Gastrointestinal Issues: Symptoms and Solutions - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello, doctor! I've been experiencing gastrointestinal issues since I was 15 or 16 years old.
I've seen quite a few doctors, but they all just diagnosed me with gastritis.
I have been taking medication, and it usually helps, but over the past couple of years, my stomach pain has become more frequent.
I have never undergone an endoscopy because I've heard it's quite frightening, so I've been too afraid to do it.
In the past two to three weeks, the pain has worsened, and even though my menstrual cycle has been over for a while, this week I've been feeling very dizzy, almost like symptoms of anemia, and I have trouble standing.
My body temperature tends to be higher at night, and sometimes I even have a fever.
I've been taking stomach medication recently, but it seems to be less effective.
What could this condition be? Thank you for your help, doctor!

Tammy, 20~29 year old female. Ask Date: 2006/06/16

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: The organs in the upper abdomen include the stomach, intestines, liver, gallbladder, pancreas, abdominal cavity, as well as muscles and nerves.
If there are issues with these organs, it can sometimes cause pain.
If you are experiencing stomach pain, along with symptoms of anemia and fever, it is advisable to investigate the source of the abdominal pain.
If the pain is frequent and does not improve with medication, it is recommended to consult a physician to determine if there are any problems with the aforementioned organs and to arrange for appropriate examinations.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/06/16

More Info


Hello! Thank you for sharing your concerns regarding your gastrointestinal issues. It sounds like you've been experiencing a range of symptoms for quite some time, and I understand how distressing this can be. Based on your description, it seems you may be dealing with a combination of gastrointestinal disorders, possibly including gastritis, functional dyspepsia, and even symptoms related to irritable bowel syndrome (IBS).

Gastritis, which is the inflammation of the stomach lining, can lead to symptoms such as stomach pain, nausea, and a feeling of fullness after eating. It is often exacerbated by certain foods, stress, and lifestyle factors. The fact that you have been taking medication for your stomach but are not experiencing relief suggests that there may be underlying issues that need to be addressed.

Your mention of dizziness and feeling faint could indicate a few things. It may be related to dehydration, especially if you are experiencing gastrointestinal distress that affects your appetite or fluid intake. Additionally, if you are experiencing a fever or elevated body temperature, this could suggest an underlying infection or inflammation that needs further evaluation.

The symptoms you describe, particularly the increased frequency of stomach pain and the feeling of dizziness, warrant a thorough evaluation. While it is understandable to have concerns about undergoing procedures like an endoscopy (gastroscopy), it is important to remember that this procedure can provide valuable insights into the state of your gastrointestinal tract. It allows doctors to visualize the lining of your stomach and potentially identify any abnormalities, such as ulcers or severe inflammation.

In terms of managing your symptoms, here are some recommendations:
1. Dietary Adjustments: Consider keeping a food diary to identify any specific triggers that worsen your symptoms. Common culprits include spicy foods, caffeine, alcohol, and high-fat meals. A diet rich in fiber, fruits, and vegetables can help improve digestion and alleviate some symptoms.

2. Hydration: Ensure you are drinking enough fluids throughout the day. Dehydration can exacerbate feelings of dizziness and fatigue.

3. Stress Management: Stress can significantly impact gastrointestinal health. Techniques such as mindfulness, yoga, or even simple breathing exercises can help manage stress levels.

4. Regular Check-ups: Since your symptoms have been persistent and worsening, it is crucial to follow up with a healthcare provider. They may recommend further tests, including blood tests to check for anemia or infection, and imaging studies if necessary.

5. Medication Review: If the current medications are not providing relief, discuss this with your doctor. They may need to adjust your treatment plan or explore other options.

6. Consider Professional Guidance: A gastroenterologist can provide specialized care and may suggest dietary changes or medications tailored to your specific condition. They can also discuss the benefits and risks of undergoing an endoscopy.

In conclusion, while it is understandable to feel apprehensive about your symptoms and the potential need for further testing, addressing these issues proactively is essential for your health. Your symptoms are valid, and seeking a comprehensive evaluation will help you find the appropriate treatment and relief. Please consider scheduling an appointment with a gastroenterologist to discuss your symptoms in detail and explore the best course of action for your situation. Take care!

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