bad breath, Gastroenterology and Hepatology FAQ

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Understanding the Timeline of GERD and Barrett's Esophagus Development

The timeline for the development of gastroesophageal reflux disease (GERD) and the formation of Barrett's esophagus? I started experiencing allergic rhinitis issues two to three years ago, occasionally feeling a sensation of a foreign body in my throat. I initially thought t...


Dr. Chen Shidian Reply:
Long-term symptoms of reflux combined with smoking and alcohol consumption are more likely to be associated with Barrett's esophagus. If there are concerns, an upper endoscopy can be performed for confirmation.

[Read More] Understanding the Timeline of GERD and Barrett's Esophagus Development


Understanding the Causes of Bad Breath: A Comprehensive Inquiry

The main cause of bad breath is..? Hello Dr. Hu: I am the questioner of #206772. Following your response, I have additional questions today. 1. I have consulted multiple otolaryngologists, but none have addressed my concern regarding the "sour and foul taste of saliva in t...


Dr. Hu Guozheng Reply:
Online consultations cannot replace in-person diagnoses. Your concerns should be addressed through an outpatient evaluation. Please actively consult your physician during your visit regarding any questions you may have. It is recommended to seek care at a regional hospital or hig...

[Read More] Understanding the Causes of Bad Breath: A Comprehensive Inquiry


Understanding Bad Breath: Causes and Connections to GERD

The main causes of bad breath..? Hello Dr. Hu: I have mild gastroesophageal reflux disease (GERD).... (I wake up in the morning with a bitter taste in my mouth), but the saliva in my throat and the middle of my tongue has a sour and foul odor. I would like to ask: 1. If the saliv...


Dr. Hu Guozheng Reply:
If an oral assessment has been conducted and non-dental diseases have been ruled out, it is recommended to visit the gastroenterology or otolaryngology outpatient clinic for further evaluation. Thank you.

[Read More] Understanding Bad Breath: Causes and Connections to GERD


Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues

Foul-smelling breath? Since October, I have been experiencing a foul odor in my breath that seems normal to me, although I can occasionally smell it (it's not pungent). Every time I take the subway three times, people around me start to react to the smell (coughing, covering...


Dr. Chen Shidian Reply:
Halitosis is primarily caused by dental issues. Additionally, one can opt for self-paid testing for Helicobacter pylori and undergo eradication therapy.

[Read More] Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues


Managing Flatulence and Bad Breath in Seniors: A Gastroenterology Perspective

A 71-year-old elderly individual is experiencing issues with flatulence and halitosis? Hello doctor, my mother was born in 1939 and is currently 71 years old. She usually has a light diet and has lactose intolerance. For breakfast, she typically eats one egg and sometimes has a g...


Dr. Chen Shidian Reply:
If there are no specific symptoms, it is recommended to first have a dental examination for bad breath.

[Read More] Managing Flatulence and Bad Breath in Seniors: A Gastroenterology Perspective


Understanding Recent Changes in Bowel Habits: A Gastroenterology Perspective

Recent bowel movement issues? Hello, doctor. Recently, I've noticed some unusual changes in my bowel movements. I've had a history of constipation since childhood, which becomes more pronounced under stress, often leading to situations where I can't have a bowel mo...


Dr. Chen Shidian Reply:
It may be a temporary phenomenon; further observation is recommended along with increased hydration, a diet rich in fruits and vegetables, and regular exercise.

[Read More] Understanding Recent Changes in Bowel Habits: A Gastroenterology Perspective


Understanding Chronic GERD: Causes of Bad Breath and Throat Pain

Long-term gastroesophageal reflux disease (GERD) has been present for a long time? Hello doctor, I have very severe halitosis that has become so bad that even when others wear masks, they can still smell it. This has significantly affected my life. I also have severe gastroesopha...


Dr. Zhang Kebin Reply:
Dear Miss, Regarding your inquiry about long-term severe gastroesophageal reflux disease (GERD), it is noted that your symptoms improve with medication. I recommend discussing long-term medication management with your primary physician. If you are experiencing issues with being...

