Gastrointestinal Issues: Seeking Relief from Ongoing Stomach Pain - Gastroenterology and Hepatology

More Info

---

It sounds like you are experiencing a complex set of gastrointestinal symptoms that have persisted for quite some time. Your description of ongoing stomach pain, nausea, and discomfort, particularly after eating, suggests that there may be underlying issues that need to be addressed more thoroughly. Given your history of gastroesophageal reflux disease (GERD) and the recent diagnosis of possible gastritis or ulceration, it’s essential to approach this situation with a comprehensive understanding of your symptoms and treatment options.

First, let’s discuss the medications you are currently taking. Proton pump inhibitors (PPIs) like the ones you mentioned (百抑潰 and 耐適恩) are commonly prescribed for conditions such as gastritis, ulcers, and GERD. They work by reducing the amount of stomach acid produced, which can help alleviate symptoms of pain and discomfort. If you have been on PPIs for a month without significant improvement, it may be worth discussing with your doctor whether a different medication or a higher dose might be more effective for your situation.

It’s also important to consider the possibility of other gastrointestinal issues. The fact that you have experienced nausea and pain that radiates to your back could indicate a few different conditions, including gastritis, peptic ulcers, or even issues related to the pancreas or gallbladder. The presence of a hemangioma in your liver, while generally benign, should also be monitored, but it is unlikely to be the cause of your current symptoms.

Regarding your concerns about the necessity of an endoscopy (胃鏡), while it can be uncomfortable, it is a valuable diagnostic tool that can provide direct visualization of the esophagus, stomach, and duodenum. If your symptoms persist despite medication, it may be necessary to reconsider this option, as it can help rule out more serious conditions such as ulcers or malignancies.

In terms of dietary management, there are several strategies you can employ to help alleviate your symptoms. Eating smaller, more frequent meals can help reduce the burden on your stomach and minimize acid production. Avoiding spicy, fatty, or acidic foods, as well as caffeine and alcohol, can also be beneficial. Incorporating foods that are gentle on the stomach, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet), may help soothe your digestive system.

Probiotics, such as those found in yogurt or as supplements, can also be beneficial for gut health and may help restore the balance of good bacteria in your digestive tract. However, it’s essential to consult with your healthcare provider before starting any new supplements, especially if you are already on medication.

Lastly, it’s crucial to address the emotional and psychological aspects of chronic pain. Stress and anxiety can exacerbate gastrointestinal symptoms, so finding effective coping mechanisms, such as mindfulness, relaxation techniques, or even counseling, may help improve your overall well-being.

If your symptoms do not improve with the current treatment plan, or if they worsen, it would be advisable to seek a second opinion from another gastroenterologist. They may provide new insights or alternative treatment options that could lead to better management of your symptoms.

In summary, while PPIs can be effective for treating gastritis and ulcers, ongoing symptoms warrant further investigation. A combination of dietary adjustments, potential medication changes, and addressing emotional health may provide relief. Always keep an open line of communication with your healthcare provider to ensure that your treatment plan is tailored to your specific needs.