Managing Belching and GERD: When to Seek Further Evaluation
Belching and gastroesophageal reflux disease (GERD)? Hello Doctor, I visited for belching issues last September, and the endoscopy results showed mild ulcers in the stomach and duodenum, with inflammation in the esophagus ranging from grade A to B, and a slightly lax lower esopha...
Dr. Hu Guozheng Reply:
Hello, it is recommended to schedule a follow-up appointment for monitoring. Thank you.[Read More] Managing Belching and GERD: When to Seek Further Evaluation
Managing GERD and Belching: Seeking Solutions for Ongoing Discomfort
Gastroesophageal reflux and belching? Hello Doctor: I have been suffering from gastroesophageal reflux disease (GERD) and belching for the past five years. I have undergone three esophagogastroduodenoscopies (EGDs), and the doctors have indicated that there are no gastric ulcers....
Dr. Chen Shidian Reply:
Currently, treatment involves medication (strong gastric medications available for self-pay in conjunction with National Health Insurance gastric medications) and dietary control. If the condition is severe, endoscopic surgery may be considered in the future when the technology h...[Read More] Managing GERD and Belching: Seeking Solutions for Ongoing Discomfort
Understanding Persistent Hiccups: When to Seek Medical Advice
Chronic hiccups Hello Doctor, I have been experiencing hiccups since December of last year. Initially, they occurred only after meals, but later they became more frequent and unpredictable, happening upon waking and when I'm hungry. Each episode consists of two to three hicc...
Dr. Chen Shidian Reply:
There should be no related issues; it is mostly caused by peristaltic digestion. There may also be subconscious habits of belching. It is advisable to eat small, frequent meals, minimize talking during meals, and take a walk after eating instead of sitting for long periods.[Read More] Understanding Persistent Hiccups: When to Seek Medical Advice
Understanding Burping After Meals: When to Seek Medical Advice
Burping after meals or drinking water? I have been experiencing burping for a while now, even after eating a small amount. The burps come in quick succession, sometimes two or three in a row shortly after eating. Occasionally, even one or two hours after a meal, I will burp again...
Dr. Chen Shidian Reply:
Weight loss can help alleviate reflux and belching. Eating smaller, more frequent meals, engaging in post-meal activities to aid digestion, and minimizing talking during meals to reduce air swallowing can also be beneficial. If symptoms worsen, an upper endoscopy may be considere...[Read More] Understanding Burping After Meals: When to Seek Medical Advice
Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues
Sudden frequent hiccups and shallow sleep? One evening in early September, I suddenly began experiencing frequent belching, which has continued every day since then. During that time, I did not make any significant changes to my diet, nor did I experience any stressful events, an...
Dr. Lin Minghui Reply:
Regarding the issues of belching and shallow sleep, gastroesophageal reflux disease (GERD) can be difficult to completely resolve. Seasonal changes and dietary modifications can sometimes trigger gastrointestinal disorders in individuals sensitive to gastric mucosa. It is recomme...[Read More] Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues
Understanding Persistent Abdominal Pain: Causes and Next Steps
Abdominal discomfort lasting for three to four months? Hello doctor, I usually experience abdominal pain that lasts no longer than 3 to 6 seconds, similar to a sudden punch. However, the location varies; sometimes it's between my stomach and chest, sometimes in the left uppe...
Dr. Chen Shidian Reply:
It is likely not a gastrointestinal issue. It is recommended to adopt a healthy diet for weight loss, avoid intense exercise during pain, and warm up before exercising to prevent strains.[Read More] Understanding Persistent Abdominal Pain: Causes and Next Steps
How to Differentiate Between GERD and LPR: Symptoms and Treatments
Gastroesophageal reflux or laryngopharyngeal reflux? Hello Doctor, I recently had an upper gastrointestinal endoscopy, and the results showed that my gastroesophageal junction is slightly open with inflammation graded between A and B. I am currently taking Panzolec, which only su...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux can cause different symptoms such as epigastric pain, a burning sensation in the chest, and a feeling of a foreign body in the throat, depending on the height of the reflux and individual sensitivity. The treatment methods are generally the same; ho...[Read More] How to Differentiate Between GERD and LPR: Symptoms and Treatments
Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress
Weight loss over the past year? Hello, doctor. I am a 32-year-old male, 172 cm tall and weighing 56 kg. Since November 2021, I have been experiencing belching and bloating after meals. I have consulted both Western and Traditional Chinese medicine, and they suggested possible gas...
