Should I Get Another Endoscopy After Recent Stomach Issues? - Surgery

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Issues related to gastroscopy?


Hello doctor, I had an upper gastrointestinal endoscopy a month ago, which showed only mild gastritis.
However, last Thursday, after eating a not-so-clean lunch box, I experienced intermittent abdominal pain and a decrease in appetite.
I would like to know if it is advisable to undergo another endoscopy to confirm my condition.
I am mainly concerned that if there is inflammation or other issues, not confirming them early could lead to cancer.

Mr. Chen, 20~29 year old female. Ask Date: 2023/04/28

Dr. Chen Bingze reply Surgery


Basically, if you have just undergone a procedure, you can be reassured that it might just be a temporary gastrointestinal discomfort.
However, if the discomfort persists, you may consider additional tests such as an ultrasound and a colonoscopy.
It's important to have these tests evaluated by a physician; you cannot simply request them during a consultation.
Unless you are paying for a health check-up out of pocket, those tests may not be performed.

Reply Date: 2023/04/28

More Info


When considering whether to undergo another endoscopy after experiencing recent stomach issues, it's important to weigh several factors. You mentioned that you had a gastroscopy about a month ago, which revealed only mild gastritis. However, since then, you have experienced intermittent abdominal pain and a decrease in appetite after consuming potentially contaminated food.
In general, if you have had a recent endoscopy that showed no significant issues, it is often unnecessary to repeat the procedure immediately unless new or worsening symptoms arise. The symptoms you describe—intermittent abdominal pain and decreased appetite—could be related to a variety of factors, including dietary indiscretion, stress, or even a mild gastrointestinal infection.
It's crucial to monitor your symptoms closely. If the abdominal pain persists, worsens, or is accompanied by other concerning symptoms such as vomiting, significant weight loss, or blood in your stool, then it would be advisable to consult your healthcare provider for further evaluation. They may recommend additional diagnostic tests, such as an ultrasound or CT scan, to assess your condition before deciding on another endoscopy.

Regarding your concern about the potential for inflammation or other issues to develop into something more serious, such as cancer, it's understandable to be cautious. However, the likelihood of a rapid progression from mild gastritis to cancer is quite low, especially in the absence of other risk factors such as a family history of gastrointestinal cancers, long-term use of certain medications, or other predisposing conditions.

If your symptoms are mild and manageable, it may be more beneficial to adopt a conservative approach. This could include dietary modifications, such as avoiding spicy, fatty, or overly rich foods, and ensuring that you are eating clean, well-prepared meals. Additionally, over-the-counter medications like antacids or proton pump inhibitors may help alleviate symptoms if they are related to acid reflux or gastritis.

In summary, while it is essential to remain vigilant about your gastrointestinal health, a repeat endoscopy may not be necessary at this time if your symptoms are not severe. However, if your symptoms persist or worsen, do not hesitate to seek medical advice. Your healthcare provider can assess your situation more thoroughly and determine the best course of action, which may include further imaging or another endoscopy if warranted. Always trust your instincts about your health and communicate openly with your healthcare team about any concerns you may have.

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