Post-Endoscopy Abdominal Pain: When to Seek Medical Advice? - Surgery

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Post-endoscopy abdominal pain can be concerning, especially if it persists or worsens after the procedure. Based on your description, it seems that you are experiencing significant discomfort in your upper abdomen, which is exacerbated by hunger and eating, leading to bloating. This situation can be quite distressing, and it’s important to understand the potential causes and when to seek medical advice.

After an endoscopy, some patients may experience temporary discomfort due to the procedure itself, which can include irritation of the stomach lining or the esophagus. However, if your symptoms have intensified a week after the procedure, it may indicate an underlying issue that needs to be addressed. The fact that you are feeling more discomfort than before the endoscopy, along with symptoms like increased hunger and bloating, suggests that there may be more than just post-procedural irritation at play.

In your case, the following considerations are important:
1. Potential Complications: Although rare, complications from an endoscopy can include perforation of the gastrointestinal tract, bleeding, or infection. If you experience severe pain, fever, or any signs of gastrointestinal bleeding (such as blood in your stool), you should seek medical attention immediately.

2. Gastric Issues: Given that you have been prescribed medication for gastric pain (like the one you mentioned, "泰克胃痛"), it’s crucial to monitor how your body responds to this treatment. If the medication does not alleviate your symptoms, it may be necessary to revisit your healthcare provider for further evaluation. Conditions such as gastritis, ulcers, or even functional dyspepsia could be contributing to your discomfort.

3. Dietary Considerations: Eating late at night to alleviate hunger pains may not be the best approach, as it can lead to further discomfort and disrupt your sleep. Instead, consider smaller, more frequent meals throughout the day to help manage hunger and prevent excessive bloating. Foods that are easy to digest and low in fat may be beneficial.

4. Probiotics: Taking probiotics can be helpful for some individuals, especially if you suspect that your gut flora may have been disrupted, possibly due to antibiotics. However, it’s advisable to consult with your healthcare provider before starting any new supplements, particularly if you are experiencing ongoing symptoms.

5. Follow-Up Appointment: Given that your symptoms have not improved and may have worsened, it is advisable to schedule a follow-up appointment with your doctor. They may recommend further diagnostic tests, such as an ultrasound or additional imaging studies, to rule out any complications or other gastrointestinal issues.

In summary, while some discomfort after an endoscopy can be normal, persistent or worsening symptoms warrant further investigation. It’s essential to listen to your body and seek medical advice if your condition does not improve or if you experience any alarming symptoms. Your healthcare provider can offer tailored guidance based on your specific situation and medical history.