Post-Endoscopy Discomfort: Insights on Gastric Issues

Gastrointestinal endoscopy issues?

On May 2nd, I underwent an upper gastrointestinal endoscopy due to persistent stomach pain located in the upper left quadrant near the navel.
I received sedation during the procedure.
After the examination, the doctor mentioned that everything looked fine and suggested it might be gastroesophageal reflux disease (GERD).
Three days later, I returned for the report, and the doctor prescribed medication for me.
That afternoon, I started feeling a sensation in my stomach as if it was contracting, which lasted for 1 to 2 seconds and was quite uncomfortable.
After these contractions, my stomach would sometimes make gurgling noises for 1 to 2 seconds, and this has been persistent.
However, I do not experience these contractions while sleeping.
After waking up, the contractions start again, which is quite bothersome.
The area where I originally felt pain has mostly improved, with only minor discomfort remaining.
Pressing on the area directly above my navel, where my stomach is located, also causes discomfort.
I still have concerns regarding the issues following the endoscopy.

Huang, 10~19 year old female. Ask Date: 2016/05/03

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
You may discuss adjusting your medication with your physician.
Local heat application can help relax the gastrointestinal tract.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/05/03

More Info

After undergoing an endoscopy, it is not uncommon for patients to experience discomfort or unusual sensations in the stomach area. In your case, it seems that you are dealing with a combination of post-procedural effects and underlying gastric issues, particularly gastroesophageal reflux disease (GERD). Let's break down your concerns and provide some insights.

Understanding Post-Endoscopy Discomfort
1. Post-Endoscopy Symptoms: After an endoscopy, some patients report sensations such as cramping, bloating, or a feeling of tightness in the stomach. These symptoms can be attributed to several factors:
- Air Insufflation: During the procedure, air is often introduced into the stomach to provide a clearer view. This can lead to temporary distension and discomfort.

- Irritation: The endoscope may cause mild irritation to the mucosal lining of the esophagus and stomach, leading to transient discomfort.

- Medication Effects: If you were given sedatives or anesthetics, they can also contribute to feelings of discomfort or altered gastrointestinal motility.

2. Gastroesophageal Reflux Disease (GERD): Your diagnosis of GERD can explain many of the symptoms you are experiencing. GERD occurs when stomach acid frequently flows back into the esophagus, leading to symptoms such as:
- Heartburn
- Regurgitation
- Chest pain
- Difficulty swallowing
The sensation of your stomach "contracting" could be related to the reflux itself, as the body may react to the presence of acid in the esophagus by attempting to clear it, which can cause discomfort.

Addressing Your Symptoms
1. Medication: You mentioned that the doctor prescribed medication after the endoscopy. Proton pump inhibitors (PPIs) like Nexium or Pariet are commonly prescribed to reduce stomach acid production and help heal the esophagus and stomach lining. It is crucial to take these medications as directed and give them time to work, as they may take several days to provide relief.

2. Dietary Modifications: To manage GERD symptoms, consider the following dietary changes:
- Avoid trigger foods such as spicy foods, citrus, chocolate, caffeine, and fatty foods.

- Eat smaller, more frequent meals rather than large meals.

- Avoid lying down immediately after eating; wait at least 2-3 hours.

3. Lifestyle Changes: In addition to dietary modifications, lifestyle changes can also help alleviate symptoms:
- Maintain a healthy weight, as excess weight can increase abdominal pressure and exacerbate GERD.

- Elevate the head of your bed to prevent nighttime reflux.

- Avoid smoking and limit alcohol consumption, as both can worsen GERD symptoms.

When to Seek Further Evaluation
If your symptoms persist or worsen despite medication and lifestyle changes, it may be necessary to follow up with your healthcare provider. They may consider additional evaluations, such as:
- pH Monitoring: To assess the acidity in your esophagus over a 24-hour period.

- Esophageal Manometry: To evaluate the function of the esophagus and the lower esophageal sphincter.

- Repeat Endoscopy: If there are concerns about the healing of the esophagus or stomach lining.

Conclusion
In summary, the discomfort you are experiencing post-endoscopy may be a combination of procedural effects and underlying GERD. It is essential to follow your doctor's recommendations regarding medication and lifestyle changes. If your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and management. Remember, managing GERD is often a multifaceted approach that includes medication, dietary changes, and lifestyle modifications.

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