Esophagus, Gastroenterology and Hepatology FAQ

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Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options

Low-grade esophageal dysplasia? Hello Doctor: Below is the endoscopy report from last month. The physician advised that my esophagus needs to be addressed promptly (endoscopic RFA). I have been trying to adjust my lifestyle for the past two years, but I have not been able to achi...


Dr. Lin Minghui Reply:
If the endoscopic biopsy shows Barrett's esophagus with dysplastic lesions, consideration may be given to applying endoscopic radiofrequency ablation (RFA) to treat the lesions. This is to prevent low-grade dysplasia from progressing to high-grade dysplasia and to prevent hi...

[Read More] Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options


Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges

Esophageal candidiasis? Dr. Hu: Hello, I have been undergoing endoscopic surveillance for intestinal metaplasia in recent years, and I have consistently found Candida in my esophagus every year. Although the doctors have prescribed a week-long course of antifungal medication, the...


Dr. Hu Guozheng Reply:
Esophageal candidiasis is a fungal infection of the esophagus that commonly occurs in older adults, individuals with a history of alcohol consumption, or those with chronic kidney disease or who are on immunosuppressive medications such as steroids, due to a weakened immune syste...

[Read More] Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges


Understanding Persistent Candida in the Esophagus: Causes and Concerns

Esophageal candidiasis? Dr. Chen: Hello, I have intestinal metaplasia in my stomach, so I undergo annual gastroscopy for monitoring. However, each time I find that there is Candida in my esophagus. Although the doctor has prescribed Fluconazole, it still appears every year. My at...


Dr. Chen Shidian Reply:
Related to personal immunity, blood sugar, peristalsis, and gastric acid, they are mostly harmless, but it is still advisable to understand the causes and seek treatment as necessary.

[Read More] Understanding Persistent Candida in the Esophagus: Causes and Concerns


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


Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns

Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...


Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...

[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns


Understanding Esophageal Issues: Causes and Solutions for Discomfort

Esophageal issues? In early March, I experienced severe stomach pain and subsequently underwent gastroscopy, ultrasound, blood tests, X-rays, and an electrocardiogram at a major hospital. The reports indicated that there were no significant issues. During this time, I visited the...


Dr. Yang Zhichao Reply:
Hello Ms. Betty, based on your description, it seems more like it is caused by gastroesophageal reflux. I recommend that you try to improve your symptoms through lifestyle and dietary changes, along with medication management. Thank you for your inquiry.

[Read More] Understanding Esophageal Issues: Causes and Solutions for Discomfort


Understanding Throat Pain After Gastroscopy: Causes and Concerns

Throat issues This afternoon, after undergoing an upper gastrointestinal endoscopy at Chang Gung Memorial Hospital in Taoyuan, I initially thought the throat anesthesia hadn't worn off yet. However, now that it's evening and 12 hours have passed, swallowing saliva, drin...


Dr. Lin Minghui Reply:
Esophagogastroduodenoscopy (EGD) is an invasive procedure that can cause anxiety, nausea, vomiting, and gastroesophageal reflux, which may lead to mucosal injury at the sites of esophageal and gastrointestinal narrowing. Common symptoms of esophageal injury include chest pain, an...

[Read More] Understanding Throat Pain After Gastroscopy: Causes and Concerns


Could My Symptoms Indicate Gastroesophageal Reflux Disease?

Uncertain if it could be gastroesophageal reflux disease (GERD)? Yesterday, I visited an otolaryngologist because I have been experiencing intermittent sharp pain in the front part of my neck for a month. I took medication in between, which alleviated the pain, but it has recurre...


Dr. Chen Shidian Reply:
If there is gradual improvement, you may continue to observe. Additionally, reduce the intake of sweet and sour foods.

[Read More] Could My Symptoms Indicate Gastroesophageal Reflux Disease?


Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity

Is it possible to completely cure Barrett's esophagus? Is surgery necessary? Hello Doctor: During my endoscopy for gastroesophageal reflux disease, I was diagnosed with Barrett's esophagus. The clinic physician mentioned that it is "non-dysplastic." Currently,...


Dr. Hu Guozheng Reply:
It is generally recommended to have follow-up appointments at least once a year, although this may vary depending on individual health conditions. It is advisable to seek follow-up and treatment at a gastroenterology clinic in a regional hospital or higher, and to discuss any que...

[Read More] Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity


Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter

Lower esophageal sphincter relaxation with Barrett's esophagus? Hello Doctor: I went to the hospital for a check-up last September due to discomfort, and an endoscopy revealed that I have Barrett's esophagus without dysplasia. The doctor mentioned that my lower esophage...


Dr. Hu Guozheng Reply:
Each individual's condition is different. It is advisable to consult your attending physician for recommendations regarding medication and subsequent treatment options. Thank you.

[Read More] Understanding Barrett's Esophagus and Relaxed Lower Esophageal Sphincter


Understanding Your Endoscopy Report: Key Findings and Next Steps

I would like to inquire about the results of the gastroscopy examination report? Hello Doctor, here is a report from an endoscopy examination, and I would like to inquire about the results. ENDOSCOPY FINDINGS: Esophagus: normal appearance Esophagogastric junction: mucosal break ...


Dr. Lin Minghui Reply:
The endoscopy report indicates: 1. Mild gastroesophageal reflux. 2. Inflammation in the gastric antrum with biopsy performed. 3. A small polyp measuring 0.1 cm in the gastric body, suspected to be a fundic gland polyp, with biopsy performed. Please return for a follow-up to revie...

