this is the first time im writing to everybody. I had total gastractomy 2.5 years ago and recent endoscopy showed bile reflux which explained my strange cough. There is no medication that can suppress or control bile reflux. since there are no sphincters (small intestine is connected to the esophagus), bile goes up. My understanding is that if bile is not under control, it will damage esophagus and that will be the beginning of the end. I'm trying to be optimistic, though. Question - is there anybody with the similar problem and how are you dealing with it? Thank you.