Lapina T.L., Bueverov A.O. Bitterness in the mouth: interpretation of a gastroenterologist // Clinical perspectives of gastroenterology, hepatology. 2013. No. 3.


Where does the bitter taste come from?

An unpleasant taste may be present constantly or appear periodically. This symptom is associated with the release of bile into the esophagus. Patients often notice a bitter taste in the mouth in the morning, especially when eating fatty foods the day before and after sleeping on the left side.

Bile is a liver secretion that is involved in digestion. The fluid flows through the ducts into the gallbladder and from there into the duodenum. Normally, bile does not flow into the esophagus, and the person feels well.

After eating certain types of food, the liver may react by producing more secretions. The volume of bile in the intestines increases, and a small part enters the esophagus, causing a bitter taste in the mouth. The same reaction occurs when using certain medications or when exposed to other factors. In any case, an unpleasant taste is a reason to consult a doctor. Only by identifying the cause of bitterness in the mouth can a person’s well-being be improved.

A child is vomiting without fever - what to do?

If your baby experiences nausea and vomiting, it is better to seek medical help. Take him to the pediatrician; in special cases you need to call an ambulance. Before the doctor arrives, the child should be given plenty of fluids to drink. Slightly warm, slightly salted or still mineral water is suitable. To calm the microflora of the digestive system, herbal decoctions, such as mint or chamomile, are excellent. The liquid will relieve the gastrointestinal tract, remove toxins and replenish water loss.

During gagging, it is recommended to monitor the position in which the child is. It is important that the body position facilitates the passage of vomit, and the baby should not choke in it. To do this, it is better to turn the child on its side and keep it in a semi-upright position. After which it is recommended to rinse the mouth and free it from vomit.

Without the instructions of a specialist, it is better not to give the baby any medications or perform gastric lavage. Only a pediatrician or attending physician can prescribe all medications. Self-medication sometimes does not contribute to recovery, but, on the contrary, directs this process in the opposite direction, causing complications. The doctor recommends all medications, taking into account the characteristics of the disease and the child’s body.

Usually, with such a diagnosis, the pediatrician refers the child to a gastroenterologist. This specialist treats pathologies of the gastrointestinal tract. He prescribes a treatment strategy, a course of medication and a diet. Even if the problem is not a pathology of the gastrointestinal tract, you still cannot do without a diet - it is required to restore the body.

Sometimes vomiting without fever is a symptom of certain diseases of the nervous system. In such cases, it is better to consult a neurologist. Sometimes this is a sign of psychosomatic illness. Then it is better to send the baby to a psychologist or psychotherapist. In this case, treatment will take a long time and will require changes in the lifestyle of the child and other family members.

You should not feed your child during vomiting attacks. It is better to wait a few hours to ensure that the indigestion process is complete. Liquid food can be given to the child no earlier than two hours after the end of vomiting.

After recovery, it is better to feed the child on a special diet. It will normalize the functioning of the digestive system and all its organs. There are no secrets - proper nutrition and maintaining water balance. The child can be given porridge made from rice, buckwheat, oatmeal, low-fat vegetable soups, baked apples, boiled vegetables, crackers, and jelly.

Possible causes of bitterness in the mouth

Diseases of the biliary tract

Bile transport in the body is disrupted in chronic cholecystitis, cholelithiasis, biliary dyskinesia, hepatitis, and cirrhosis. Spasm or blockage of the duct leads to stagnation of secretions.

Important!

Bitterness in the mouth after eating can occur even after removal of the gallbladder. The reason is that bile is constantly produced in the body, and if a person does not adhere to a diet after surgery, some of the liquid may be thrown into the esophagus. You won’t be able to get rid of the bitter taste without following a diet.

Digestive system diseases

Diseases of the liver, esophagus, stomach, and intestines are accompanied not only by constant bitterness in the mouth, but also by other characteristic symptoms:

  • nausea, vomiting;
  • severe heartburn;
  • belching;
  • constipation or diarrhea;
  • pain in the epigastric region.

The symptom of bitterness in the mouth can accompany giardiasis, gastritis, duodenitis, peptic ulcer, etc.

Other pathologies

Various oral conditions can cause a bitter taste:

  • diseases of the tongue and gums: gingivitis, stomatitis, glossitis;
  • insufficient oral hygiene;
  • incorrectly installed fillings and dentures.

A bitter taste in the mouth may appear when taking certain anti-inflammatory, antihypertensive, anticonvulsant, hypnotics, and antibiotics. The same symptom is accompanied by poisoning with copper, mercury, lead, and the development of cancer pathologies. Severe bitterness in the mouth can be a reaction to taking herbal remedies: decoctions and infusions of herbs, nuts, sea buckthorn oil.

Why do people vomit bile after drinking too much?

“All good things in moderation” is a popular quote found on the Internet. Unfortunately, people cannot always control the amount they drink and often overdo it. For an adult 100 – 200 gr. There is almost no feeling of alcohol, but if the bill exceeds 0.5 liters, the body tries to get rid of it. To cleanse the body and remove the breakdown of alcohol, are involved . If vomiting bile after drinking alcohol in the morning (no more than twice) is a normal situation, then its repetition often leads to malfunction of the biliary tract.

