Habitual Stomach Pain: When to Get Regular Endoscopies?

Chronic gastric pain?

Since childhood, I have frequently visited clinics.
I cannot jump rope more than 30 times, and I cannot walk quickly.
The pain is located in the lower left chest area, and when it hurts, I quickly press on it to reduce the pain.
I have undergone gastroscopy twice.
How often should I have regular gastroscopy for this kind of stomach pain? If gastroscopy is performed too frequently, what are the potential side effects or complications?

Fenmei, 20~29 year old female. Ask Date: 2000/11/16

Dr. Zeng Fenyu reply Internal Medicine

In addition to some patients experiencing discomfort, gastroscopy does not have side effects.
Pain in the lower left chest after physical activity may not necessarily be gastric pain, and it is advisable to consult an internist for evaluation.

Reply Date: 2000/11/16

More Info

Habitual stomach pain can be a complex issue, often requiring careful monitoring and management. The frequency of endoscopic examinations, such as gastroscopies, largely depends on the underlying cause of the symptoms, the patient's medical history, and the findings from previous examinations.
In your case, since you have a history of recurrent stomach pain and have undergone two gastroscopies, it is essential to evaluate the nature of your symptoms. If your pain is persistent and significantly affects your quality of life, it may be advisable to have regular endoscopies. Generally, if there are no alarming symptoms such as significant weight loss, difficulty swallowing, or gastrointestinal bleeding, a routine endoscopy might be recommended every 3 to 5 years. However, if there are concerning findings or if your symptoms worsen, more frequent examinations may be warranted.

Regarding the potential side effects of frequent endoscopies, while the procedure is generally safe, there are some risks associated with it. These can include:
1. Discomfort or Pain: Some patients experience throat discomfort or abdominal pain after the procedure, which usually resolves quickly.

2. Bleeding: There is a small risk of bleeding, especially if a biopsy is taken or if polyps are removed during the procedure.

3. Perforation: Although extremely rare, there is a risk of perforating the gastrointestinal tract, which would require immediate medical attention.

4. Infection: There is a minimal risk of infection following the procedure, particularly if any instruments are introduced into the gastrointestinal tract.

5. Sedation Risks: If sedation is used, there are risks associated with anesthesia, including respiratory issues or allergic reactions.

Given your history of stomach pain and the need for regular monitoring, it is crucial to maintain open communication with your healthcare provider. They can help determine the appropriate intervals for endoscopy based on your specific situation and any new symptoms that may arise.

In addition to endoscopic evaluations, it is also important to consider lifestyle modifications and dietary changes that may alleviate your symptoms. Keeping a food diary can help identify any triggers that exacerbate your pain. Common irritants include spicy foods, caffeine, alcohol, and acidic foods. Eating smaller, more frequent meals can also help reduce the burden on your stomach.

If you experience significant changes in your symptoms or if new symptoms develop, such as difficulty swallowing, persistent vomiting, or unexplained weight loss, it is essential to seek medical attention promptly. These could be signs of more serious conditions that require immediate evaluation.

In summary, the decision on how often to undergo endoscopy should be made collaboratively with your healthcare provider, taking into account your medical history, current symptoms, and any findings from previous examinations. Regular monitoring is crucial for managing habitual stomach pain effectively, and understanding the risks associated with frequent endoscopies can help you make informed decisions about your healthcare.

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