Persistent Stomach Discomfort After Endoscopy: Causes and Solutions

Gastric discomfort and pain have been evaluated with an endoscopy?

Hello, doctor.
I apologize for bothering you, but I would like to ask about my stomach discomfort and pain, which has been ongoing since June 24.
I have already undergone an endoscopy, and it was noted that there is a slight reflux at the esophageal junction, along with gastritis.
Currently, I am taking traditional Chinese medicine because prolonged use of Western medication has left me feeling very weak.
My question is, despite having had the endoscopy, controlling my diet and lifestyle, and managing my stress, why does my stomach discomfort still fluctuate? How long might the treatment take for a complete recovery? Thank you, doctor.

Sharon, 20~29 year old female. Ask Date: 2018/08/21

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
Individual responses to treatment may vary.
Malignant diseases have been ruled out, so please feel assured to cooperate with the treatment and follow-up.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/08/21

More Info

Persistent stomach discomfort after an endoscopy can be a frustrating experience, especially when you've already undergone diagnostic procedures and made lifestyle adjustments. Based on your description, it seems that you have been diagnosed with mild reflux and gastritis, which can contribute to ongoing symptoms. Let's explore the potential causes of your discomfort and discuss possible solutions.

Understanding Your Symptoms
1. Reflux Esophagitis: This condition occurs when stomach acid flows back into the esophagus, leading to irritation and inflammation. Even mild reflux can cause discomfort, especially if it occurs frequently. Symptoms may include a burning sensation in the chest or throat, difficulty swallowing, and a feeling of food being stuck.

2. Gastritis: Inflammation of the stomach lining can result from various factors, including stress, certain medications (like NSAIDs), alcohol consumption, and infections (like Helicobacter pylori). Chronic gastritis can lead to persistent discomfort, bloating, and nausea.

3. Diet and Lifestyle Factors: Even with dietary adjustments, certain foods can exacerbate reflux and gastritis symptoms. Common culprits include spicy foods, acidic foods (like tomatoes and citrus), caffeine, and carbonated beverages. Stress and irregular eating patterns can also play a significant role in gastrointestinal discomfort.

4. Medication Side Effects: While you mentioned that you are currently taking traditional Chinese medicine, it's essential to consider that some medications can have side effects that may contribute to your symptoms. If you have been on proton pump inhibitors (PPIs) or other medications for an extended period, they can sometimes lead to gastrointestinal issues, including changes in gut flora and digestive function.

Potential Solutions
1. Dietary Modifications: Continue to monitor your diet and identify any specific triggers that may worsen your symptoms. Keeping a food diary can help you track what you eat and how it affects your discomfort. Focus on a bland diet that includes easily digestible foods, such as bananas, rice, applesauce, and toast (the BRAT diet), while avoiding spicy, fatty, or acidic foods.

2. Stress Management: Since stress can exacerbate gastrointestinal symptoms, incorporating relaxation techniques such as mindfulness, yoga, or deep-breathing exercises may help alleviate some discomfort. Regular physical activity can also improve overall digestive health.

3. Follow-Up with Your Healthcare Provider: Since your symptoms are persistent, it would be wise to follow up with your healthcare provider. They may consider additional testing to rule out other conditions, such as peptic ulcers or functional gastrointestinal disorders. They might also adjust your treatment plan, including the possibility of trying different medications or therapies.

4. Duration of Treatment: The duration of treatment for gastritis and reflux can vary significantly from person to person. Some individuals may experience relief within a few weeks, while others may require several months of treatment and lifestyle changes. It's essential to be patient and consistent with your management plan.

5. Consider a Gastroenterologist Consultation: If your symptoms persist despite following your current treatment plan, a referral to a gastroenterologist may be beneficial. They can provide specialized care and may suggest additional diagnostic procedures, such as a pH study or motility testing, to better understand the underlying causes of your discomfort.

Conclusion
In summary, persistent stomach discomfort after endoscopy can stem from various factors, including reflux, gastritis, dietary choices, and stress. While you have made commendable efforts to manage your symptoms, ongoing discomfort may require further evaluation and adjustments to your treatment plan. It is crucial to maintain open communication with your healthcare provider and consider seeking additional opinions if necessary. Remember, healing takes time, and with the right approach, you can work towards achieving relief from your symptoms.

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