If the gastrointestinal tract works as nature intended, then the release of enzymes during food digestion occurs in the direction of the intestines. When the amount of drinking is not controlled, the liquid secretion entering the stomach is mixed with what previously entered it. With mild intoxication, after evacuation of the stomach contents, relief immediately occurs.

Relatives of the patient do not always understand what is happening and how to help their loved one. Involuntary emptying of the stomach with bile, and sometimes with blood, frightens them, and they dial the number of the ambulance or their doctor. This reaction is the most correct, because only an experienced specialist will tell you the correct actions in case of alcohol poisoning.

What to do if you have a bitter taste in your mouth

The first thing you need to do is make an appointment with a gastroenterologist as soon as possible. The doctor will conduct a diagnosis and find out why bitterness and dry mouth occur and how to get rid of these sensations.

At the first consultation, the doctor interviews the patient. It is necessary to establish the period of maximum manifestation of symptoms. For example, increased bitterness in the mouth after eating may indicate overeating or disease of the bile ducts. If an alarming sign appears after taking medications, then most likely there is a violation of the intestinal microflora or a negative reaction of the liver. Bitterness in the mouth can occur in the morning or evening, after drinking alcohol, physical activity, and be accompanied by dry mucous membranes. All manifestations must be reported to your doctor.

A child has a stomach ache and vomiting - measures to prevent such cases

There is a list of preventive measures that will help avoid the return of the disease. First of all, observe the rules of personal hygiene - wash your baby’s hands before each meal and upon returning home from the street. You should also process foods well before eating them - wash vegetables and fruits. It is important to pay attention to the quality of the dish and its shelf life. Limit your consumption of unhealthy foods - fatty, fried and fast food. Reduce your intake of sweets and baked goods.

Limit your child’s access to household chemicals and medications, and discourage putting foreign objects in his mouth - toys and household items. If a child has an attack of vomiting, it is necessary to provide him with timely treatment. The same should be done if there is pain and bloating in the abdomen, or abnormal bowel movements.

Full list of recommendations:

  • Make sure your child eats on time, but does not overeat. Sometimes the body gets rid of excess food through vomiting - this is especially important in infancy.
  • Take your child for preventive examinations with a specialist. This will help prevent the development of many diseases.
  • If there are any abnormalities or suspicions, consult your doctor immediately. Do not self-medicate. You should not prescribe medications to your child on your own.
  • Follow the rules of personal hygiene. The baby should wash his hands before eating, use a personal towel, and so on.
  • Process food before eating.
  • Try to wean your child from putting any foreign objects into his mouth. Make sure that he does not touch household chemicals and medications.
  • Add variety to your diet. The body needs useful microelements - vitamins and minerals.
  • Control what your baby eats. Products must be fresh - always look at the expiration date. Minimize your consumption of fast food, chips, packaged juices and soda.

It is always easier to prevent the occurrence of a disease than to treat it. Following these easy prevention rules will help do this.

Expert advice

When there is bitterness in the mouth, self-medication is the most dangerous. It is believed that the main cause of the symptom is liver disease. Patients begin to make compresses on their own and drink herbal decoctions. Instead of relief, complications occur. The patient is sent to the hospital with severe pain, intoxication, peritonitis, etc. These are the consequences of trying to make an independent diagnosis. It turns out that the cause of the bitterness in the mouth was gallstones. A person independently drinks choleretic decoctions, stimulates the migration of stones, which safely get stuck in the duct and cause an acute attack. Instead of having the crystals crushed under medical supervision, the patient goes straight to the operating table.

Dzhgarkava Tea Gochaevna

Therapist-cardiologist Experience 5 years

There are other, no less dangerous cases. To get rid of bitterness in your mouth, you need to go to the doctor and cure the detected diseases. This is the only right decision.

What complications cause vomiting and diarrhea in a child?

We have already found out what to do if a child has a stomach ache and vomiting without a fever. However, if timely treatment is ignored, complications may arise.

The peculiarity of vomiting without an increase in body temperature is not a disease, but only a symptom of it. This pathology itself will not cause any complications. However, it may indicate the presence of serious diseases of the digestive system.

Such diseases can appear if treatment for the symptoms that caused the vomiting is not started in time. In many cases, the complications are quite serious, so it is better to hurry up and visit a doctor.

If vomiting continues for a long time, dehydration and weakening of the body cannot be avoided. Under the supervision of a doctor, it is necessary to give the child all the medications he prescribes. You should not self-medicate - this may not give any effect, or even lead to the opposite result.

Vomiting with bile: is it possible to normalize the condition?

It’s not enough to figure out why you vomit bile after drinking alcohol, but you also need to understand how to normalize the condition.

  1. Strict adherence to the diet. You should not eat spicy and salty foods. Fatty meats and fried cutlets should also be excluded. You want to eat vegetables, it’s better to boil or bake them. Low-fat fish varieties are suitable. You can eat various cereals, eat grapes, cherries, and plums. Fruits are allowed.
  2. Walk in the fresh air, perform various exercises or moderate exercise. To recover from stress, it is enough to walk in the clean air for half an hour, do a few simple exercises or help around the house. To avoid worsening the condition, you should not visit gyms or lift weights. Give your body time to get stronger and gain strength.

Giving up bad habits will help ease your drunkenness.

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