Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions

Q: Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions

Hello： 1. During the execution of an upper gastrointestinal endoscopy, there may be contact with the mucosa, causing slight damage and bleeding, as long as it is not continuous bleeding. 2. Gastritis is simply gastritis. 3. Helicobacter pylori may cause gastri

After undergoing an upper gastrointestinal endoscopy?

Hello, doctor.
I have a few questions:
1.
After undergoing an upper endoscopy (nasal route), I noticed blood clots in my cough and phlegm.
Is this normal? Should I seek medical attention again?
2.
After the endoscopy, the doctor mentioned that there is a slightly irregular area in my stomach, which is likely gastritis.
I asked if it could be a gastric ulcer, and the doctor said it hasn't reached that level yet.
So, is it also unlikely to be stomach cancer?
3.
The doctor advised me to take medication for a week and then return for the report on Helicobacter pylori.
Can Helicobacter pylori cause gastritis? If the gastritis improves, will the irregular area also heal? I often experience discomfort in my stomach, so I have quite a few questions.
Thank you for your help!

betty, 30~39 year old female. Ask Date: 2014/05/01

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: 1.
During the execution of an upper gastrointestinal endoscopy, there may be contact with the mucosa, causing slight damage and bleeding, as long as it is not continuous bleeding.
2.
Gastritis is simply gastritis.
3.
Helicobacter pylori may cause gastric wall inflammation, but it can be improved.
Wishing you peace and health.
Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare, Dr.
Chi-Feng Chen.

Reply Date: 2014/05/01

More Info

After undergoing an endoscopy, it is not uncommon for patients to experience various symptoms, including coughing up blood and concerns regarding gastritis. Let's address your questions one by one.

1. Coughing Up Blood After Endoscopy: It is important to note that coughing up blood (hemoptysis) after a nasal endoscopy can be concerning. While some minor bleeding can occur due to irritation of the nasal passages or throat, significant amounts of blood or blood clots should not be ignored. If you are experiencing persistent or increasing amounts of blood, it is advisable to seek medical attention promptly. This could indicate a more serious issue, such as bleeding from the respiratory tract or complications from the procedure itself.

2. Gastritis and Concerns About Ulcers or Cancer: The presence of irregularities in the stomach lining, as noted by your doctor, could indicate gastritis, which is inflammation of the stomach lining. While gastritis can sometimes lead to ulcers, your doctor has indicated that your condition is not severe enough to be classified as an ulcer at this time. The concern for gastric cancer typically arises when there are significant changes in the stomach lining, such as persistent ulcers or abnormal growths. Since your doctor has assessed that your condition does not meet these criteria, it is likely that cancer is not a concern at this stage. However, continuous monitoring and follow-up are essential to ensure that any changes are detected early.

3. Helicobacter Pylori and Gastritis: Helicobacter pylori (H. pylori) is a type of bacteria that can infect the stomach lining and is a well-known cause of gastritis and peptic ulcers. If your doctor has prescribed medication and is planning to test for H. pylori, it is likely because they suspect this infection could be contributing to your symptoms. If the gastritis is successfully treated and the H. pylori infection is eradicated, it is possible for the irregularities in the stomach lining to improve over time. The healing process can vary from person to person, and follow-up endoscopies may be necessary to assess the condition of the stomach lining after treatment.

Additional Considerations:
- Diet and Lifestyle: After an endoscopy, especially if gastritis is diagnosed, it is crucial to follow a diet that is gentle on the stomach. Avoiding spicy foods, alcohol, and caffeine can help reduce irritation. Eating smaller, more frequent meals may also be beneficial.

- Medication Adherence: It is essential to take any prescribed medications as directed. This may include proton pump inhibitors (PPIs) or antibiotics if H. pylori is confirmed. These medications help reduce stomach acid and promote healing.

- Monitoring Symptoms: Keep a close eye on your symptoms. If you experience worsening abdominal pain, persistent vomiting, or any new symptoms such as significant weight loss or difficulty swallowing, seek medical attention immediately.

- Follow-Up Appointments: Ensure you attend all follow-up appointments to monitor your condition. Your doctor may recommend repeat endoscopies or imaging studies to assess the healing of your stomach lining.

In conclusion, while some symptoms after an endoscopy can be normal, it is crucial to remain vigilant, especially with symptoms like coughing up blood. Regular follow-ups and adherence to treatment plans are key to managing your condition effectively. If you have any further concerns or if your symptoms change, do not hesitate to contact your healthcare provider for advice.

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