Managing Esophageal Reflux: Treatment Options and Duration Explained
Gastroesophageal reflux disease (GERD) Hello Doctor: Regarding esophagitis (endoscopy revealed redness and swelling at the lower esophageal sphincter due to damage from gastric acid reflux) and a small gastric ulcer, the doctor has prescribed a PPI (Nexium) and recommended a four...
Dr. Chen Qifeng Reply:
Hello, the treatment duration for gastroesophageal reflux disease (GERD) depends on the severity of the condition. According to health insurance regulations, patients classified as A or B can use proton pump inhibitors (PPIs) for four months, while those classified as C or D can ...[Read More] Managing Esophageal Reflux: Treatment Options and Duration Explained
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Gastroesophageal reflux disease (GERD) About a month ago, I started feeling a sensation of fluid in my throat and esophagus when lying down (could this be considered acid reflux or excessive stomach acid?). After two weeks, I experienced a feeling of a foreign body and pressure i...
Dr. Chen Shidian Reply:
Hello Mr. QQ: In cases of mild gastroesophageal reflux, an endoscopy may not reveal any damage to the esophagus. However, there may be changes in the throat (but this can vary based on the subjective judgment of different physicians). If you still suspect that stomach acid is the...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Gastroesophageal reflux disease (GERD) Hello Doctor: I was previously diagnosed with gastroesophageal reflux disease (GERD) and have been on proton pump inhibitors (PPIs) for four months. During this time, I have experienced mild abdominal bloating and pain as side effects, along...
Dr. Chen Qifeng Reply:
Hello, for third-degree or fourth-degree gastroesophageal reflux disease (GERD), medication treatment is covered for one year, while for first-degree and second-degree, it is covered for four months. Regarding the side effects of medication, they can vary from person to person; s...[Read More] Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Gastroesophageal reflux disease (GERD) Since February of last year, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). After undergoing an endoscopy in April, I began taking medication, which I have continued to this day. In December of last year, I had ...
Dr. You Ligang Reply:
Hello, the factors contributing to acid reflux involve the backflow of gastric acid or stomach contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, a burning sensation in the chest, and a feeling of a foreign body in the throat. If there are n...[Read More] Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Can Ginger Help Prevent Acid Reflux? Exploring the Evidence
Can ginger be consumed with gastroesophageal reflux disease (GERD)? Some people say that eating ginger can prevent acid reflux. Is there any basis for this? Thank you for your response, doctor.
Dr. Chen Shidian Reply:
Hello, Miss: There is no scientific research to support this! Essentially, acidic/sweet foods can increase reflux and should be avoided! Changhua Hospital cares about your health. Chen Shidian[Read More] Can Ginger Help Prevent Acid Reflux? Exploring the Evidence
Understanding Symptoms of Stomach Ulcers and Acid Reflux
Symptoms of gastric ulcers and gastroesophageal reflux disease (GERD) include: Hello Doctor: I have symptoms of gastric ulcer and gastroesophageal reflux disease. After taking medication (Pantoprazole and Mosapride), I experience some abdominal bloating and pain before breakfast ...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: I am not familiar with the ingredients of Ampern, so I cannot provide any recommendations. Long-term use of PPIs is generally considered safe, as gastric acid is still secreted in small amounts, and stopping the medication can return levels to normal (but may lea...[Read More] Understanding Symptoms of Stomach Ulcers and Acid Reflux
Understanding Persistent Nausea: Causes and Solutions for Relief
Nausea Hello Doctor, on the evening of January 8th, I went out for hot pot with friends. After starting to eat, I had two pieces of fish dumplings, and immediately felt a pressure in my stomach. I also felt a foreign body sensation in my throat, followed by a sudden and intense u...
Dr. Zhang Siyuan Reply:
To Ray: Excessive weight loss can sometimes lead to another type of reflux, occurring at a level lower than gastric reflux, which may result in persistent upper abdominal distension and an inability to vomit. At this point, it is important to consult a gastroenterologist as soon ...[Read More] Understanding Persistent Nausea: Causes and Solutions for Relief
How to Navigate Gastroenterology Appointments and Tests in Taiwan
Appointment issues? A few months ago, I visited a clinic due to frequent acid reflux. The doctor mentioned that I might have gastrointestinal issues and prescribed some medication, advising me to get further tests at the hospital when I have time. Should I see a doctor first befo...
