Left Upper Abdominal Discomfort: Possible Causes and Concerns
Dull discomfort in the upper left abdomen with slight pain upon pressing below the left rib cage? Hello, doctor. After having breakfast on Sunday, I felt a slight pain when pressing under my left rib cage. The next day, I started to feel a dull ache in the upper left abdomen, bet...
Dr. Chen Qifeng Reply:
Hello, regarding gastrointestinal diseases, the discomfort in that area may be related to gastric issues, but it is usually accompanied by acid reflux or belching. Otherwise, consider chicken muscle membrane pain. Dr. Chen Chi-Feng, Attending Physician, Department of Hepatobiliar...[Read More] Left Upper Abdominal Discomfort: Possible Causes and Concerns
Understanding Chest Pain and Breathing Issues in GERD Patients
Chest pain and shortness of breath, GERD (Gastroesophageal Reflux Disease)? I have a history of chest pain, and after examinations, heart disease was ruled out. I was later diagnosed with gastroesophageal reflux disease (GERD) and have been on medication. However, recently, due t...
Dr. Cai Anshun Reply:
Hello: Since it has been confirmed that there are no heart issues, it is likely that gastroesophageal reflux disease (GERD) is the primary concern. Acid reflux cannot be completely cured; it is essential to adjust lifestyle and dietary habits. This includes quitting smoking, avoi...[Read More] Understanding Chest Pain and Breathing Issues in GERD Patients
Can You Take Lansoprazole Before Bed for Acid Reflux?
Can lansoprazole be taken before bedtime? Hello, doctor! I would like to ask if lansoprazole, which is used to treat gastroesophageal reflux disease (GERD) and mild esophagitis, can be taken on an empty stomach before bedtime? I noticed that the instructions state to take it one ...
Dr. Chen Shidian Reply:
Hello Mr. Li: Yes, I often use it for nighttime reflux (due to lying flat) before bed. Changhua Hospital cares about your health. Chen Shidian[Read More] Can You Take Lansoprazole Before Bed for Acid Reflux?
Understanding Nausea and Chest Discomfort After Drinking Tea and Soda
Nausea and chest tightness? Hello Dr. Chen, I feel nauseous and have chest tightness whenever I drink tea or soda. In cold weather or when the air quality is poor, I occasionally experience a dry cough and difficulty breathing. Could you please explain what might be wrong with my...
Dr. Chen Qifeng Reply:
Hello, it is recommended to undergo an upper gastrointestinal endoscopy. If there are accompanying symptoms such as acid reflux and belching, the likelihood of gastroesophageal reflux disease (GERD) is very high. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Ga...[Read More] Understanding Nausea and Chest Discomfort After Drinking Tea and Soda
Understanding Chronic Bloating: When to Seek Further Medical Evaluation
Chronic abdominal bloating Hello Doctor, for the past six months, I have been experiencing frequent bloating, flatulence, and burping in my lower left abdomen. The bloating can last all day, but it seems to subside while I sleep. However, sometimes I wake up in the morning feelin...
Dr. Lin Minghui Reply:
Hello, long-term abdominal bloating, frequent belching, and the presence of blood in acid reflux are concerning. It is recommended to undergo an upper gastrointestinal endoscopy. Sincerely, Dr. Lin Ming-Hui, Attending Physician, Department of Gastroenterology, Taoyuan General Hos...[Read More] Understanding Chronic Bloating: When to Seek Further Medical Evaluation
Understanding Silent Acid Reflux: Throat Discomfort Without Heartburn
Gastroesophageal reflux disease (GERD) Doctor, is it possible for acid reflux to cause discomfort only in the throat without any burning sensation in the esophagus? Shouldn't the acid pass through the esophagus before reaching the throat? If that's the case, the esophag...
Dr. Lin Minghui Reply:
Hello, the typical symptom of gastroesophageal reflux disease (GERD) is a burning sensation in the chest. However, some individuals may present with atypical symptoms such as throat discomfort, a sensation of a foreign body, coughing, and asthma. Atypical symptoms tend to respond...[Read More] Understanding Silent Acid Reflux: Throat Discomfort Without Heartburn
Understanding GERD and PPI Side Effects: Seeking Effective Solutions
Gastroesophageal reflux disease (GERD) and the side effects of proton pump inhibitors (PPIs)? Hello Doctor, my mother has been struggling with gastroesophageal reflux disease (GERD) for nearly a year and has lost 7-10 kilograms. In March of this year, she underwent an upper endos...