Dr. Chen Shidian Reply:
Please discuss with the attending physician about increasing caloric intake and whether to consult or refer to other specialties for assistance in diagnosis and treatment.[Read More] Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress
Managing Bloating and Acid Reflux: Tips for Digestive Health
Bloating, gastroesophageal reflux disease (GERD) About a month ago, I started experiencing a loss of appetite, and I felt a sensation of something stuck in my throat before and after eating, along with a slight sour taste and a feeling of nausea. Later, the doctor diagnosed me wi...
Dr. Chen Shidian Reply:
Follow-up visits can help understand any medication-related issues and make necessary adjustments.[Read More] Managing Bloating and Acid Reflux: Tips for Digestive Health
Understanding Excessive Burping: Causes and Solutions for GERD Symptoms
Burping more than 20 times a day? Hello, doctor. After undergoing an endoscopy due to gastroesophageal reflux disease (GERD), it was found that there is a reflux level between A and B, and the lower esophageal sphincter is slightly open. There are minor ulcers in the stomach and ...
Dr. Chen Shidian Reply:
Hiccups are merely a physiological/psychological phenomenon. It may be necessary to compare the use of medication, discontinuation of medication, and re-initiation of medication.[Read More] Understanding Excessive Burping: Causes and Solutions for GERD Symptoms
Understanding Mild Pancreatitis: Symptoms, Diagnosis, and Concerns
Emergency mild pancreatitis Hello Doctor: I would like to ask about my increased frequency of belching and flatulence, along with diarrhea that lasted for a month. I visited a large hospital and consulted a gastroenterologist, and after taking gastrointestinal medication for a mo...
Dr. Hu Guozheng Reply:
Hello Leo, I’m not sure if you have undergone any imaging related to the pancreas. Generally, when it comes to pancreatitis, it is important to understand the underlying cause. However, some causes of pancreatitis may not be easily identifiable and may require monitoring over tim...[Read More] Understanding Mild Pancreatitis: Symptoms, Diagnosis, and Concerns
Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Continuation of question #187758? Hello Doctor, I previously inquired about issues related to bloating and changes in stool consistency (from thick to thin) (<a href="https://adoctor.tw/article/187758">#187758</a>), and here is the link: https://adoctor.tw/a...
Dr. Chen Shidian Reply:
First, it's important to understand that all tests have a limit to their accuracy. While colonoscopy is the most precise, it is possible for all tests to return negative results. Therefore, it is medically logical (and often a standard for health insurance review) to first a...[Read More] Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Persistent Belching After Waking: Gastrointestinal Concerns Explained
Persistent belching upon waking up? Hello Doctor, A year ago, I underwent an upper gastrointestinal endoscopy and a colonoscopy due to gastrointestinal discomfort. The endoscopy revealed a 1 cm submucosal tumor, which was confirmed to be benign. The doctor recommended regular m...
Dr. Chen Shidian Reply:
Please continue to discuss with the attending physician and monitor the symptoms/weight changes.[Read More] Persistent Belching After Waking: Gastrointestinal Concerns Explained
Bloating, Belching, and Changes in Bowel Movements: Causes and Solutions
Bloating, belching, and changes in bowel movements from thick to thin? I have had constipation issues for a long time (having a bowel movement once or twice a week). However, after taking probiotics and enzymes for the past few months, I have started to see improvement (having a ...
