Understanding Stomach Pain: Insights from Gastroenterology Experts
Stomach pain issues? Hello Doctor: Regarding the sharp pain in my abdomen that I mentioned last time, I have seen a gastroenterologist twice since then. Following the prescribed medication has indeed been helpful, but I still experience the following issues, which I do not unders...
Dr. Cai Anshun Reply:
Hello: The duration of medication should be determined based on the severity and cause of stomach pain. In some cases of ulcers, patients may no longer experience pain once they start medication, but it is necessary to continue treatment for a certain period until the ulcer heals...[Read More] Understanding Stomach Pain: Insights from Gastroenterology Experts
Can You Drink Milk with Acid Reflux? Myths and Facts Explained
Can people with gastroesophageal reflux disease (GERD) drink milk? Can people with gastroesophageal reflux disease (GERD) drink milk? Is GERD caused by excessive stomach acid? If so, milk could neutralize stomach acid, but it's often said that milk should be avoided. What is...
Dr. Chen Qifeng Reply:
Hello, gastroesophageal reflux occurs primarily due to insufficient contraction of the lower esophageal sphincter at the junction of the esophagus and stomach, leading to incomplete closure of the lower esophagus. When there is an increased secretion of gastric acid, it can flow ...[Read More] Can You Drink Milk with Acid Reflux? Myths and Facts Explained
Do I Need Another Endoscopy for My Recurring Stomach Issues?
If you frequently experience discomfort in your stomach, do you need to keep undergoing gastroscopy? Hello! I would like to ask: I have been troubled by my stomach for a long time. Previously, I only experienced occasional discomfort (bloating, a feeling of fullness, sometimes na...
Dr. Chen Shidian Reply:
Hello, Miss: If the symptoms persist despite ongoing treatment, further examination may be necessary to confirm the diagnosis. However, based on what you have described, it appears to be a gastrointestinal dysfunction (possibly influenced by post-surgical adhesions). It is recomm...[Read More] Do I Need Another Endoscopy for My Recurring Stomach Issues?
Understanding Gastroesophageal Reflux: Symptoms, Treatments, and Dietary Tips
Gastroesophageal reflux disease (GERD) Hello, doctor. Last October, I underwent an endoscopy, which revealed redness in the esophagus. I have been experiencing "occasional pain between the bottom of the esophagus and the stomach" and "slight burning in the stomach&...
Dr. Chen Qifeng Reply:
Dear Jie, Hello. The occurrence of gastroesophageal reflux is not related to the use of Lexotan. However, stress and anxiety may lead to increased gastric acid secretion, which can exacerbate the symptoms of gastroesophageal reflux. Consuming excessive amounts of milk can cause ...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Treatments, and Dietary Tips
Swallowing Small Bone Fragments: What You Need to Know
Swallowing small bone fragments? Dear Dr. Chen, I am the person who previously asked about "accidentally ingesting tape." Thank you for your response. I would like to ask you about an incident that occurred during dinner tonight. While chewing on some pork ribs, I felt...
Dr. Chen Qifeng Reply:
Hello: If small fragments of bone, whether from fish or meat, are accidentally ingested, the first step is to determine if there is any injury to the throat or esophagus. If it is only a laceration and not a penetration of the mucosal tissue, even if symptoms are present, symptom...[Read More] Swallowing Small Bone Fragments: What You Need to Know
Understanding Bloating and Gas Symptoms After Intense Workouts
Severe flatulence symptoms (bloating?) Hello Dr. Chen, I would like to consult you regarding the issue of belching. Symptom Description: Condition (A): After weight training on October 24 (which included chest exercises), I felt shortness of breath, weakness, and tingling in m...
Dr. Chen Qifeng Reply:
Hello: Belching is generally related to poor gastric emptying and gastrointestinal dysfunction, often accompanied by increased saliva production, which suggests a correlation with gastric acid secretion. It is recommended to visit a gastroenterologist for relevant examinations. W...[Read More] Understanding Bloating and Gas Symptoms After Intense Workouts
Understanding Upper Abdominal Bloating: Causes and Solutions
Upper abdominal bloating and pain? Hello Dr. Tsai, I have been experiencing bloating and pain in my upper abdomen (just above the navel) for over a week. Over the past six months, I have intentionally lost about 20 kilograms through exercise without taking any medication. Due to ...
