Many patient with burning, nausea or reflux are told it's all due to excess stomach acid, but that's not always true. In this video you'll learn the hidden resons reflux is often misdaignosed, and what to do if PPIs aren't helping you.

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When it isn't acid, it's bile, or a combination of the two. What's dangerous about it being missed is that bile can cause more dangerous damage to your esophagus and stomach then acid, including Barrett's esophagus and sometimes cancer.

The specific studies are listed below. What they found was that bile backflow (reflux) can damage the esophagus even with normal acid levels, which worsens when esophagu motility is impaired. I discuss solutions below.

In patients with silent reflux (LPR), elevated bile acids in the saliva is directly linked to worse symptoms (as compared to acid reflux) and esophageal inflammation.

Mixed reflux (acid and bile) causes more severe tissue then acid alone.

Bile reflux gastritis (in the stomach) sees traditional medications often failing due to severity of inflammation.

Clinica data shows bile reflux is frequently overlooked or misdiagnosed as GERD, and can lead to the progression of Barrett's esophagus or worse.

The best way to diagnose if you have bile reflux is a 24-hour impedance pH-monitor. I describe the procedure in the video.

The good news is that there are natural solutions that can reduce irritation, improve bile quality and flow, support sphincters (valves) and motility and break the vicious cycle of reflux-inflammation-loss of motility.

I review all the solutions and specific diet and supplement options in the video, but here's the summary:

1. Address Underlying Triggers - uch as hiatal hernia, weak LES (lower esophageal sphincter), gallbladder dysfunction, and gastroparesis.
2. Soothe and protect the mucosa (lining of the esophagus and stomach). 
3. Neutralize or bind bile acids. 
4. Optimize bile flow.
5. Rebalance the microbiome
6. Lifestyle and Nervous System support
You should tackle these with the help of a clinician who is an expert in this area to ensure you identify the root cause(s) of any bile reflux occurring.

If you continue suffering from what seems to be acid reflux this could be part of the problem. The solution isn't difficult.

The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

Resources:
Krzeminska-Malinowska I, et al. Evaluation of gastric emptying and gastric bile acid levels in dyspeptic patients after cholecystectomy. Hepatogastroenterology. 1995. PubMed

Kauer WK, et al. Esophageal peristaltic failure is more common in patients with duodeno-gastro-esophageal reflux than with acid reflux alone. Dig Dis Sci. 2004. DOI

Liu J, et al. Salivary bile acids in laryngopharyngeal reflux disease and their clinical significance. J Voice. 2021. PubMed

Saritas Yuksel E, et al. Mixed reflux (acid and bile) is more injurious to the esophageal mucosa than acid reflux alone. Curr Gastroenterol Rep. 2007. PMC

Bechi P, et al. Bile reflux gastritis and esophagitis: clinical and pathological features. Ann Surg. 1980. PubMed

Hofmann AF, et al. The role of duodenogastric reflux in gastric mucosal injury: histopathological findings. World J Gastroenterol. 2003. PubMed

Falk GW. Bile reflux: clinical manifestations and diagnostic considerations in gastroesophageal reflux disease. Nat Rev Gastroenterol Hepatol. 2009. PMC

Disclaimer: The information provided in this video is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of y