[Read More] Understanding Chronic GERD: Causes of Bad Breath and Throat Pain


How to Determine If You Have High or Low Stomach Acid

How to determine whether there is excess or insufficient stomach acid? 1. How can one determine whether gastroesophageal reflux is caused by excessive or insufficient stomach acid, and what tests should be conducted to assess the levels of stomach acid? 2. What treatments are av...


Dr. Cai Anshun Reply:
Hello: The issue is likely caused by gastric acid refluxing into the esophagus. Some cases are due to excessive gastric acid production caused by diet or psychological stress, while others may occur under normal gastric acid conditions but are exacerbated by increased abdominal p...

[Read More] How to Determine If You Have High or Low Stomach Acid


Dealing with Dry Mouth: Causes and Remedies for Gastrointestinal Issues

Dry mouth and dry tongue? When I was in Taiwan, I had no issues with my mouth, but since I came to study abroad, possibly due to the weather, I've been eating a lot. After a few months, my mouth started to feel very dry, and I noticed significant bad breath. I don't hav...


Dr. Chen Shidian Reply:
Drink plenty of water, adjust your mood and diet. There is no objection to treatment by a qualified traditional Chinese medicine practitioner. A gastroscopy may not be necessary at this time.

[Read More] Dealing with Dry Mouth: Causes and Remedies for Gastrointestinal Issues


Understanding Dry Mouth and Bad Breath: Causes and Solutions

Dry mouth and bad breath? I have been experiencing severe dry mouth recently. Every time I wake up, my mouth is extremely dry. I used to have issues with binge eating and I suspect it might be related to bile reflux. Now, I have fixed my three meals a day, chew slowly, and eat un...


Dr. Chen Shidian Reply:
During the day, drink more water (not beverages), avoid刺激性 foods, and enhance oral hygiene.

[Read More] Understanding Dry Mouth and Bad Breath: Causes and Solutions


Is My Bad Breath Linked to Gastrointestinal Issues?

Is my bad breath coming from my gastrointestinal tract? This is a lengthy narrative about my battle against bad breath, and I hope you will listen to my story. I have visited traditional Chinese medicine practitioners, dentists, otolaryngologists, and gastroenterologists, but non...


Dr. Cai Anshun Reply:
Hello: Bad breath is not absolutely related to bacteria or Helicobacter pylori, so there is no need for antibiotics. If you have already consulted with traditional Chinese medicine, dentistry, otolaryngology, and gastroenterology, there is no need to worry too much. You should pa...

[Read More] Is My Bad Breath Linked to Gastrointestinal Issues?


Could Your Gastrointestinal Issues Be Linked to Other Health Problems?

Gastrointestinal issues? Hello, doctor. Due to pain and swelling in the clavicle, I previously underwent a nuclear medicine bone scan, but nothing was found, and I was only prescribed painkillers. I would like to know if this could be related to gastrointestinal issues, as I expe...


Dr. Cai Jinji Reply:
Hello: If you are experiencing gastrointestinal discomfort, it is recommended to schedule an examination with a gastroenterologist to better confirm whether there are any gastrointestinal diseases.

[Read More] Could Your Gastrointestinal Issues Be Linked to Other Health Problems?


Understanding Foul-Tasting Saliva at the Back of the Tongue: Causes and Solutions

Saliva at the base of the tongue (throat) has a fishy odor (similar to the smell of rotting fish)? Hello Dr. Lin: May I ask you about my condition? The saliva at the base of my tongue (throat) has a foul odor, resembling the smell of rotten fish (while the saliva in other areas o...


Dr. Lin Minghui Reply:
Hello, if there are no issues with the dental or ENT examinations, it is recommended to pay attention to your diet and avoid spicy foods. It is advisable to check for any gastrointestinal or esophageal problems. Wishing you peace and good health. Sincerely, Dr. Lin Ming-Hui, Atte...

[Read More] Understanding Foul-Tasting Saliva at the Back of the Tongue: Causes and Solutions


Understanding Bad Breath: Causes and Which Specialist to Consult

What is the issue of halitosis? Hello Doctor, I would like to ask about an issue I'm experiencing. When I'm not breathing, there is no odor from my mouth, but as soon as I breathe, there is a foul smell. It feels like it's coming from my throat, the back of my tong...