Dr. Cai Anshun Reply:
Hello: Psychiatric medications should be gradually tapered under the supervision of a psychiatrist, rather than abruptly discontinued. As for whether further examinations are necessary, this should be determined after an evaluation by a gastroenterologist. Changhua Hospital cares...[Read More] Understanding Upper Abdominal Bloating: Causes and Solutions
Should You See a Doctor After Swallowing a Foreign Object?
Should I see a doctor if I accidentally swallowed a foreign object, or will it pass on its own? Hello doctor, I accidentally swallowed a piece of plastic (about two-thirds the size of a one-dollar coin). I feel fine at the moment, but do I need to see a doctor, or will it pass na...
Dr. Lin Minghui Reply:
Hello: Most cases of foreign body ingestion, if the gastrointestinal tract is structurally and functionally normal, will result in the expulsion of the ingested object. However, it is important to consider the type of foreign body ingested, such as fish bones or toothpicks, as th...[Read More] Should You See a Doctor After Swallowing a Foreign Object?
Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Gastroesophageal reflux disease (GERD) I have symptoms of gastroesophageal reflux disease (GERD), and after undergoing an endoscopy, I was graded as A. However, the report indicated that I have a hiatal hernia, stating that my stomach has moved up slightly. I am currently experie...
Dr. Cai Anshun Reply:
Hello: Currently, the mainstream treatment for gastroesophageal reflux disease (GERD) involves medication and lifestyle modifications. Surgery is generally not recommended unless medication fails and causes significant disruption to daily life. The surgical approach can utilize l...[Read More] Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Understanding Esophageal Discomfort: Symptoms and Treatment Options
Esophageal discomfort issues? Hello, doctor. Recently, I often feel a sensation of choking while eating, as if food is getting stuck in my esophagus before it slowly digests. I consulted a family medicine physician nearby, and he suggested elevating my pillow while sleeping. Afte...
Dr. Chen Qifeng Reply:
Hello: The symptoms of esophageal cancer and esophagitis can sometimes be difficult to distinguish. Esophagitis is more likely to present with odynophagia (painful swallowing), while esophageal cancer often manifests as dysphagia (difficulty swallowing). In any case, undergoing a...[Read More] Understanding Esophageal Discomfort: Symptoms and Treatment Options
Understanding the Necessity of Gastroscopy in Gastrointestinal Health
The necessity of gastroscopy? Doctor, thank you for your previous response. I would like to ask about the gastroscopy. The reason for undergoing a gastroscopy is that it is more convenient and allows for immediate treatment, but if I don't have the procedure, can I just take...
Dr. Lin Minghui Reply:
Hello: An upper gastrointestinal endoscopy is performed to check for lesions, cancer, inflammation, ulcers, or gastroesophageal reflux disease in the esophagus, stomach, and duodenum. The duration of medication treatment varies, and sometimes testing for Helicobacter pylori is co...[Read More] Understanding the Necessity of Gastroscopy in Gastrointestinal Health
Understanding Left Chest Pain: Causes and Concerns in Gastroenterology
Pain below the left rib cage? Hello Dr. Lin, I have experienced discomfort and pain under my left rib cage whenever I feel anxious or if my eating schedule is irregular. Sometimes the pain radiates and makes my entire abdomen feel uncomfortable. Recently, the frequency of this pa...
Dr. Lin Minghui Reply:
Hello: Pain under the left rib cage may involve areas such as the esophagus, stomach, intestines, pancreas, and left liver, but the likelihood of gastric pain is higher. Please pay attention to your diet, and if the pain persists, it is advisable to seek medical evaluation. Wishi...[Read More] Understanding Left Chest Pain: Causes and Concerns in Gastroenterology
Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Is esophageal ulcer prone to developing esophageal cancer? Hello Doctor: Last May, I was diagnosed with a gastric ulcer and Helicobacter pylori during an endoscopy. After two months of treatment, I underwent another endoscopy, and the doctor said the ulcer had healed and the bact...
Dr. Chen Shidian Reply:
Hello Ms. Nini: It is likely a new lesion, mostly caused by gastric acid or external irritants. A biopsy can rule out cancer, but the chances are very low (especially since you do not smoke or drink). If you are concerned, a follow-up endoscopy in 1 to 2 months would be sufficien...[Read More] Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Understanding Esophageal Tumors: Symptoms, Diagnosis, and Treatment Options
Esophageal tumor Hello, Doctor. My father has been experiencing difficulty swallowing for the past few months and is unable to eat normally; he even has to grind his medication into a powder to take it. He underwent an endoscopy two days ago, and a mass was found in his esophagus...
