Understanding Symptoms of Gastroesophageal Reflux and Related Conditions
I would like to ask Dr. Chen what symptoms might be indicated by a sudden tightening in the center of the chest when changing positions or after eating? Two years ago, I frequently enjoyed late-night snacks, particularly spicy and fried foods. One night, after finishing a snack, ...
Dr. Chen Shidian Reply:
It may be caused by anxiety. In addition to controlling it with gastric medication, it is still recommended to undergo pharmacological treatment and relaxation training from a psychosomatic specialist.[Read More] Understanding Symptoms of Gastroesophageal Reflux and Related Conditions
Chronic Abdominal Pain: Understanding Complications and Treatment Options
Abdominal pain persisting for over a year accompanied by multiple complications? Hello, doctor. Since February of last year, I have been experiencing abdominal pain every night, and sometimes I have to rush to the bathroom in the middle of the night. At that time, my bowel moveme...
Dr. Chen Shidian Reply:
If the weight is normal, irritable bowel syndrome (IBS) may be the most likely cause. In addition to using gastrointestinal medications for management, a stool occult blood test can be conducted. If necessary, a referral to a mental health specialist may help with anxiety control...[Read More] Chronic Abdominal Pain: Understanding Complications and Treatment Options
Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?
Can I take vitamin C effervescent tablets if I have gastroesophageal reflux disease (GERD)? I have undergone a gastroscopy and there was slight mucosal abrasion. Biopsy and Helicobacter pylori tests were normal, but I occasionally feel a mild sensation of something stuck in my th...
Dr. Luo Yining Reply:
Caffeinated beverages, whole milk, and sweets can exacerbate symptoms of gastroesophageal reflux disease (GERD), so it is advisable to avoid drinking milk tea. If you want to supplement with vitamin C, it is recommended to take effervescent tablets after meals.[Read More] Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?
Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...
Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
I would like to ask the doctor if I have irritable bowel syndrome combined with gastroesophageal reflux disease or pancreatic cancer? Hello, Doctor: I am regularly taking psychiatric medications (such as Prozac) primarily due to autonomic nervous system dysregulation with overact...
Dr. Cai Jinji Reply:
Hello Mr. Chang: For your left and right upper back pain, it is recommended to consult other specialties first. There are many potential causes for bloating, so it is advisable to ask your previous treating physician for guidance based on prior examinations and your condition. Di...[Read More] Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
Chronic Constipation Since Childhood: Seeking Effective Solutions
Severe constipation since childhood that cannot be improved? Hello Doctor, I have had a history of constipation since childhood, often going over 5 days without a bowel movement, which leads to severe abdominal pain and vomiting, requiring emergency care. I am 154 cm tall and wei...
Dr. Lin Minghui Reply:
Since your issue has been present since childhood and you have made significant efforts to try various methods with limited results, it is recommended that you visit a medical center to consult with a specialist in gastrointestinal neurology and motility, as well as functional ga...[Read More] Chronic Constipation Since Childhood: Seeking Effective Solutions
Understanding Esophageal Relaxation Issues and Acid Reflux Symptoms
Gastroesophageal reflux and lower esophageal sphincter relaxation issues? Hello, doctor: Recently, after eating, I experience bloating and burping with the taste of food, and sometimes food feels like it is flowing back into my throat and I swallow it again. However, I do not hav...
Dr. Hu Guozheng Reply:
There are many reasons that can lead to relaxation of the lower esophageal sphincter. It is recommended that you seek evaluation from a gastroenterologist. Thank you.[Read More] Understanding Esophageal Relaxation Issues and Acid Reflux Symptoms
Understanding Acid Reflux: Symptoms and When to See a Gastroenterologist
Excess stomach acid Hello, doctor. After my lunch break today, as I was preparing to return to work, I suddenly felt a burning sensation in my throat, along with a feeling of something being stuck there. Since it's currently cold and flu season, I'm unsure if this is ca...
Dr. Chen Shidian Reply:
Reflux, commonly referred to as excessive stomach acid, can be managed by reducing the intake of acidic and sweet foods, as well as coffee and tea. If necessary, medication for gastric control may be taken.[Read More] Understanding Acid Reflux: Symptoms and When to See a Gastroenterologist
Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Back pain, occasional nausea, and bloating issues? Hello Doctor: Last May, I sought medical attention for gastrointestinal bloating after consuming too much milk. Due to a family history of diabetes (grandfather, mother, and father), the doctor arranged for a colonoscopy, an endo...
Dr. Chen Shidian Reply:
It should not be related to pancreatic cancer; managing with medication and dietary control is sufficient, so there is no need to worry.[Read More] Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter
Lower esophageal sphincter relaxation with Barrett's esophagus? Hello Doctor: I went to the hospital for a check-up last September due to discomfort, and an endoscopy revealed that I have Barrett's esophagus without dysplasia. The doctor mentioned that my lower esophage...