Dr. Lin Minghui Reply:
Hello, the presence of foul breath can be related to oral diseases as well as esophageal and gastrointestinal disorders. It is advisable to get checked for any underlying issues. It is recommended to avoid spicy foods, smoking, and alcohol, and not to overeat or eat too quickly. ...

[Read More] Understanding Bad Breath: Causes and Which Specialist to Consult


Understanding Recurring Gastritis: Symptoms, Causes, and Treatment Options

Gastritis with intermittent recurrence? I developed gastritis earlier this year, around January to February, due to various reasons, and it was quite uncomfortable. I visited the doctor twice, with about a two-week interval between visits. The clinic doctor advised me to eat a li...


Dr. Cai Anshun Reply:
Hello: Maintain a balanced diet, pay attention to any emotional stress or related issues, and engage in appropriate exercise. If necessary, you may consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Recurring Gastritis: Symptoms, Causes, and Treatment Options


Understanding Foul Taste in Saliva: Causes and Remedies

The taste of saliva at the base of the tongue (throat)...........? Hello Dr. Tsai: May I ask you about an issue? The saliva at the base of my tongue (throat) has a foul odor, similar to that of rotten fish (while the saliva in other areas of my mouth is tasteless). Is this the ca...


Dr. Cai Jinji Reply:
The taste in the oral cavity involves the mouth, pharynx, larynx, nose, lungs, stomach, and esophagus, and can be evaluated by consulting various specialists to rule out potential issues.

[Read More] Understanding Foul Taste in Saliva: Causes and Remedies


Understanding Gastrointestinal Issues: Constipation, Bloating, and More

Liver, gallbladder, and gastrointestinal tract? Hello: I am currently in the ninth grade and have been experiencing constipation for several weeks. I have seen a doctor and taken medication, but I still do not have a bowel movement every day. I have also mentioned that I have gas...


Dr. Lin Minghui Reply:
Dear Meggy, Hello. Constipation is related to congenital structure, metabolic endocrine factors, dietary habits, medications, mood, and other drugs. Young people often experience irritable bowel syndrome. It is recommended to pay attention to diet even amidst academic pressure: ...

[Read More] Understanding Gastrointestinal Issues: Constipation, Bloating, and More


Understanding Lower Abdominal Pain: Causes and Treatment Options

Lower abdominal pain? Hello doctor, on the 15th of this month, I experienced discomfort in my stomach while going to bed at night. It felt like there was some sour taste rising to my throat, and my mouth had a bitter taste with a slight bad breath. I was burping frequently and ha...


Dr. Cai Anshun Reply:
Hello: There is a pulling sensation in the lower abdomen, which does not seem to be related to intestinal symptoms. It is reasonable to suspect that a kidney stone may have dropped into the ureter. It is recommended to consult a urologist. Changhua Hospital cares about your healt...

[Read More] Understanding Lower Abdominal Pain: Causes and Treatment Options


Understanding Gastrointestinal Concerns: When to Seek Medical Attention

Gastrointestinal concerns Hello, doctor. I would like to ask about my habit of staying up late; I usually go to bed late and sleep until noon the next day, then I have lunch. I often eat at a buffet while working outside, and I usually include vegetables and fruits in almost ever...


Dr. Cai Anshun Reply:
Hello: I think you should consult a gastroenterologist, who will determine whether you need to undergo an endoscopy. Additionally, I recommend going to bed early, staying well-hydrated, and increasing your physical activity. Changhua Hospital cares about your health. Dr. Tsai An-...

[Read More] Understanding Gastrointestinal Concerns: When to Seek Medical Attention


Understanding Stomach Pain and Blood in Stool: Causes and Solutions

Stomach discomfort and bloody stools? Hello Dr. Tsai: Recently, for the past 1 to 2 months, I have been experiencing frequent stomach discomfort and pain, particularly at night, with symptoms worsening in cold weather, leading to gastroesophageal reflux. In the past two days, I h...


Dr. Cai Anshun Reply:
Hello: If the stool color is normal, the bleeding is more likely to be related to issues near the anus or rectum, with the majority being hemorrhoids. As for gastroesophageal reflux, it is recommended not to eat too much for dinner, avoid greasy foods, and refrain from eating for...

[Read More] Understanding Stomach Pain and Blood in Stool: Causes and Solutions


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