Dr. Chen Qifeng Reply:
Hello: Based on clinical findings, it is likely esophageal cancer. A definitive diagnosis requires the results of a biopsy. Treatment for esophageal cancer must consider the location (upper, middle, or lower esophagus) and the stage of the disease before making treatment recommen...[Read More] Understanding Esophageal Tumors: Symptoms, Diagnosis, and Treatment Options
Understanding Left Upper Abdominal Pain: Causes and Next Steps
Left upper abdominal distension and pain? For nearly two months, I have been experiencing a bloating and dull pain in the area of my stomach (I'm not sure if it's the stomach), specifically about one to two centimeters below the xiphoid process, near the lower edge of t...
Dr. Chen Qifeng Reply:
Hello: It is recommended to undergo an abdominal ultrasound examination to check for any abnormalities in the gallbladder, liver, pancreas, and other organs. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Left Upper Abdominal Pain: Causes and Next Steps
Understanding the Link Between GERD and Heart Palpitations
Gastroesophageal reflux can cause arrhythmias? Hello, Doctor: Last year, I first experienced these symptoms and underwent examinations at the cardiology department, including an echocardiogram, X-ray, and 24-hour heart rate monitoring, all of which showed normal cardiac function....
Dr. Chen Qifeng Reply:
Hello: Large studies have shown a relationship between symptoms such as angina, myocardial infarction, arrhythmias, and gastroesophageal reflux disease (GERD). If we can prevent or alleviate episodes of GERD, it may also reduce symptoms such as chest pain, chest tightness, and pa...[Read More] Understanding the Link Between GERD and Heart Palpitations
Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Gastroesophageal reflux is very bothersome? Honestly, over the past six months, I've felt quite hopeless about this condition. I'm only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last year, I underwent an...
Dr. Lin Minghui Reply:
Hello: 1. Gastroesophageal reflux disease (GERD) may not always correlate between endoscopic findings and clinical symptoms; for instance, endoscopic grading may be A or B while symptoms are severe, and some may have endoscopic grades C or D but exhibit mild symptoms. 2. GERD...[Read More] Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Understanding GERD: Treatment Challenges and Patient Concerns
Issues in the treatment of gastroesophageal reflux disease (GERD) To be honest, I have felt quite hopeless about this condition over the past six months. I am only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last ye...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is a condition that is prone to recurrence, especially in individuals with a hiatal hernia. In addition to pharmacological treatment, the following lifestyle and dietary recommendations are suggested: minimize smoking and alcohol cons...[Read More] Understanding GERD: Treatment Challenges and Patient Concerns
Understanding Stomach Ulcers and Acid Reflux: Key Questions Answered
Follow-up questions regarding gastric ulcers and gastroesophageal reflux disease (GERD)? Dr. Tsai, I apologize for asking so many questions: Previously, I mentioned that I have a gastric ulcer, but my only symptom is bloating and I don't feel much pain. I would like to ask t...
Dr. Cai Anshun Reply:
Hello: 1. As long as consumed in moderation and not excessively, it should not lead to a recurrence. 2. Of course, this condition of belching may occur because gastric acid can reflux into the esophagus during the opening of the lower esophageal sphincter. 3. The endoscope used i...[Read More] Understanding Stomach Ulcers and Acid Reflux: Key Questions Answered
Understanding Stomach Ulcers and Acid Reflux: Symptoms and Management
About gastric ulcers and gastroesophageal reflux disease (GERD)? Hello Dr. Tsai: I previously underwent an endoscopy, and the doctor mentioned that I have a mild gastric ulcer. I have been on medication for nearly three months now, and while I initially felt better, attending gat...
Dr. Cai Anshun Reply:
Hello: 1. A gastric ulcer refers to damage to the gastric mucosa, exposing the submucosal layer and potentially leading to bleeding from exposed blood vessels. The bloating you experience after a large meal may not necessarily be due to a gastric ulcer; it could also be caused by...[Read More] Understanding Stomach Ulcers and Acid Reflux: Symptoms and Management