Bile reflux means, the bile produced in the liver refluxes or backs up from the duodenum into the stomach.

SIGNS AND SYMPTOMS OF BILE REFLUX
CAUSES OF BILE REFLUX
PATHOPHYSIOLOGY OF BILE REFLUX
DIAGNOSIS OF BILE REFLUX
TREATMENTS FOR BILE REFLUX
PROGNOSIS OF BILE REFLUX
COMPLICATIONS OF BILE REFLUX
BILE REFLUX AND AYURVEDA
NIDANA- AYURVEDIC CAUSES OF BILE REFLUX
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BILE REFLUX
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BILE REFLUX
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BILE REFLUX
AYURVEDIC PROGNOSIS OF BILE REFLUX
CHIKITSA- AYURVEDIC TREATMENT FOR BILE REFLUX
AYURVEDIC SAMANA TREATMENT FOR BILE REFLUX
AYURVEDIC SHODHANA TREATMENT FOR BILE REFLUX
COMMONLY USED AYURVEDIC MEDICINES FOR BILE REFLUX
HOME REMEDIES FOR BILE REFLUX
DIET AND BEHAVIOUR FOR BILE REFLUX
YOGA FOR BILE REFLUX
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF BILE REFLUX

SIGNS AND SYMPTOMS OF BILE REFLUX

Burning pain in the chest – heartburn
Sour belching
Discomfort and burning feeling in the stomach
Upper abdominal pain
Nausea
Vomiting of greenish-yellowish fluid
Weight loss
Irritant cough

CAUSES OF BILE REFLUX

Defect in the functioning of lower oesophagal and duodenal sphincter
Complications of previous surgery
Peptic ulcer

PATHOPHYSIOLOGY OF BILE REFLUX

The above-mentioned causes results in the bile backs up into the stomach and oesophagus, irritates the epithelial lining in the oesophagus. The irritation feels like burning pain in the chest. The reflux happens when the lower oesophagal sphincter doesn’t tighten or close properly. This causes bile from the stomach to rise into the oesophagus.

DIAGNOSIS OF BILE REFLUX

Endoscopic examination
Ambulatory acid probe tests
Oesophageal pH monitoring
X-ray – to find out the normal positioning and shape of the oesophagus

TREATMENTS FOR BILE REFLUX

Bile acid sequestrants
Surgical interventions

PROGNOSIS OF BILE REFLUX

Prognosis is based on the stage of the disease, duration and condition of the patient.
Severe cases may require surgery to avoid serious complications.

COMPLICATIONS OF BILE REFLUX

Ulcer in oesophagus
GERD
Recurrent bile reflux may lead to oesophagal cancer.

BILE REFLUX AND AYURVEDA

In Ayurveda,bile reflux is managed based on the treatment of ‘amlapitta’

NIDANA- AYURVEDIC CAUSES OF BILE REFLUX

Excess consumption of dry, acrid, sour food
Improper functioning of agni

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BILE REFLUX

Burning pain in the chest

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BILE REFLUX

Due to the above-mentioned causes doshas aggravated especially pitta. The vitiated doshas reside in the stomach and oesophagus and produce symptoms of bile reflux.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BILE REFLUX

Burning sensation
Sour belching – amla udgaram
Vomiting
Bitter taste in mouth – tikta asyatha

AYURVEDIC PROGNOSIS OF BILE REFLUX

Sadya (curable) in the early stage and manageable in chronic stage with proper Ayurvedic remedies.

CHIKITSA- AYURVEDIC TREATMENT FOR BILE REFLUX

AYURVEDIC SAMANA TREATMENT FOR BILE REFLUX

Guluchyadi kashayam after food
Drakshadi gulika along with amalaki swarasa ( gooseberry juice)
Mandooravatakam
Patolakadurohinyadi Tablet
Shatavari ghrita
Shankha bhasma
Amlapittantak lauha
Shaddharanam churna
Shankha vati
Avipattikara churna- along with honey at bedtime
Nalikera khanda

AYURVEDIC SHODHANA TREATMENT FOR BILE REFLUX

Virechana – purgation

COMMONLY USED AYURVEDIC MEDICINES FOR BILE REFLUX

Internal administration

Guluchyadi kashayam
Drakshadi gulika
Shatavari ghrita
Shankha bhasma
Amlapittantak lauha
Shaddharanam churna
Shankha vati
Avipattikara churna

HOME REMEDIES FOR BILE REFLUX

Intake of gooseberry
Intake of resins
Drinking a glass of water in the early morning

DIET AND BEHAVIOUR FOR BILE REFLUX

Avoid food items that produce pitta dosha imbalance like more acrid and sour. Because pitta imbalance aggravates the symptoms.
Consume easily digestible food items, cow’s milk
Timely intake of food
Drink appropriate quantity of water
Avoid alcohol and smoking

YOGA FOR BILE REFLUX

Nadi Shuddi Pranayam – Calms the mind and gets relief from the discomfort associated with bile reflux

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF BILE REFLUX