Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure

Q: Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure

Hello： 1. <br>It is likely not caused by the gastroscopy; I recommend temporarily discontinuing the prokinetic medication (domperidone) to see if there is any improvement. <br>2. <br>You should schedule a follow-up appointment as soon as possible; the gastroscopy report should be

Discomfort after undergoing an upper gastrointestinal endoscopy?

Due to gastroesophageal reflux disease and gastritis, I underwent an upper gastrointestinal endoscopy to confirm the lesions.
However, since the procedure, I have been experiencing persistent nausea and a gnawing sensation in my stomach.
Even after eating, I still feel hungry, and my throat feels somewhat swollen and painful.

1.
Could the endoscopy have caused damage to the already inflamed gastric mucosa? If the symptoms persist for 2-3 days without relief, should I return for an earlier follow-up?
2.
Since I had the procedure done at a large hospital, I was unable to review the report or obtain medication on-site.
Currently, I am taking TOWELL TABLETS "EVEREST," Famotidine F.C.
Tablets 20mg CYH, Domperidone, and GASMIN TABLETS F.Y.
However, it seems that these medications are only providing minimal relief.
Will continuing these medications help the gastric mucosa heal faster, or should I visit a small clinic for additional medications?
3.
Would consuming soft, easily digestible, and bland foods be beneficial?

Jian Dan, 30~39 year old female. Ask Date: 2021/09/14

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
It is likely not caused by the gastroscopy; I recommend temporarily discontinuing the prokinetic medication (domperidone) to see if there is any improvement.
2.
You should schedule a follow-up appointment as soon as possible; the gastroscopy report should be available, and the biopsy results can be reviewed at a later time.
3.
You can adjust your diet to include soft and bland foods, avoiding caffeinated beverages and irritating foods.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/09/14

More Info

Post-endoscopy discomfort, particularly nausea and gastric pain, is a common concern for patients undergoing procedures like upper gastrointestinal endoscopy. Your symptoms of persistent nausea, a gnawing sensation in the stomach despite feeling full, and throat discomfort can be distressing. Let’s address your concerns systematically.

1. Potential Damage to Gastric Mucosa: It is possible that the endoscopy could have aggravated pre-existing inflammation in the gastric mucosa, especially if you already have conditions like gastritis or gastroesophageal reflux disease (GERD). The procedure can sometimes lead to minor trauma or irritation of the mucosal lining, which may manifest as increased discomfort or nausea. If your symptoms persist for more than 2-3 days, it is advisable to return to your healthcare provider for further evaluation. They may want to assess for any complications or consider adjusting your treatment plan.

2. Medications and Their Efficacy: The medications you are currently taking, including TOWELL TABLETS "EVEREST," Famotidine, Domperidone, and GASMIN TABLETS, are commonly used to manage gastric discomfort and symptoms associated with GERD and gastritis. Famotidine is an H2 blocker that reduces stomach acid production, while Domperidone is a prokinetic agent that helps with gastric emptying and can alleviate nausea. However, if you find that these medications are providing only minimal relief, it may be beneficial to consult with your healthcare provider about alternative treatments or adjustments to your current regimen. They might consider prescribing proton pump inhibitors (PPIs) if you are not already on one, as these are often more effective for reducing gastric acidity and promoting healing of the gastric mucosa.

3. Dietary Considerations: Consuming soft, easily digestible, and bland foods can indeed help soothe the stomach and reduce irritation. Foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) are gentle on the stomach. Additionally, avoiding spicy, acidic, or fried foods can help minimize further irritation. Staying hydrated and eating smaller, more frequent meals rather than large ones can also be beneficial in managing your symptoms.

In summary, while some discomfort after an endoscopy is normal, persistent symptoms warrant further investigation. It is crucial to communicate with your healthcare provider about your ongoing symptoms and the effectiveness of your current medications. They can provide tailored advice and may suggest additional treatments or dietary modifications to help alleviate your discomfort. Remember, your health and comfort are paramount, and seeking timely medical advice is always a prudent step.

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