bile reflux by relaxing the lower esophageal sphincter. With a few changes to your diet, you can dramatically improve bile reflux and say goodbye to any pain or discomfort you're experiencing. If you think you have frequent bile reflux, 2 or more times a week, see your doctor to get what you need to treat.