Breathing Difficulties and A-Level Ulcers: Gastrointestinal Issues - Gastroenterology and Hepatology

More Info

---

Breathing difficulties, especially when accompanied by gastrointestinal issues such as A-level ulcers and gastroesophageal reflux disease (GERD), can be quite concerning and warrant a thorough evaluation. Based on your description, it seems that you have experienced a combination of symptoms that may be interconnected. Let's break down the potential causes and considerations regarding your situation.

1. Gastroesophageal Reflux Disease (GERD): GERD can lead to a variety of symptoms, including heartburn, regurgitation, and even respiratory issues. The acid from the stomach can irritate the esophagus and, in some cases, can be aspirated into the lungs, leading to chronic cough, wheezing, or even shortness of breath. The fact that you have been diagnosed with A-level ulcers suggests that there is some degree of mucosal damage in the esophagus, which could exacerbate reflux symptoms.

2. Panic Attacks and Anxiety: Given your experience of breathing difficulties while feeling anxious (such as during a taxi ride), it is also possible that anxiety or panic attacks could be contributing to your symptoms. Panic attacks can cause hyperventilation, which may lead to feelings of breathlessness, dizziness, and a sensation of tightness in the chest. If you have a history of anxiety, it may be beneficial to explore this aspect with a mental health professional.

3. Chronic Inflammation: You mentioned a history of chronic lung inflammation. This could be a separate issue that may or may not be related to your gastrointestinal problems. Chronic lung conditions can lead to persistent symptoms such as shortness of breath and may require further evaluation by a pulmonologist.

4. Abdominal Symptoms: The sensation of bloating and the sound of "water pipe obstruction" in your abdomen could indicate gastrointestinal dysmotility or other functional gastrointestinal disorders. Conditions such as irritable bowel syndrome (IBS) or even food intolerances could be contributing to these symptoms. It may be worthwhile to keep a food diary to identify any potential triggers.

5. Further Evaluation: Given the complexity of your symptoms, it would be prudent to follow up with a gastroenterologist for a comprehensive evaluation of your gastrointestinal health. They may recommend additional tests, such as an upper endoscopy, esophageal pH monitoring, or motility studies, to better understand the underlying issues.

6. Lifestyle Modifications: While you mentioned that you do not smoke or drink alcohol, other lifestyle factors can also play a role in managing GERD and gastrointestinal symptoms. Consider dietary modifications, such as avoiding spicy foods, caffeine, and large meals before bedtime. Additionally, maintaining a healthy weight and elevating the head of your bed may help reduce reflux symptoms.

7. Medication Review: You mentioned being prescribed medications like "泰克胃通" (likely a proton pump inhibitor or similar). It’s essential to discuss with your doctor whether your current medication regimen is appropriate for your symptoms and if any adjustments are needed.

In conclusion, your symptoms of breathing difficulties, gastrointestinal issues, and potential anxiety should be evaluated holistically. It is advisable to consult with both a gastroenterologist and a mental health professional to address the various aspects of your health. By doing so, you can work towards a comprehensive management plan that addresses both your physical and emotional well-being.