Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Gastrointestinal and gastroesophageal reflux issues? I have been experiencing loose and unformed stools for a long time. On several occasions, after using the restroom, I noticed fresh blood similar to that from a ruptured hemorrhoid (not from an anal fissure). I also frequently ...
Dr. Cai Anshun Reply:
Hello: If you continue to have symptoms, gastroesophageal reflux may require changes in your dietary and lifestyle habits. Avoid prolonged sitting or standing to prevent varicose veins, which may help improve your symptoms. Changhua Hospital cares about your health. Dr. Tsai An-s...[Read More] Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
Can Pantoprazole (PPI) be taken before bedtime? Hello, doctor. My family member is experiencing issues with gastroesophageal reflux disease (GERD), gastric ulcers, and duodenal ulcers. Currently, they take one Nexium (esomeprazole) 40mg before breakfast, but recently they have be...
Dr. Chen Shidian Reply:
Can be taken on an empty stomach before bedtime.[Read More] Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
Managing Gastric Erosion and Acid Reflux: A Guide for Vegetarians
Gastric erosion = gastric ulcer! Gastroesophageal reflux disease (GERD)? Hello Doctor, I had an endoscopy at Tzu Chi Hospital the day before yesterday and was informed that I have gastric erosion and gastroesophageal reflux. I have been searching online for the past few days abou...
Dr. Chen Shidian Reply:
Just take the medication and avoid irritating or hard foods.[Read More] Managing Gastric Erosion and Acid Reflux: A Guide for Vegetarians
Understanding Gastrocardiac Syndrome: Symptoms, Diagnosis, and Treatment Options
Gastrocardiac syndrome Hello Dr. Tsai, thank you for clarifying things for everyone. I would like to ask you about my condition. After meals, I often experience premature ventricular contractions (PVCs). Cardiac examinations have shown no issues, and they are considered benign, b...
Dr. Cai Anshun Reply:
Hello, "gastric heart syndrome" refers to symptoms such as palpitations and angina caused by acid reflux, which will not present with ventricular premature contractions (VPC) in the absence of arrhythmias. My recommendation is to follow up with a cardiologist to see if ...[Read More] Understanding Gastrocardiac Syndrome: Symptoms, Diagnosis, and Treatment Options
Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Is it necessary to have regular check-ups for mild gastroesophageal reflux disease (GERD) until it is completely resolved? Hello Doctor, I am 23 years old and have undergone gastroscopy which indicated grade A mild reflux. Over the past ten years, I have had several check-ups wit...
Dr. Cai Anshun Reply:
Hello: 1. If there are no symptoms, medication is not necessary. It is sufficient to pay attention to dietary and lifestyle adjustments. Tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods, as well as being und...[Read More] Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Understanding GERD: Symptoms, Dietary Tips, and Concerns
Gastroesophageal reflux disease (GERD), abdominal bloating? Hello, doctor. At the end of last month and the beginning of this month, I experienced two episodes of acid reflux and suspect I might have gastroesophageal reflux disease (GERD). As a result, I have reduced my food inta...
Dr. Zhang Kebin Reply:
Hello Mr. Felix, You inquired about experiencing two episodes of acid reflux from the end of last month to the beginning of this month, and you suspect you may have gastroesophageal reflux disease (GERD). You have reduced your food intake and avoided spicy and fried foods. Howev...[Read More] Understanding GERD: Symptoms, Dietary Tips, and Concerns
Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
If the effectiveness of PPI medications for acid reflux is poor, what should be done? My symptoms include a burning and uncomfortable sensation in the upper abdomen (possibly in the duodenum or stomach), which is most severe when I am fasting. Interestingly, the symptoms are less...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate should be considered. Avoid late-night snacks, do not lie down after eating, refrain f...[Read More] Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
Managing Excess Stomach Acid: When to Eat and What to Choose
Excess stomach acid (asymptomatic) I have been feeling excessive gastric acid secretion and mild gastrointestinal discomfort for the past three to four days. It feels somewhat similar to hunger, but it's different. After visiting the outpatient clinic, the doctor diagnosed i...
Dr. Chen Shidian Reply:
It is recommended to maintain a normal diet while minimizing the intake of acidic, sweet, and spicy foods. If experiencing acid reflux at night, drinking some milk or taking antacids may help.[Read More] Managing Excess Stomach Acid: When to Eat and What to Choose
Understanding Chest Tightness and Shallow Breathing: Possible Causes and Solutions
Chest tightness and shallow breathing? Hello, Doctor. Recently, I have been experiencing noticeable chest tightness and shallower breathing. I have a history of hyperthyroidism, and my blood tests indicate that my medication is being managed fairly well. I also underwent an elect...
Dr. Chen Shidian Reply:
It seems less likely to be a gastrointestinal issue. Acid reflux often presents with a burning sensation. You may want to reduce your intake of sweet, acidic foods, coffee, and tea. If symptoms persist, you can try using gastrointestinal medications to see if there is any improve...[Read More] Understanding Chest Tightness and Shallow Breathing: Possible Causes and Solutions
Understanding Recent Dull Pain in the Anus: Causes and Concerns
Recent dull pain in the anus? I would like to ask about some symptoms I've been experiencing. Recently, I have had abdominal bloating and pain in the middle of my abdomen. I have a history of acid reflux, but recently I have suddenly felt a dull pain in my rectum for about t...
Dr. Zhang Kebin Reply:
Hello Mr. Hsu: Your main complaint is that you previously experienced abdominal bloating and pain, but recently you have been experiencing dull pain in the anus. Common causes of anal pain include hemorrhoids or anal fistulas. It is recommended that you visit the colorectal surge...[Read More] Understanding Recent Dull Pain in the Anus: Causes and Concerns
Is Your Throat Burning? Signs of Possible Acid Reflux Explained
Inquire whether it is a symptom of gastroesophageal reflux disease (GERD)? Hello, doctor. In the past two days, I have frequently felt the need to clear my throat, and the phlegm is colorless. I also often experience belching, especially after meals, and I frequently feel like th...