Dr. Chen Qifeng Reply:
Hello, it is recommended to consult a gastroenterologist and arrange for an upper gastrointestinal endoscopy. The National Health Insurance covers this procedure. Best wishes for your health, Dr. Chen Qi-Feng, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] How to Navigate Gastroenterology Appointments and Tests in Taiwan
Can You Drink Water Before Bed? Insights on Acid Reflux and Barrett's Esophagus
Can I drink water? In your previous response, you mentioned that Splotin is different from typical antacids and proton pump inhibitors (PPIs). I would like to ask, if Splotin is taken long-term, will there be an issue with excessive reduction of stomach acid? This is my first que...
Dr. Chen Qifeng Reply:
Hello, the severity of gastroesophageal reflux increases the likelihood of developing Barrett's Esophagus. Patients with Barrett's Esophagus have a chance of developing esophageal cancer over time. Not everyone with gastroesophageal reflux will develop Barrett's Es...[Read More] Can You Drink Water Before Bed? Insights on Acid Reflux and Barrett's Esophagus
Understanding Asymptomatic Acid Reflux: What You Need to Know
Asymptomatic reflux is not considered? In your previous response, you mentioned that asymptomatic reflux does not indicate gastroesophageal reflux disease (GERD). Before being diagnosed with GERD during my endoscopy, I experienced chest tightness and sought medical attention, but...
Dr. You Ligang Reply:
In normal individuals, gastric acid may occasionally reflux into the esophagus without causing any symptoms. If a healthy person undergoes a health check and the endoscopy results show esophagitis without symptoms, treatment is not necessary. Gastroesophageal reflux disease (GERD...[Read More] Understanding Asymptomatic Acid Reflux: What You Need to Know
Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Gastroesophageal reflux without sensation? I did not feel the acid reflux into my esophagus before experiencing chest tightness and discomfort in my stomach. How can I know if there is acid reflux? This is the first question. The second question is why gastroesophageal reflux dis...
Dr. You Ligang Reply:
Hello, 1. Gastroesophageal reflux disease (GERD) is defined as the reflux of gastric acid or gastric contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, heartburn, and a sensation of a foreign body in the throat. If there are no symptoms, i...[Read More] Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Waking up with dry mouth and a taste similar to bile? Hello, I am a 54-year-old middle-aged male, with a smoking history of 30 years, a height of 170 cm, and a weight of 82 kg, which classifies me as having a central obesity body type. Six months ago, I began experiencing dry mou...
Dr. You Ligang Reply:
Hello, experiencing dry mouth and bile reflux into the oral cavity may indicate gastroesophageal reflux disease (GERD), which involves the backflow of stomach acid, bile, and even food from the stomach into the esophagus. This condition is commonly associated with smoking, obesit...[Read More] Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Understanding Gastrointestinal Issues and Bowel Health Concerns
Gastrointestinal and bowel issues? Hello Doctor: I have many symptoms and I'm not sure where to start. First, regarding my gastrointestinal condition, for the past three to four months, I have been experiencing burping regardless of whether I eat or not. In the morning, af...
Dr. Chen Qifeng Reply:
Hello, 1. It is recommended to undergo an upper gastrointestinal endoscopy based on your gastrointestinal condition, as the symptoms may indicate gastritis or peptic ulcer disease. 2. Currently, parasitic infections are quite rare in the country; your situation may be due to p...[Read More] Understanding Gastrointestinal Issues and Bowel Health Concerns
Understanding Malignant Gastric Tumors: When Is Surgery Necessary?
Malignant tumors of the stomach 1. In February, the examination revealed a 2 cm gastric ulcer. After medication, the pain has decreased, but there was no regular follow-up. By July, the gastric ulcer had grown to 5 cm and was found to be malignant, although there was no blood in ...
Dr. Lin Minghui Reply:
Hello, 1. Current pharmacological treatments for gastric ulcers and gastroesophageal reflux disease are effective in alleviating symptoms, but they do not address malignant tumors. Some tumors may be asymptomatic while continuing to grow, and if left untreated, they can spread,...[Read More] Understanding Malignant Gastric Tumors: When Is Surgery Necessary?