Dr. Chen Qifeng Reply:
Hello, in addition to using PPIs for gastroesophageal reflux disease (GERD), it is important to adopt dietary and lifestyle changes such as reducing alcohol and tobacco consumption, limiting coffee, tea, and spicy foods, avoiding glutinous rice dishes, and steering clear of overl...[Read More] Understanding GERD and PPI Side Effects: Seeking Effective Solutions
Can Gallstones Cause Acid Reflux? Understanding the Connection and Treatment Options
Please ask about the issues related to gallstones and acid reflux? Hello Doctor, my family member has been experiencing recurrent issues with excessive stomach acid and acid reflux. I would like to ask if their previous diagnosis of gallstones could potentially be causing the exc...
Dr. Chen Shidian Reply:
Hello, Miss: 1. Gallstones have not been proven to be related to gastroesophageal reflux disease (GERD). 2. Individuals with gastroesophageal reflux should limit their intake of sweets, glutinous rice, bread, tea, and coffee. If necessary, an upper endoscopy can be performed f...[Read More] Can Gallstones Cause Acid Reflux? Understanding the Connection and Treatment Options
Effective Remedies for Acid Reflux Beyond Medication and Endoscopy
Gastroesophageal reflux disease (GERD) Hello Dr. Tsai: For the past two months, I have suddenly started experiencing acid reflux, and sometimes after eating spicy food or overeating, I feel nauseous and even vomit acid. I later consulted a doctor who diagnosed me with gastroesoph...
Dr. Cai Anshun Reply:
Hello: The treatment for gastroesophageal reflux disease (GERD) does not require long-term medication if the condition is not severe. To effectively cure GERD, it is essential to address the underlying causes of the condition. This includes reducing the intake of high-fat and hig...[Read More] Effective Remedies for Acid Reflux Beyond Medication and Endoscopy
Can Acid Reflux Cause Fever and a Sensation of Something Stuck in Throat?
Gastroesophageal reflux disease (GERD) Hello, doctor. Can acid reflux cause body heat and a sensation of a foreign body in the throat?
Dr. Chen Shidian Reply:
Hello, sir: Patients often experience a sensation of a foreign body in the throat. An esophagogastroduodenoscopy (EGD) can be performed, or a trial of stronger antacids may be attempted. Additionally, it is advisable to reduce the intake of sweet and acidic foods. Changhua Hospit...[Read More] Can Acid Reflux Cause Fever and a Sensation of Something Stuck in Throat?
Understanding Excess Stomach Acid: Symptoms, Causes, and Treatment Options
Excess stomach acid Hello, Doctor. In May, I occasionally felt like food was coming back up after eating, but there was no burning sensation. In June, I sometimes experienced a burning sensation. By July, I had acid reflux after every meal, accompanied by a burning sensation. In ...
Dr. Yang Zhichao Reply:
Dear Miss Zhen, based on your description, it is likely that you are experiencing gastroesophageal reflux disease (GERD). Given your young age, the endoscopy may not show significant inflammation in the stomach and esophagus (NERD: non-erosive esophageal reflux disease), but the ...[Read More] Understanding Excess Stomach Acid: Symptoms, Causes, and Treatment Options
Understanding Gastrointestinal Issues: Symptoms and Next Steps for Treatment
I am unsure about the condition of my body? Hello Doctor: I have been experiencing bloating, belching, fatigue, poor concentration, and a sensation of a foreign body in my throat for the past month, along with frequent nausea, although I do not have the sensation of acid reflux. ...
Dr. Cai Anshun Reply:
Hello: If you are experiencing bloating, belching, body weakness, a sensation of a foreign body in the throat, nausea, and have lost about four kilograms in weight over the past month, it is advisable to consult a gastroenterologist for further evaluation. As for the blurred visi...[Read More] Understanding Gastrointestinal Issues: Symptoms and Next Steps for Treatment
Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Regarding Hepatitis B antibodies Dr. Tsai: If the hepatitis B antibodies are no longer present, is it advisable to receive three booster doses of the vaccine, even though my liver enzymes are abnormal due to fatty liver? Additionally, I occasionally experience acid reflux while s...
Dr. Cai Anshun Reply:
Hello: The contraindication for receiving the hepatitis B vaccine is a history of severe allergic reactions to the vaccine or any of its components. However, if there is a high fever or an acute moderate to severe illness, vaccination should be postponed until improvement occurs....[Read More] Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Can You Drink Milk with Acid Reflux? Myths and Facts Explained
Can people with gastroesophageal reflux disease (GERD) drink milk? Can people with gastroesophageal reflux disease (GERD) drink milk? Is GERD caused by excessive stomach acid? If so, milk could neutralize stomach acid, but it's often said that milk should be avoided. What is...