Dr. Hu Guozheng Reply:
Each individual's condition is different. It is advisable to consult your attending physician for recommendations regarding medication and subsequent treatment options. Thank you.[Read More] Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter
Understanding Right Upper Abdominal Pain: Causes and Solutions
Right upper quadrant pain? Hello Doctor, I have been experiencing difficulty sleeping until dawn for over a year and a half since 2021 due to high stress, which has led to a decline in my overall health. Recently, I have had recurrent fevers, abdominal pain, acid reflux, and diar...
Dr. Chen Shidian Reply:
A medical examination is sufficient. If the physician's palpation or ultrasound shows no significant abnormalities, local heat application and dietary/emotional adjustments can be recommended.[Read More] Understanding Right Upper Abdominal Pain: Causes and Solutions
Understanding Esophageal Reflux: Medication Duration and Symptoms Explained
Medication Consultation I recently underwent an upper endoscopy, which confirmed that I have gastroesophageal reflux disease (GERD) and esophagitis. The doctor prescribed Nexium (esomeprazole), which I took for two months, and I felt much better. However, I interrupted the medica...
Dr. Chen Shidian Reply:
Controlling stomach acid/reflux should be effective; further observation and dietary adjustments can be made, and prokinetic agents may be added.[Read More] Understanding Esophageal Reflux: Medication Duration and Symptoms Explained
Understanding Cough Related to Gastroesophageal Reflux Disease
Gastroesophageal reflux cough Hello, doctor. I had a cold around the Mid-Autumn Festival this year, and after recovering, I developed a mild cough that has persisted until now. I often experience an itchy throat and occasionally cough. This has been going on for quite some time. ...
Dr. Chen Shidian Reply:
A trial of a strong gastric medication (self-paid) for 1-2 weeks can be conducted, followed by discontinuation of the medication to compare symptom changes and determine correlation. If necessary, an endoscopy can be performed for confirmation.[Read More] Understanding Cough Related to Gastroesophageal Reflux Disease
Understanding Vomiting, Stomach Pain, and Acid Reflux Issues
Vomiting, stomach pain, gastroesophageal reflux? Hello Doctor: Three months ago, I started experiencing mild acid reflux, loud burping, and frequent urges to burp. Last week, I felt a fever and weakness, and I vomited heavily at night. The next day, I began to have dull pain in m...
Dr. Chen Shidian Reply:
An upper gastrointestinal endoscopy can be performed along with medication therapy.[Read More] Understanding Vomiting, Stomach Pain, and Acid Reflux Issues
Understanding Gallbladder Stones: When to Consider Surgery?
Gallbladder surgery Hello, for the past 2-3 years, I have frequently experienced abdominal bloating and discomfort after meals. Taking antacids or medications for bloating is sometimes effective and sometimes not. A few months ago, I had severe bloating and a feeling of pressure,...
Dr. Chen Shidian Reply:
It does not resemble gallstone symptoms; we can try medication management.[Read More] Understanding Gallbladder Stones: When to Consider Surgery?
Understanding Left Lower Abdominal Cramping: Causes and Solutions
Left lower abdominal cramping? Hello, doctor. I have had gastrointestinal issues for many years, experiencing bloating and stomach pain. When these symptoms occur, I take the medications prescribed by my doctor. I also take probiotics daily to help with bowel movements. A week ag...
Dr. Hu Guozheng Reply:
Please evaluate in the outpatient clinic. Thank you.[Read More] Understanding Left Lower Abdominal Cramping: Causes and Solutions
Understanding Stomach Discomfort: Causes and Cancer Concerns
Stomach discomfort? Hello, doctor. Recently, I have been experiencing a feeling of heat in my stomach and stomach pain while fasting, which has lasted for about a few weeks. Taking regular antacids provides some relief. I would like to know what the possible causes could be. Is t...
Dr. Chen Shidian Reply:
It is mostly acid reflux, with less acidity/sweetness and less coffee.[Read More] Understanding Stomach Discomfort: Causes and Cancer Concerns
Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...
Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Gastroesophageal reflux disease (GERD) and superficial gastritis? Dear Vice President Chen, I underwent an upper gastrointestinal endoscopy at the hospital on July 31, 2023, and the results are as follows: Examination time: Start time: 10:32:06 End time: 10:36:13 Clinica...
Dr. Chen Shidian Reply:
Medication can be reduced or discontinued; this can be discussed with the attending physician without conflict.[Read More] Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Understanding Morning Abdominal Tightness and Pain: Causes and Solutions
Abdominal muscles Experiencing tightness and soreness in the upper abdomen on both sides during the night until morning, along with occasional back pain, could be related to several factors. It may be due to poor sleeping posture, muscle strain, or gastrointestinal issues such as...
Dr. Hu Guozheng Reply:
Please observe for any accompanying discomfort and then consult and evaluate at the outpatient clinic. Thank you.[Read More] Understanding Morning Abdominal Tightness and Pain: Causes and Solutions