Understanding Acid Reflux: Causes, Treatments, and Surgical Options
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been troubled by gastroesophageal reflux disease (GERD). Two months ago, I underwent an upper gastrointestinal endoscopy, which revealed a sliding hiatal hernia and mild inflammation at the pylorus. A biopsy was performe...
Dr. You Ligang Reply:
Hello, 1. Since I started experiencing symptoms during this year's Lunar New Year, and I have never had such issues before, I would like to know if surgical treatment can lead to a complete recovery. Laparoscopic surgery is performed by a surgeon using a laparoscope to rep...[Read More] Understanding Acid Reflux: Causes, Treatments, and Surgical Options
Understanding Gastroesophageal Reflux: Treatment Options and Insights
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been troubled by gastroesophageal reflux disease (GERD). Two months ago, I underwent an endoscopy, which revealed a sliding hiatal hernia and mild inflammation at the pylorus. A biopsy was performed, and the results show...
Dr. Chen Qifeng Reply:
Hello, sliding hiatal hernia refers to a condition where a portion of the stomach slides up into the thoracic cavity at the esophagogastric junction, often accompanied by gastroesophageal reflux disease (GERD), which exacerbates acid reflux symptoms. The prevention and treatment ...[Read More] Understanding Gastroesophageal Reflux: Treatment Options and Insights
Effective Treatments for Acid Reflux After Esophageal Surgery
Gastroesophageal reflux disease (GERD) Hello Dr. Chang, I had surgery for esophageal cancer nine years ago, during which my esophagus and part of my stomach were removed. Now my stomach is located in the thoracic cavity, but I have been experiencing gastroesophageal reflux sympto...
Dr. Zhang Siyuan Reply:
To Chikuang: Your condition appears to be more pronounced than typical gastroesophageal reflux, with nighttime gastric acid reflux reaching the throat, leading to coughing. Pantoprazole has been used at a dosage of 80 mg per day, which is double the standard treatment for gastroe...[Read More] Effective Treatments for Acid Reflux After Esophageal Surgery
Understanding Acid Reflux: Causes of Nausea and Bleeding While Brushing
Issues related to gastric acid? Hello, Doctor: I would like to ask you, this morning while brushing my teeth, I felt nauseous when cleaning my tongue and scraping off the tongue coating (this happens every time I brush my tongue). However, today, in addition to the nausea, I also...
Dr. Chen Shidian Reply:
Dear Mr. Vanilla: It is likely that you are experiencing gum bleeding. Please use your toothbrush with caution or visit a dentist for an examination. Changhua Hospital cares about your health. Sincerely, Chen Shidian.[Read More] Understanding Acid Reflux: Causes of Nausea and Bleeding While Brushing
Persistent Bad Breath: Understanding Causes and Treatment Options
Distress Hello Doctor: I have been troubled by a frustrating issue for the past five years; I have a problem with halitosis. Regardless of whether I brush my teeth or not, my breath is always foul, and people are hesitant to talk to me, which is difficult to address. I am only 28...
Dr. Lin Minghui Reply:
Dear Mr. Chen, Halitosis is a bothersome issue that can persist even with good oral hygiene, and despite not smoking or drinking alcohol. It is advisable to avoid irritant foods such as garlic, as some cases of halitosis are related to anaerobic bacteria in the oral cavity. The ...[Read More] Persistent Bad Breath: Understanding Causes and Treatment Options
Understanding Excess Stomach Acid: Causes, Symptoms, and Solutions
Excess stomach acid Is excessive stomach acid commonly referred to as acid reflux, and is it necessary to undergo an endoscopy? What methods can be used to improve the condition of excessive stomach acid?
Dr. Chen Shidian Reply:
Dear Miss Hsiao-Wen, If you experience "heartburn" or "acid regurgitation," it indicates that stomach acid (not necessarily excessive) is refluxing into the esophagus. Generally, dietary adjustments, avoiding lying down after meals, and reducing sweet foods a...[Read More] Understanding Excess Stomach Acid: Causes, Symptoms, and Solutions