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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Connection Between Bile Coming Into Mouth And Gastroparesis And Atrophic Pancreas Diagnosis?

I have bile coming up into my mouth, have also had my gallbladder removed, diagnosed with gastroparesis and atrophic pancreas....is there a connection with all this and what can be done. The bile in my mouth causes burning and my pallet and tongue are yellow?
Tue, 11 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns:
Gastroparesis is slowing of the movement of the food through progressive peristalsis hence there is delayed emptying of the gastric contents and of intestinal contents.
Removal of the gall bladder allows the direct flow of bile into the stomach and up into the esophagus by virtue of lax lower esophageal and pyloric sphincter.
The acid and/or bile coming up in to the throat for which it is not prepared for, causes the burning sensation and pain in the throat.
Atrophic pancreatitis may be related to the diabetes which in turn can be related to and is one of the most important cause of gastroparesis.
I would advise you the following:
Upper GI Endoscopy and biopsy as needed.
PPI like Omeprazole, Antacid every 3 hourly, Domperidone at 8 hourly interval.
Tests of blood, urine and stool. - rule out diabetes. This is very important and id found to be positive have proper control to have best results.
Small frequent meals.
Rest in a reclining position.
Pancreatic evaluation by blood test, stool tests and MRCP is very important.
All these together will make the management most effective.
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Any Connection Between Bile Coming Into Mouth And Gastroparesis And Atrophic Pancreas Diagnosis?

Hi. Thanks for your query. Noted the history and understood your concerns: Gastroparesis is slowing of the movement of the food through progressive peristalsis hence there is delayed emptying of the gastric contents and of intestinal contents. Removal of the gall bladder allows the direct flow of bile into the stomach and up into the esophagus by virtue of lax lower esophageal and pyloric sphincter. The acid and/or bile coming up in to the throat for which it is not prepared for, causes the burning sensation and pain in the throat. Atrophic pancreatitis may be related to the diabetes which in turn can be related to and is one of the most important cause of gastroparesis. I would advise you the following: Upper GI Endoscopy and biopsy as needed. PPI like Omeprazole, Antacid every 3 hourly, Domperidone at 8 hourly interval. Tests of blood, urine and stool. - rule out diabetes. This is very important and id found to be positive have proper control to have best results. Small frequent meals. Rest in a reclining position. Pancreatic evaluation by blood test, stool tests and MRCP is very important. All these together will make the management most effective.