Dr. Chen Qifeng Reply:
Hello, gastroesophageal reflux occurs primarily due to insufficient contraction of the lower esophageal sphincter at the junction of the esophagus and stomach, leading to incomplete closure of the lower esophagus. When there is an increased secretion of gastric acid, it can flow ...[Read More] Can You Drink Milk with Acid Reflux? Myths and Facts Explained
Do I Need Another Endoscopy for My Recurring Stomach Issues?
If you frequently experience discomfort in your stomach, do you need to keep undergoing gastroscopy? Hello! I would like to ask: I have been troubled by my stomach for a long time. Previously, I only experienced occasional discomfort (bloating, a feeling of fullness, sometimes na...
Dr. Chen Shidian Reply:
Hello, Miss: If the symptoms persist despite ongoing treatment, further examination may be necessary to confirm the diagnosis. However, based on what you have described, it appears to be a gastrointestinal dysfunction (possibly influenced by post-surgical adhesions). It is recomm...[Read More] Do I Need Another Endoscopy for My Recurring Stomach Issues?
Understanding Increased Hiccups: Causes and Solutions for Gastrointestinal Issues
Increased frequency of hiccups? Hello, Doctor! About one or two months ago, I noticed that my hiccups (not spasms, just regular hiccups) have increased in frequency. Sometimes, I feel a tight sensation from the upper chest to the throat, which I wonder if it's related to gas...
Dr. Chen Shidian Reply:
Hello, sir: Stress can indeed affect digestion and cause acid reflux, leading to discomfort in the chest. If it's convenient to seek medical attention, you may try a stronger antacid (which you may need to purchase out-of-pocket) and reduce your coffee and sugar intake to se...[Read More] Understanding Increased Hiccups: Causes and Solutions for Gastrointestinal Issues
Understanding Chronic Digestive Discomfort: Causes and Solutions
Recently, I have been experiencing frequent gastrointestinal discomfort? Hello Doctor: I have been experiencing bloating and discomfort in my stomach for at least over a decade, but in the past year, the symptoms have slightly changed to a sensation of acid reflux (my stomach fee...
Dr. Chen Qifeng Reply:
Hello: Upper abdominal bloating is related to gastritis and gastroesophageal reflux disease (GERD). In addition to medication, it is important to follow dietary and lifestyle precautions. Furthermore, individuals with a history of abdominal surgery are more prone to bloating, abd...[Read More] Understanding Chronic Digestive Discomfort: Causes and Solutions
Understanding Bloating and Gas Symptoms After Intense Workouts
Severe flatulence symptoms (bloating?) Hello Dr. Chen, I would like to consult you regarding the issue of belching. Symptom Description: Condition (A): After weight training on October 24 (which included chest exercises), I felt shortness of breath, weakness, and tingling in m...
Dr. Chen Qifeng Reply:
Hello: Belching is generally related to poor gastric emptying and gastrointestinal dysfunction, often accompanied by increased saliva production, which suggests a correlation with gastric acid secretion. It is recommended to visit a gastroenterologist for relevant examinations. W...[Read More] Understanding Bloating and Gas Symptoms After Intense Workouts
Understanding Stomach Pain: Why Eating Relieves Discomfort
Stomach pain, not painful after eating? Hello, doctor: I am currently working in mainland China, and it is quite inconvenient for me to return to Taiwan for medical treatment. However, I am very concerned because I experience pain every day. My situation is that about a month ago...
Dr. Cai Anshun Reply:
Hello: Based on your description, there is a high possibility of gastritis or a gastric ulcer. It is advisable to quit tea, coffee, and smoking for now, as these are factors that can increase gastric acid secretion. Additionally, apart from eating smaller, more frequent meals, yo...[Read More] Understanding Stomach Pain: Why Eating Relieves Discomfort
Understanding Abnormal Belching and Acid Reflux Symptoms
The definition of abnormal belching and acid regurgitation? Hello, Doctor. 1. I experience belching (burping) almost every time after meals, within two to three hours. The frequency varies; sometimes it's five or six times, and other times it’s even more, occasionally cont...
Dr. Cai Anshun Reply:
Hello: Bloating may be related to diet (high protein, high fat), which can lead to prolonged gastric emptying time; or overeating; or consuming carbonated beverages. However, it is important to rule out chronic inflammation of the stomach and intestines, or even the development o...[Read More] Understanding Abnormal Belching and Acid Reflux Symptoms