Understanding Stomach Issues: Gas, Pain, and the Need for Endoscopy
Please ask your question! Hello Dr. Tsai, I previously consulted you regarding issues related to my stomach, and I apologize for bothering you again. 1. Over the past few days, I have been experiencing bloating and a feeling of pressure in my stomach. I had a follow-up appoin...
Dr. Cai Anshun Reply:
Hello: (1) Gastroesophageal reflux disease (GERD) primarily affects the lower esophagus, while gastric ulcers primarily affect the stomach. One common cause of both conditions is gastric acid. Theoretically, taking medications to reduce gastric acid can simultaneously treat both ...[Read More] Understanding Stomach Issues: Gas, Pain, and the Need for Endoscopy
Understanding Stomach Pain: Questions on Acid Control and Gastritis
Issues related to stomach pain? Hello Dr. Tsai, I previously raised questions regarding the use of Nexium, and I would like to ask a few final questions. Thank you. (I apologize for asking here since my last follow-up appointment has concluded, and I will only return if there a...
Dr. Cai Anshun Reply:
Hello: 1. Medications cannot completely neutralize stomach acid; they only reduce the acidity of gastric secretions and do not render them completely neutral. 2. Antacids primarily work by directly neutralizing the stomach acid that has already been secreted, and they can sometim...[Read More] Understanding Stomach Pain: Questions on Acid Control and Gastritis
Why Do I Still Experience Stomach Pain After Ulcer Treatment?
Even after a gastric ulcer has healed, stomach pain may still persist? I underwent an upper gastrointestinal endoscopy in early May this year, which revealed a gastric ulcer and tested positive for Helicobacter pylori. After two months of treatment, I had another endoscopy at the...
Dr. Chen Shidian Reply:
Hello NINI, the visible ulcers have healed. However, functional disorders and subtle gastroesophageal reflux may still be present and cause symptoms. Medication adjustments can be made for treatment. If the condition continues to worsen, further examination may be necessary. Chan...[Read More] Why Do I Still Experience Stomach Pain After Ulcer Treatment?
Can Gastroscopy Also Examine the Esophagus and Throat?
Gastrointestinal endoscopy..? Can an endoscopy also examine the esophagus and throat?
Dr. Cai Anshun Reply:
Hello: During an upper gastrointestinal endoscopy, the esophagus is always examined; however, the examination of the throat may often be hindered by the patient's gag reflex, making it difficult to see clearly. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Can Gastroscopy Also Examine the Esophagus and Throat?
Understanding Esophagitis and Its Link to Esophageal Cancer Risk
Esophagitis and Esophageal Cancer Hello, the results of the gastroscopy show some redness but no ulcers or tumors. The doctor indicated mild esophagitis and mentioned that individuals with esophagitis are at a higher risk of developing esophageal cancer compared to those without....
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux is reversible; however, prolonged reflux can lead to the replacement of the esophageal squamous cells with gastric columnar cells, a condition known as Barrett's esophagus. The prevalence of Barrett's esophagus worldwide ranges from approx...[Read More] Understanding Esophagitis and Its Link to Esophageal Cancer Risk
Understanding Your Endoscopy Results: What Does Mild Redness Mean?
Gastrointestinal endoscopy results? Hello, doctor. Recently, I had an endoscopy due to stomach discomfort, and the physician prescribed some medications to control stomach acid. The endoscopy results did not indicate any significant abnormalities, but there was a slight redness o...
Dr. Cai Anshun Reply:
Hello: Since I did not see the images from the gastroscopy, I am unable to answer your questions. If you have any concerns, please feel free to ask for clarification on the gastroscopy report during your next follow-up appointment. Changhua Hospital cares about your health. Dr. T...[Read More] Understanding Your Endoscopy Results: What Does Mild Redness Mean?
Accidentally Swallowed Chicken Bone: Should You Get an Endoscopy?
Accidentally ingested a chicken bone? I went to the hospital for an X-ray of my throat, but nothing was found. They also inserted a tube through my nostril for examination, and again, nothing was seen. When they suggested scheduling an endoscopy, I refused out of fear. Recently, ...
Dr. Chen Qifeng Reply:
Hello: Ingesting chicken or fish bones can lead to two scenarios. One is a scratch, which typically presents with milder symptoms and can be managed with medication. The other involves the bone becoming lodged in the esophagus, leading to more severe symptoms affecting the gastro...[Read More] Accidentally Swallowed Chicken Bone: Should You Get an Endoscopy?
