Bile reflux gastritis is chronic inflammation caused by duodenal contents (bile, pancreatic juice) flowing back into the stomach. Core symptoms result from bile irritation and breakdown of the gastric mucosal barrier: Burning or persistent dull upper-abdominal pain, worse after meals and poorly relieved by antacids Frequent belching with bitter or sour taste; bitter mouth noticeable on waking or when fasting Nausea and occasional bilious vomiting—yellow-green fluid without blood Early satiety and post-prandial fullness: reduced gastric accommodation, feeling full after small meals Loss of appetite and weight: decreased intake due to prolonged discomfort Epigastric heat: located higher than typical heartburn, aggravated... Learn more