Do I still need to undergo an endoscopy?
Hello, doctor.
About three years ago, I visited several hospitals due to issues with bloating, stomach discomfort, and gas.
Eventually, I went to a large hospital for an endoscopy, but no significant problems were found, and there were no conclusions.
However, the same symptoms have reappeared recently.
What do you think could be the cause of these symptoms? Do I need to undergo another endoscopy? Additionally, should I be concerned about the possibility of more serious conditions (such as ulcers or stomach cancer) after more than three years? Thank you, doctor.
JAM, 20~29 year old female. Ask Date: 2022/02/15
Dr. Chen Shidian reply Gastroenterology and Hepatology
It is unlikely to be cancer; follow-up visits and medication management should suffice.
Reply Date: 2022/02/15
More Info
When considering whether to undergo another endoscopy for recurring stomach issues, it's essential to evaluate several factors, including the nature of your symptoms, previous findings, and any changes in your health status since your last examination.
Based on your description, it seems you have experienced recurring symptoms such as bloating, discomfort, and gas for the past three years. You mentioned that a previous endoscopy did not reveal any significant issues, which is a positive sign. However, the recurrence of symptoms raises valid concerns about potential underlying conditions that may not have been detected during the initial examination.
In general, endoscopy is a valuable diagnostic tool for assessing gastrointestinal issues, particularly when symptoms persist or worsen. If your symptoms have returned and are affecting your quality of life, it may be prudent to consult with a gastroenterologist. They can evaluate your current symptoms in the context of your medical history and determine whether another endoscopy is warranted.
Regarding your concerns about more severe conditions such as ulcers or gastric cancer, it is important to note that while these conditions can develop, they are not the most common causes of recurrent gastrointestinal symptoms. Factors such as diet, stress, and lifestyle can significantly impact gastrointestinal health. For example, overeating or consuming certain foods can lead to bloating and discomfort, which may mimic more serious conditions.
If you are experiencing new or worsening symptoms, such as significant weight loss, persistent pain, vomiting, or changes in bowel habits, these could be red flags that warrant further investigation. In such cases, an endoscopy may be necessary to rule out serious conditions and provide peace of mind.
Additionally, if you have a family history of gastrointestinal diseases or if you are at higher risk due to other health factors, discussing these with your doctor can help guide the decision-making process regarding further testing.
In summary, while your previous endoscopy did not reveal any significant issues, the recurrence of symptoms may justify another examination. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns. They can help determine the best course of action, which may include lifestyle modifications, medication adjustments, or further diagnostic testing.
Lastly, it is essential to maintain a healthy lifestyle, including a balanced diet, regular exercise, and stress management, as these factors can significantly influence gastrointestinal health. If you have any specific dietary triggers or habits that exacerbate your symptoms, addressing those may also help alleviate discomfort.
In conclusion, while the decision to undergo another endoscopy should be made collaboratively with your healthcare provider, it is essential to remain vigilant about your symptoms and seek further evaluation if necessary. Your health and well-being are paramount, and proactive management of your gastrointestinal issues can lead to improved quality of life.
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