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

1.     Studies on Urdhwaga Amlapitta and its Management with Shatavari Ghruta

https://www.researchgate.net/publication/336434614_Studies_on_Urdhwaga_Amlapitta_Gastritis_and_its_Management_with_Shatavari_Ghruta

• A clinical study on amlapitta and its management with chhinnodbhavadi ghanavati

https://ijapr.in/index.php/ijapr/article/download/74/285/

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Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

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