Dr. Chen Shidian Reply:
It is likely not directly related to cancer, but rather due to digestive motility and possibly the effects of taking probiotics. It is advisable to pay attention to diet (low oil and low dairy) and continue to monitor the situation.[Read More] Bloating, Belching, and Changes in Bowel Movements: Causes and Solutions
Understanding Back Pain and Abdominal Discomfort: Is It Pancreatic Issues?
Back pain and a feeling of heaviness in the abdomen? Hello doctor, I had an endoscopy six months ago, which indicated that I have gastroesophageal reflux disease (GERD) and esophagitis. I have been on medication for six months and have lost weight from 100 kg to 80 kg, but I stil...
Dr. Lin Minghui Reply:
A 23-year-old male is experiencing back pain and a feeling of heaviness in the abdomen, with a history of gastroesophageal reflux disease (GERD) that is managed with medication and weight loss. He reports abdominal bloating, back pain, frequent belching, and occasional heart rate...[Read More] Understanding Back Pain and Abdominal Discomfort: Is It Pancreatic Issues?
Understanding Bloating and Belching: Gastrointestinal Concerns Explained
Belching issues? Hello, doctor. Last year, I underwent an upper gastrointestinal endoscopy and was diagnosed with a gastric ulcer and Helicobacter pylori infection. After taking medication for six months, I experienced gastrointestinal discomfort and frequent diarrhea in August o...
Dr. Chen Shidian Reply:
If there is no significant weight loss, symptomatic treatment and dietary control are sufficient. Additionally, a fecal occult blood test may be performed.[Read More] Understanding Bloating and Belching: Gastrointestinal Concerns Explained
Is It GERD? Understanding Symptoms and When to Get Tested
Is it gastroesophageal reflux? Hello doctor, I recently experienced palpitations and underwent a 24-hour Holter monitor, which showed no issues. The doctor suspects it might be caused by gastroesophageal reflux disease (GERD). Two years ago, I had an endoscopy due to belching and...
Dr. Chen Shidian Reply:
You may start with outpatient medication and limit acidic and sweet foods, as well as coffee and tea. If there is no improvement, a follow-up gastroscopy may be necessary.[Read More] Is It GERD? Understanding Symptoms and When to Get Tested
Midnight Stomach Pain: Causes and Solutions for Nighttime Discomfort
Experiencing abdominal pain only at night? Hello, recently I've been experiencing abdominal pain around the area just above the navel during the night, which lasts for about an hour and is accompanied by nausea. In addition to these symptoms, I've also been dealing with...
Dr. Cai Anshun Reply:
Hello: If you have a habit of eating before bedtime, try not to eat for now. You may want to consult a gastroenterologist to assess the possibility of a peptic ulcer and determine if an endoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Midnight Stomach Pain: Causes and Solutions for Nighttime Discomfort
What is the Minimum Age for Esophageal Cancer Diagnosis?
What is the minimum age for esophageal cancer? What is the minimum age for esophageal cancer? Is it possible to have esophageal cancer at the age of 12? I have always enjoyed eating pickled foods, and recently, I have been feeling like food takes a long time to go down from my mo...
Dr. Cai Jinji Reply:
Hello: The data obtained by the physician indicates that the incidence of esophageal cancer among individuals aged 20 to 24 is 0.4%. If there are any concerns or doubts, it is still recommended to visit a hospital for examination. Director Cai Jin-ji, Department of Hepatobiliary ...[Read More] What is the Minimum Age for Esophageal Cancer Diagnosis?
Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Barrett's esophagus Hello, Doctor. Below is my esophagogastroduodenoscopy (EGD) pathology report. **Report of EGD** **Esophagus:** A shallow ulcer noted at the esophagogastric (EG) junction, s/p biopsy *1 for pathology. Mucosal break less than 5mm noted at the EG junction...
Dr. Lin Minghui Reply:
1. The esophageal mucosal biopsy from the upper gastrointestinal endoscopy shows intestinal metaplasia, which raises the suspicion of Barrett's esophagus. There is a certain degree of chronic inflammation present in the intestinal metaplasia. 2. Treatment for Barrett'...[Read More] Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips