Stomach Issues: When to Consider a Gastroscopy - Gastroenterology and Hepatology

Q: Stomach Issues: When to Consider a Gastroscopy

Hello Ms. <br>Yaya： It is recommended to continue medication and adjust your diet (small, frequent meals, at regular times and portions). <br>If there is no improvement, an endoscopy may be considered. <br>Changhua Hospital cares about your health. <br>Chen Shidian

Poor stomach health?

Hello, doctor.
A year ago, I had issues with excessive stomach acid and acid reflux, but after taking medication, it improved.
However, for the past six months, I often eat a lot during meals, yet I frequently feel very hungry.
Two hours after eating, I start to feel hungry again, and even if I eat fruits or cereal to fill up, I feel hungry again after half an hour.
If I get too hungry and don't eat immediately, I feel a rush of blood to my head and experience a bit of dizziness.
After eating, I often feel bloated and burp a lot.
Should I consider getting an endoscopy? Thank you.

yaya, 20~29 year old female. Ask Date: 2007/09/07

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Ms.
Yaya: It is recommended to continue medication and adjust your diet (small, frequent meals, at regular times and portions).
If there is no improvement, an endoscopy may be considered.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2007/09/07

More Info

When considering whether to undergo a gastroscopy (also known as an upper gastrointestinal endoscopy), it is essential to evaluate your symptoms and medical history comprehensively. Based on your description, it seems you have been experiencing a combination of symptoms, including excessive hunger shortly after meals, bloating, belching, and occasional dizziness when hungry. These symptoms can be indicative of various gastrointestinal issues, and a gastroscopy may help in diagnosing the underlying cause.

When to Consider a Gastroscopy
1. Persistent Symptoms: If you have ongoing symptoms that do not improve with dietary changes or medications, a gastroscopy can provide a direct view of the esophagus, stomach, and duodenum. This procedure allows doctors to identify conditions such as gastritis, ulcers, or esophageal reflux disease.

2. Severe Discomfort: If you experience significant discomfort, such as severe bloating, pain, or changes in appetite, it is prudent to seek further evaluation. Your description of feeling excessively hungry soon after meals, coupled with bloating and belching, may suggest issues like gastroparesis (delayed gastric emptying) or functional dyspepsia.

3. Dizziness and Other Symptoms: The dizziness you experience when hungry could be related to low blood sugar levels, which can occur if your stomach is not processing food effectively. This symptom, combined with gastrointestinal complaints, warrants further investigation.

4. Previous Gastrointestinal Issues: Given your history of acid reflux and treatment with medications, it is essential to monitor for any potential complications or changes in your condition. A gastroscopy can help assess the state of your esophagus and stomach lining.

Potential Conditions to Investigate
- Gastritis: Inflammation of the stomach lining can lead to symptoms of discomfort, bloating, and altered appetite.

- Peptic Ulcers: These can cause pain and discomfort, particularly after eating.

- Gastroesophageal Reflux Disease (GERD): This condition can lead to symptoms of heartburn, regurgitation, and may also affect appetite.

- Gastroparesis: This condition involves delayed gastric emptying, which can cause bloating and a feeling of fullness after eating small amounts.

Dietary Considerations
While waiting for your appointment or decision regarding a gastroscopy, consider the following dietary adjustments:
- Smaller, More Frequent Meals: Eating smaller portions more frequently can help manage hunger and reduce bloating.

- Avoid Trigger Foods: Identify and avoid foods that exacerbate your symptoms, such as spicy, fatty, or highly acidic foods.

- Stay Hydrated: Ensure you are drinking enough fluids, but try to avoid drinking large amounts during meals, as this can contribute to bloating.

- Monitor Fiber Intake: Gradually increase fiber in your diet to help with digestion, but be cautious, as too much fiber too quickly can also cause bloating.

Conclusion
In summary, given your symptoms and medical history, it would be advisable to consult with a gastroenterologist about the possibility of undergoing a gastroscopy. This procedure can provide valuable insights into your gastrointestinal health and help identify any underlying conditions that may be contributing to your symptoms. Additionally, maintaining a food diary to track your symptoms in relation to your diet can be beneficial in discussions with your healthcare provider.

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