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Old 06-25-2006, 11:41 AM   #1
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bile in stomach

i've been having digestive problems for a few years. have posted here a few times, had various tests done (all came back normal), seen doctor a few times, tried all medicines i could get my hands on, now am in a queque for hospital, still no idea what's wrong. however recently noticed one thing. i threw up a few times when i was feeling really bad after eating and each time after all food is out some yellow or green very bitter thick liquid would come up, which i presume is bile. my question is, is bile supposed to be in stomach and is it normal to throw it up? now i'm thinking maybe that's the answer - bile where it's not supposed to be. i did some research online but still couldn't figure out what exactly bile is doing.
btw my symptomas are: discomfort after eating, fullness, slight dull pain, sensation as if something is stuck in my stomach, trapped wind, it's always worse when i'm standing rather than sitting or lying. no particular food makes any difference.
any input would be very appreciated.

 
Old 06-25-2006, 12:44 PM   #2
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Re: bile in stomach

It could be a motility problem .. your stomach and/or gut is slow to move food through or it maybe gallbladder especially if the pain is to the right .. but i'm not a Dr so until you see a specialist I'm merely comparing it to my problems .. Although its not usual to have bile in the stomach it can sometimes happen and is called bile reflux. It comes back into the stomach through the pyloric sphincter. Have you lost any weight because of this and how often does it happen? every time you eat or just occasionally?

I'd be intrested to know which hospital you will be attending. I go to St Thomas' !

They will probably to the usual non-invasive tests like ultrasound, MRI or CT scan and maybe an endoscopy (camera down) to see what's going on.

In the meantime, try cutting out fatty or fibrous food, and food with skin, pips, or seeds and see if that helps any.

Last edited by moderator4; 06-25-2006 at 01:28 PM. Reason: Repeating Quote is not needed.

 
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Old 06-25-2006, 03:00 PM   #3
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Re: bile in stomach

i was diagnosed with motility problem already. but that was done by symptoms only, no stomach emptying test was done. they put me on domperidone but it didn't make any difference. i did lose weight but i think the reason is that i don't eat enough as i can't eat more due to that discomort.
don't know if it happens all the time or occasionally because i've noticed that only when i threw up. however i feel bad after eating all the time so i suppose it happens every time if bile is the problem.
have no idea which hospital i'll be going to, i'm not even sure how these things work here! i went to local gp a few times and last time they told me they refered me to hospital and they should contact me. so i'm waiting.. they also sent me for h. pylori test which i haven't done yet but i'm pretty sure it will be negative as i already had one done and it came back negative.
do you have same symptoms as me and have you ever been diagnosed with something? does bile reflux cause symptoms that i listed i have?

 
Old 06-25-2006, 08:19 PM   #4
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Re: bile in stomach

Consistently having bile in your stomach can cause gastritis, or an inflammation of the stomach lining. Throwing up bile may be an indication that you have bile in your stomach, although it might not be there all the time.

 
Old 06-26-2006, 02:16 AM   #5
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Re: bile in stomach

sundaysun,

Mines started 2 1/2 years ago with pain an vomiting after eating and a rapid loss of weight. After being sent as an emergency for an outpatients appt I had an endoscsopy, an ultrasound and a CT scan. These showed up that I had a thickening of the duodenum aroiund the common bile duct. Only days after finding this out I was seriously ill vomiting for over 36 hours so I was admitted to hospital - and there I stayed for about 6 months, with only 19 days at home in that period.

They couldn't find a cause for the thickening so I had a duodenal bypass, which didn't really work, so 6 weeks later had another op to replumb my bowel. After that I was criticallly ill but the symptoms stll persisted. So in Jan 2005 I was referred to St Thomas'; my surgeon there suggesed another op to get my stomach back to normal and during this he found a large ulcer in the jejeunum which he took out. After this more tests including a gastric emptying test and this is when I was diagnosed with gastroparesis which is a motility problem caused by damage to the vagus nerve.

My symptons increased to include early sateity, bloating and constipation. So this year I had a pyloroplasty as a last ditch surgical intervention to see if it would help. It hasn't really made much difference to be honest ! But now there is no muscle from the stomach to the duodenum I now get alot of bile reflux.

Did you try haveing the Domp about 1/2 hour before meals ?

I think you will probably find that the bile is a symptom not a cause of your problem.

They have probably initially sent you to your local hospital. Check with your GP this is the case and get the name of the Consultant he has referred you to; then phone up the Consultants secretary and see if she can speed up your appointment. It can often work!

Good luck!

Last edited by moderator4; 06-26-2006 at 09:37 PM.

 
Old 06-27-2006, 02:11 PM   #6
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Re: bile in stomach

i'm really sorry to hear your story which sounds much worse than mine. however i've got some of the symptoms and seems like could be similar thing. i did some research on bile reflux and it looks like it might be something with the spincher between stomach and small intestine. but anyway i'm not a doctor either any if you look for information by your symptoms you can diagnose any disease for you. hopefully they will sort something out in hospital because i can't live normal life with this..

 
Old 06-27-2006, 03:26 PM   #7
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Re: bile in stomach

The sphincter you refer to is the pylorus which is a muscle.. I've had mine permanently opened now on the basis it would allow food to pass from the stomach - it's not really made much difference in that respect - and the flip side of the coin is that I now bring up much more bile.

I understand completely what you mean about it affecting your quality of life - I;ve spent75-80% of the last 21/2 years in hospital and even when I'm at home I'm still vomiting several times daily, to a greater or lesser degree.

The danger of "self diagnosis" or diagnosis by a web based piece of software is that there is no clear diagnosis - just an indication of what it MIGHT be, so until you have more tests done, try not to worry unduly about what you might/might not have - difficult I know, but for me, it's better than guessing !

Bile reflux can be caused by many things .. some of them acute and short lived, other more chronic in presentation but usually none are life threatening and as I've said it's probably a symptom rather than cause.

So hold on tight and try contacting the hospital as I suggested in my prervious post to see if they can hurry your appt along !

Let me know how it goes - good luck!

Last edited by moderator4; 06-27-2006 at 09:33 PM.

 
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