Navigating Digestive Issues: Where to Start with Gastroenterology?
I don't know which specialty to start with? I have been experiencing various health issues lately and I'm unsure where to start. I would like to ask the doctors for a simple assessment of which problems should be prioritized for treatment. 1. I often feel like there i...
Dr. Lin Minghui Reply:
Hello: If you have multiple health issues and are unsure which specialty to consult, you may start with general internal medicine or family medicine. Based on your description of gastrointestinal and rectal problems, it is advisable to see a gastroenterologist and a colorectal sp...[Read More] Navigating Digestive Issues: Where to Start with Gastroenterology?
Understanding Vomiting Blood and Difficulty Swallowing: A Gastrointestinal Concern
Difficulty swallowing after vomiting blood? Hello doctor, today I had dinner at a restaurant and only ate two plates of food. I'm not sure if I ate too quickly, but suddenly I felt bloated in my abdomen and had a tight sensation in my left chest, as if something was stuck in...
Dr. Lin Minghui Reply:
Hello: Esophageal foreign body vomiting may lead to esophagitis and esophageal tears with bleeding. It is recommended to avoid irritating foods, including tea, coffee, chocolate, and fried foods. Symptoms such as chest discomfort and belching may occur. Differential diagnoses inc...[Read More] Understanding Vomiting Blood and Difficulty Swallowing: A Gastrointestinal Concern
Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Gastroesophageal reflux disease (GERD) Doctor, I apologize. A few days ago, I went to a nearby hospital for an examination and had an upper gastrointestinal endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), which is mild. I would like to ask if this condit...
Dr. Li Yongming Reply:
Hello, gastroesophageal reflux disease (GERD) is defined according to the "Montreal definition" as the condition where gastric contents flow back into the esophagus, causing symptoms or injury to the esophagus, leading to discomfort or complications. Most patients exper...[Read More] Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Understanding Heartburn: Causes, Symptoms, and Treatment Options
Heartburn issues? I work in the courier industry, and my job is quite stressful. In recent years, I have frequently experienced what is known as heartburn and have undergone an endoscopy, which revealed a mild gastric ulcer. The doctor mentioned that it is due to gastroesophageal...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is a condition that is prone to recurrence. Simply put, it occurs when the lower esophageal sphincter does not close properly due to individual physiology, allowing stomach acid to flow back into the esophagus. It is recommended to st...[Read More] Understanding Heartburn: Causes, Symptoms, and Treatment Options
Possible Causes of My Boyfriend's Frequent Blood Vomiting
My boyfriend has been continuously vomiting small amounts of blood? I would like to ask about my boyfriend who has been consistently vomiting small amounts of blood for the past month, possibly around twice a day (small amounts). What kind of conditions could this indicate?
Dr. Chen Qifeng Reply:
Hello: Blood coming from the mouth can have three potential sources: 1. Gum bleeding, which should be evaluated by a dentist. 2. Hemoptysis, accompanied by a cough, which should be assessed by a pulmonologist. 3. True hematemesis, where blood is expelled from the esophagus, stoma...[Read More] Possible Causes of My Boyfriend's Frequent Blood Vomiting
Dealing with Hiccups and Chest Discomfort: What You Need to Know
If you are experiencing hiccups and a feeling of chest tightness, it is important to take the following steps: 1. **Stay Calm**: Anxiety can exacerbate symptoms, so try to relax. 2. **Hydrate**: Drink water slowly to help alleviate hic Hello, I would like to ask about a situatio...
Dr. Chen Qifeng Reply:
Hello: Symptoms such as hiccups and chest tightness may be caused by gastroesophageal reflux disease (GERD). If over-the-counter medications do not provide relief, it is recommended to undergo an upper gastrointestinal endoscopy. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, ...[Read More] Dealing with Hiccups and Chest Discomfort: What You Need to Know
Understanding Bloating: Causes and Solutions for Digestive Discomfort
Abdominal bloating? I ate significantly less than usual yesterday and the day before, but I didn't feel hungry. Last night, I ate a bit more than the night before, yet I felt like the food was backing up in my esophagus. I took a digestive aid last night and felt less full a...
