When to Get Another Gastroscopy for Stomach Issues - Gastroenterology and Hepatology

Q: When to Get Another Gastroscopy for Stomach Issues

Hello： If symptoms of gastric discomfort persist without improvement, or if they recur immediately after stopping medication, it may be necessary to undergo an endoscopy under the guidance of a physician. <br>Additionally, it is important to change your lifestyle habits, includin

Gastrointestinal issues

Hello, Doctor: After experiencing early gastroesophageal reflux, I had some improvement, but recently, due to the busy company relocation and emotional stress, my stomach feels bloated regardless of whether I eat more or less.
If I eat even a little more than usual, I feel nauseous, but the amount I consider "more" is just what I used to eat.
It seems that my appetite has decreased.
Additionally, I have a smoking habit, and now whenever I smoke, I feel nauseous.
I have seen a doctor, but since I have a long medical history, they didn't say much and just prescribed medication.
Last year, a senior manager in my company passed away from stomach cancer, so I am particularly sensitive to this issue.
I would like to ask the doctor: Two years ago, I had an endoscopy that showed gastritis.
Currently, aside from the bloating, I do not have any pain, and my bowel movements are normal.
The doctor prescribed medication for indigestion (this doctor has been managing my stomach issues, including the endoscopy...).
How can I determine if I need to have another endoscopy? What symptoms should I look for that would indicate I need to undergo a more thorough examination with an endoscopy?

Zhuang Xian Sheng, 40~49 year old female. Ask Date: 2014/07/19

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If symptoms of gastric discomfort persist without improvement, or if they recur immediately after stopping medication, it may be necessary to undergo an endoscopy under the guidance of a physician.
Additionally, it is important to change your lifestyle habits, including: eating at regular times and in appropriate portions, avoiding smoking, abstaining from alcohol, not chewing betel nut, reducing the intake of irritating foods (such as tea, coffee, and carbonated beverages), minimizing the consumption of hard-to-digest foods, and avoiding personal trigger foods that cause gastric symptoms.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2014/07/19

More Info

When considering whether to undergo another gastroscopy (esophagogastroduodenoscopy, or EGD) for ongoing stomach issues, it's essential to evaluate your symptoms, medical history, and any changes in your condition. Based on your description, it seems that you have a history of gastroesophageal reflux disease (GERD) and gastritis, which can be exacerbated by stress and lifestyle factors, such as smoking.
Understanding Symptoms and When to Seek Further Evaluation
1. Persistent Symptoms: If you are experiencing persistent symptoms such as bloating, nausea, or a feeling of fullness after eating small amounts, it may warrant further investigation. While these symptoms can be associated with gastritis or GERD, they can also indicate other gastrointestinal issues that may require a more thorough examination.

2. Changes in Symptoms: Any significant change in your symptoms, such as increased severity, new symptoms (like vomiting or unexplained weight loss), or symptoms that do not respond to medication, should prompt a discussion with your healthcare provider about the need for another gastroscopy.

3. Family History and Risk Factors: Given your concern about stomach cancer due to a family history of the disease, it is understandable to be vigilant about your symptoms. While the risk of gastric cancer is generally low in individuals with gastritis or GERD, any alarming symptoms should be taken seriously. If you notice any alarming signs such as difficulty swallowing, persistent vomiting, or blood in your stool, you should seek immediate medical attention.

4. Response to Treatment: If you have been prescribed medication for dyspepsia or gastritis and do not see any improvement in your symptoms after a reasonable period (usually a few weeks), it may be time to revisit your doctor. They may recommend a repeat gastroscopy to assess the current state of your stomach lining and rule out any complications.

5. Lifestyle Factors: Stress and smoking can significantly impact gastrointestinal health. Since you mentioned that your symptoms have worsened during a stressful period, addressing these lifestyle factors may also help alleviate your symptoms. However, if symptoms persist despite lifestyle changes, further evaluation may be necessary.

Conclusion
In summary, you should consider a repeat gastroscopy if you experience persistent or worsening symptoms, new concerning symptoms, or if your current treatment is ineffective. It is crucial to maintain open communication with your healthcare provider about your symptoms and concerns, especially given your family history. They can help determine the best course of action, which may include further diagnostic testing or adjustments to your treatment plan.
Ultimately, while the fear of undergoing another gastroscopy is understandable, it is a valuable tool for diagnosing and managing gastrointestinal issues. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for guidance. They can provide reassurance and help you navigate your symptoms effectively.

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