Dr. Zhang Kebin Reply:
Dear Ms. CC, You reported that recently you have been experiencing phlegm, frequent burping, and a sensation of phlegm that cannot be cleared from your chest after meals, along with a burning sensation in your throat. You inquired whether this could be a symptom of gastroesophag...[Read More] Is Your Throat Burning? Signs of Possible Acid Reflux Explained
Understanding GERD: Symptoms, Treatment, and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello, doctor. Last week, I experienced discomfort and pain in my stomach, so I visited a clinic where I was diagnosed with gastroesophageal reflux disease (GERD). At that time, I indeed felt bloated, had a slight sore throat, and a sour tas...
Dr. Cai Anshun Reply:
Hello: 1. Based on your symptoms, it is indeed likely that you have gastroesophageal reflux disease (GERD). However, abdominal pain (gastric pain) may also warrant attention for possible concurrent gastritis or peptic ulcer disease, although the treatment medications are genera...[Read More] Understanding GERD: Symptoms, Treatment, and When to Seek Help
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello, Vice Dean Chen: I have been experiencing a dull, intermittent pain and a sharp sensation in my lower left abdomen. The pain is mild and tolerable. Additionally, when I press on my stomach, I feel a protrusion that resembles a lump, and pressing on i...
Dr. Chen Shidian Reply:
It is recommended to abstain from or reduce alcohol consumption and to undergo examinations to determine the underlying cause.[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Can Acid Reflux Cause Throat Irritation? Understanding Your Symptoms
Gastroesophageal reflux-related issues? In November 2020, I underwent an endoscopy which revealed mild gastroesophageal reflux disease (GERD) with some erosion in the stomach. Recently, I have been experiencing an itchy throat, but I eat normally and do not have a strong urge to ...
Dr. Zhang Kebin Reply:
Dear Mr. Jun-Wei, In November 2020, you underwent an upper gastrointestinal endoscopy which revealed mild gastroesophageal reflux disease (GERD) with some mucosal erosion in the stomach. Recently, you have experienced a scratchy throat, but you are eating normally and do not hav...[Read More] Can Acid Reflux Cause Throat Irritation? Understanding Your Symptoms
Understanding Abdominal Pain After Eating: Causes and Solutions
Rebound abdominal pain Hello Doctor: A few days ago (Tuesday), I started experiencing abdominal pain after eating, which feels better after using the restroom. For the past few days, my morning stools have been small and mushy. In the afternoon or evening, when I use the restroom...
Dr. Chen Shidian Reply:
Further observation is recommended, and a proper diet is sufficient.[Read More] Understanding Abdominal Pain After Eating: Causes and Solutions
Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
How long does it take for gastroesophageal reflux disease (GERD) to improve when taking proton pump inhibitors (PPIs)? What should I do if I experience a bitter taste and acid reflux after stopping PPIs? Hello: In February of this year, I underwent an upper gastrointestinal endos...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux disease (GERD) is classified into four grades (A, B, C, D) based on the extent of esophageal mucosal injury due to gastric acid, according to the Los Angeles Classification. Under the National Health Insurance regulations, grades A and B allow for p...[Read More] Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
Does Vitamin C Worsen Acid Reflux and Harm Vocal Cords?
Gastroesophageal reflux disease (GERD) I would like to ask if vitamin C can worsen gastroesophageal reflux disease (GERD). Can GERD cause irreversible damage to the vocal cords? As a voice professional, I have been troubled by GERD affecting my vocal cords, and I was thinking of ...
Dr. Chen Shidian Reply:
Both acidic and sweet foods can potentially trigger reflux. Potent acid suppressants can be used.[Read More] Does Vitamin C Worsen Acid Reflux and Harm Vocal Cords?
Understanding Intermittent Abdominal Pain: Causes and Concerns
Intermittent sharp pain in the abdomen at an unspecified location? Hello, Doctor. Recently, for the past two months, I have been experiencing intermittent sharp pains in my abdomen. Initially, the pain was located near the right upper quadrant close to the rib cage and in the rig...
Dr. Lin Minghui Reply:
Hello, neuropathic pain, gastroenteritis, gallbladder, and biliary pancreatic diseases are all possibilities. Hepatic hemangiomas generally do not cause pain. Gastrointestinal bloating and acid reflux may occur. It is recommended to limit foods that can trigger gastric acid, such...[Read More] Understanding Intermittent Abdominal Pain: Causes and Concerns
Can You Take Celecoxib While Recovering from a Stomach Ulcer?
Is it safe to take Celecoxib while recovering from a gastric ulcer? Hello, on March 23, I visited the neurology department due to long-term intermittent headaches. I informed them that I experienced symptoms of a gastric ulcer on March 3 (without bleeding) and continued medicatio...
Dr. Chen Shidian Reply:
It's best to take stomach medication![Read More] Can You Take Celecoxib While Recovering from a Stomach Ulcer?
Understanding Right Upper Abdominal Pain Above the Navel
Mild pain slightly to the right above the navel? Hello, Doctor. For the past month and a half, I have been experiencing occasional pain just above my navel (about the size of a palm), slightly to the right. Initially, it was a sharp pain that occurred sporadically, but over the p...
Dr. Chen Shidian Reply:
If there is no weight loss, dietary or medication treatment can be considered. If convenient, a stool occult blood test can also be performed first.[Read More] Understanding Right Upper Abdominal Pain Above the Navel