[Read More] Understanding Your Endoscopy Report: Key Findings and Next Steps


Understanding Your Endoscopy Report: Key Findings and Recommendations

Inquiry about the gastroscopy report? ENDOSCOPY FINDINGS: Esophagus: normal appearance Esophagogastric junction: mucosal break < 5 mm (Minimal change) Fundus: normal appearance Body: One 1 mm sessile polyp in the lower body, GCS s/p biopsy (A) Angularis: normal appea...


Dr. Lin Minghui Reply:
Hello: The gastroscopy report indicates 1. mild gastroesophageal reflux. 2. inflammation in the gastric antrum with biopsy performed. 3. a small polyp measuring 0.1 cm in the gastric body, suspected to be a fundic gland polyp, with biopsy performed. Please return for a follow-up ...

[Read More] Understanding Your Endoscopy Report: Key Findings and Recommendations


Managing Bloating and Vomiting: Understanding Functional Gastrointestinal Disorders

Abdominal distension and vomiting? Hello Doctor, around July, I frequently experienced vomiting and was hospitalized for examinations, including an endoscopy, ultrasound, esophageal pressure testing, pH monitoring of the esophagus, gastric emptying study, and abdominal MRI. Most ...


Dr. Chen Shidian Reply:
Please discuss the medication with the attending physician again.

[Read More] Managing Bloating and Vomiting: Understanding Functional Gastrointestinal Disorders


Managing Bloating and Vomiting: Understanding Functional Gastrointestinal Issues

Abdominal distension and vomiting? Hello Doctor, around July, I frequently experienced vomiting and was hospitalized for examinations, including gastroscopy, ultrasound, esophageal pressure testing, pH monitoring of the esophagus, gastric emptying study, and abdominal MRI. Most r...


Dr. Chen Shidian Reply:
Please discuss the medication with the attending physician again.

[Read More] Managing Bloating and Vomiting: Understanding Functional Gastrointestinal Issues


Managing Retained Surgical Clips in the Esophagus: A Gastroenterology Concern

Retained screws after esophageal surgery? A year and a half ago, I experienced sudden severe vomiting, which resulted in two episodes of vomiting blood. I went to the emergency room, where an endoscopy was performed and it was discovered that the severe vomiting caused a tear in ...


Dr. Hu Guozheng Reply:
We recommend that you visit the gastroenterology and hepatology outpatient clinic for evaluation. Thank you.

[Read More] Managing Retained Surgical Clips in the Esophagus: A Gastroenterology Concern


Understanding Post-Vomiting Nausea: Causes and Remedies

Induced vomiting; feeling the urge to vomit two weeks later? Hello doctor, two weeks ago I felt like there was something stuck in my throat, so I induced vomiting for about half an hour. I didn't bring up much food, but after inducing vomiting, I didn't feel nauseous an...


Dr. Chen Shidian Reply:
Inducing vomiting is not recommended. If discomfort persists, seek medical treatment, and if necessary, an endoscopy may be performed.

[Read More] Understanding Post-Vomiting Nausea: Causes and Remedies


Understanding Esophageal Lipomas: Symptoms, Risks, and Follow-Up Care

Gastrointestinal Endoscopy Issues Hello, doctor. I had an upper gastrointestinal endoscopy at the clinic over two months ago, and the physician mentioned that a mass suspected to be a lipoma was found at the distal end of the esophagus. He also indicated that it is likely not eso...


Dr. Cai Anshun Reply:
Hello: Usually, leiomyomas are more common and are benign lesions. It is recommended to undergo further endoscopic ultrasound examination. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Esophageal Lipomas: Symptoms, Risks, and Follow-Up Care


Understanding Esophageal Injury: Symptoms, Treatment, and Recovery

Esophageal injury On the evening of October 25th, I took antibiotics and a small orange pill without water after visiting a dermatologist, and then went straight to sleep. The next day, on October 26th, I woke up with a sensation of something stuck in my throat, so I went to see ...


Dr. Chen Shidian Reply:
It is likely that the medication caused local irritation leading to mucosal damage. If necessary, an endoscopy can be performed for confirmation. Initially, consume cool, soft foods, and resume a normal diet after 3-5 days. Mucosal protectants can be used for treatment.

[Read More] Understanding Esophageal Injury: Symptoms, Treatment, and Recovery


Understanding GERD: When Medication Stops Working and Next Steps

Gastroesophageal reflux disease (GERD) I would like to ask the doctor about gastroesophageal reflux disease (GERD). I previously underwent an endoscopy, which confirmed that I have esophageal reflux with noticeable damage to the esophagus. The doctor prescribed Nexium (esomeprazo...


Dr. Chen Shidian Reply:
The validity of the gastroscope is four months. Symptom management still requires lifestyle adjustments, and prokinetic agents may be added if necessary.

[Read More] Understanding GERD: When Medication Stops Working and Next Steps


Understanding Lipomas in the Esophagus: Risks and Follow-Up Care

Gastrointestinal Endoscopy Issues Hello Doctor, about two months ago I underwent an esophagogastroduodenoscopy (EGD) at the clinic, where the physician found something at the end of my esophagus that might be a lipoma. The doctor mentioned that it is likely not esophageal cancer,...


Dr. Hu Guozheng Reply:
Hello! Please follow the clinic physician's advice to undergo examination and outpatient consultation at the hospital. Thank you.

[Read More] Understanding Lipomas in the Esophagus: Risks and Follow-Up Care


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