Dr. Cai Jinji Reply:
Hello: There are many causes of abdominal bloating, which may involve the stomach, intestines, or liver and gallbladder issues. It is recommended to visit a clinic for further evaluation and treatment by a physician. Wishing you peace and good health.[Read More] Understanding Bloating: Causes and Solutions for Digestive Discomfort
Understanding Duodenal Ulcer Treatment and Managing Symptoms
Treatment of Duodenal Ulcer Hello Doctor, I recently underwent an upper gastrointestinal endoscopy due to discomfort in my stomach, and the doctor mentioned that I have a mild duodenal ulcer without Helicobacter pylori infection. I was prescribed Pantoprazole for two months. In t...
Dr. Li Yongming Reply:
Nexium (esomeprazole) belongs to the class of proton pump inhibitors and is currently the strongest antacid approved by the Taiwan Ministry of Health and Welfare. Commonly used proton pump inhibitors include Pantoloc (pantoprazole), Nexium (esomeprazole), Pariet (rabeprazole), an...[Read More] Understanding Duodenal Ulcer Treatment and Managing Symptoms
Can I Drink Soy Milk with Acid Reflux? Dietary Tips for Relief
About gastroesophageal reflux disease (GERD)? Hello, doctor! I came in feeling some discomfort in my stomach, and after seeing the doctor, I was diagnosed with gastroesophageal reflux disease (GERD). The doctor provided me with a dietary guideline that lists foods I can and canno...
Dr. Li Yongming Reply:
Gastroesophageal reflux disease (GERD) is caused by the involuntary relaxation or decreased tension of the lower esophageal sphincter, preventing the closure of the gastroesophageal junction. This allows gastric acid to flow back into the esophagus, which, due to its thin walls, ...[Read More] Can I Drink Soy Milk with Acid Reflux? Dietary Tips for Relief
Persistent Nausea and Burping: Understanding Gastrointestinal Issues
Belching and nausea? Hello Dr. Lee: For the past two months, I have been experiencing nausea and a sensation of something stuck in my throat after meals, which is quite uncomfortable. I find that I need to burp continuously to relieve the discomfort. In the past two weeks, the sy...
Dr. Li Yongming Reply:
Hello, based on your symptoms, it appears you may be experiencing a sensation of a lump in the throat (globus sensation). Medically, there is no specific etiology or mechanism that can directly explain this condition. When the symptoms occur, there may be increased pressure in th...[Read More] Persistent Nausea and Burping: Understanding Gastrointestinal Issues
Understanding Cough Caused by Acid Reflux: When to See a Gastroenterologist
Cough caused by acid reflux? Hello Dr. Chen: Recently, I visited an otolaryngologist due to a persistent cough (I often feel a foreign body sensation and itchiness in my throat, with minimal phlegm. When I cough forcefully, some air from my stomach comes out, but I don't fee...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux occurs mainly due to the inadequate closure of the gastroesophageal sphincter, allowing gastric acid, gastric contents, and food to flow back into the esophagus, leading to inflammation of the lower esophagus. Based on your symptoms, it is recommend...[Read More] Understanding Cough Caused by Acid Reflux: When to See a Gastroenterologist
Managing Chronic Inflammation: Tips for Liver, Stomach, and Throat Health
Chronic inflammation Hello doctor, I am a carrier of hepatitis B and I have chronic inflammation in my liver, stomach, esophagus, and throat. I am deeply troubled by this chronic inflammation and my overall health is not good. I am unsure how to treat it. Please give me some advi...
Dr. Chen Shidian Reply:
Hello Mr. Hsiao: There should be no direct relationship between being a carrier of hepatitis B and gastrointestinal issues. If you are experiencing gastroesophageal reflux, you can visit a gastroenterology clinic for examination and treatment to manage it. Dr. Chen Shih-Tien from...[Read More] Managing Chronic Inflammation: Tips for Liver, Stomach, and Throat Health
Are Stomach Ulcers and GERD the Same Condition? Understanding the Differences
Is a gastric ulcer the same as gastroesophageal reflux disease (GERD)? View Count: [Date of Inquiry] 2011/05/19 [Question] Inquirer: Ayi / Male / 30 "Hello Doctor: During my last gastroscopy, the doctor said I have an ulcer at the junction of my stomach and esophagus, and th...
Dr. Chen Qifeng Reply:
Hello: If esophageal ulcers are caused by gastroesophageal reflux disease (GERD), the symptoms are generally similar to those of GERD, although there may be symptoms of odynophagia (painful swallowing). Common symptoms of GERD include heartburn, regurgitation of gastric acid, and...[Read More] Are Stomach Ulcers and GERD the Same Condition? Understanding the Differences