Are Esophageal Ulcers and GERD the Same Condition?
Is a gastric ulcer the same as gastroesophageal reflux disease (GERD)? Hello, Doctor: During my last gastroscopy, the doctor mentioned that I have an ulcer at the junction of my stomach and esophagus, and also diagnosed me with gastroesophageal reflux disease (GERD). Are these th...
Dr. Chen Qifeng Reply:
Hello, regarding your questions, here are the responses: 1. More severe gastroesophageal reflux disease (GERD) can cause ulcers at the distal end of the esophagus. However, not all esophageal ulcers are caused by GERD. 2. Chronic gastroesophageal reflux can potentially lead to ...[Read More] Are Esophageal Ulcers and GERD the Same Condition?
Understanding Gastrointestinal Discomfort: Is It GERD?
I would like to inquire about issues related to stomach discomfort? Hello Dr. Chen: For the past month and a half, I have frequently felt as though the food I swallow is not completely going down. I have a sensation of a foreign body in my throat, and I have experienced sharp che...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, there is a high possibility of gastroesophageal reflux disease (GERD). Some antibiotics or medications may also irritate the esophagus. Please visit a gastroenterology clinic for diagnosis and treatment. Wishing you good health. Dr. Chi-Feng Chen, Ta...[Read More] Understanding Gastrointestinal Discomfort: Is It GERD?
Long-Term Use of Omelon for Stomach Issues: Risks and Concerns
Long-term use of gastric protective medications and issues related to gastric compartment syndrome? Hello Doctor: I have two questions. I have been taking Yongxin Omelon for gastric protection for six years. I originally had mild gastric and esophageal ulcers, but my last endosco...
Dr. Lin Minghui Reply:
Gastroesophageal reflux disease (GERD) is related to dietary habits, medication use, lower esophageal sphincter relaxation, esophageal structure, neurosecretion, and psychological factors. Medications can improve symptoms, but even after improvement, symptoms may still occur. It ...[Read More] Long-Term Use of Omelon for Stomach Issues: Risks and Concerns
Alternative Tests for Diagnosing Acid Reflux Beyond Endoscopy
Additionally, I would like to ask? I forgot to ask earlier, I would like to inquire if there are other methods to diagnose gastroesophageal reflux disease (GERD) besides endoscopy?
Dr. Chen Shidian Reply:
Hello Ms. Momo: Additionally, a pH test probe can be inserted into the esophagus to measure the changes in pH levels over the course of a day. However, very few physicians perform this type of examination. Changhua Hospital is concerned about your health. Sincerely, Chen Shidian.[Read More] Alternative Tests for Diagnosing Acid Reflux Beyond Endoscopy
Understanding Persistent Bloating: Dietary Tips and Medical Insights
My bloating has not improved? My bloating has not improved; what should I avoid eating? Response Date: 2010/12/07 Response from Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan Hospital: Hello, the discomfort on the left side of your abdomen near the navel is most...
Dr. Chen Qifeng Reply:
1. Loose stools associated with bloating may be due to intestinal inflammation. It is advisable to avoid greasy and irritating foods and to limit milk intake. 2. General bleeding is characterized by black stools, which can be abundant and may even appear as a black, tarry consi...[Read More] Understanding Persistent Bloating: Dietary Tips and Medical Insights
Understanding Stool Color Changes: Causes and When to Seek Help
Stool color I have severe habitual constipation and often do not have a bowel movement for a week, and when I do, the stool is usually hard and pellet-like. Recently, in the last two or three bowel movements, a small portion (not all) appeared to be slightly brownish, and I'...
Dr. Lin Minghui Reply:
Hello, 1. Regarding stool color, hematochezia generally refers to the presence of blood in the stool, which appears red. This typically indicates lesions in the anus or rectum, such as hemorrhoids, anal fissures, polyps, or inflammation. 2. The color of the stool is related t...[Read More] Understanding Stool Color Changes: Causes and When to Seek Help
Understanding Your Stomach Issues: Should You Test for H. Pylori?
excuse me? Hello, Doctor. I do not have any bad habits such as smoking, drinking alcohol, or chewing betel nut (and neither do my family members). Since February of this year, I have been experiencing discomfort in my stomach. I consulted both a family doctor and a traditional Ch...
Dr. Chen Shidian Reply:
Hello, sir: Currently, ultrasound is not appropriate for assessing the stomach, and your gastric symptoms do indeed require an endoscopy. If you have a fear of endoscopy, you may choose a hospital that offers sedation for the procedure. Changhua Hospital cares about your health.[Read More] Understanding Your Stomach Issues: Should You Test for H. Pylori?
Managing Excess Stomach Acid: Antacids vs. Food Choices
Excess stomach acid Hello Dr. Chen, I often experience excessive stomach acid, but not just before meals. Sometimes it occurs after eating or in between meals, and I feel a dull pain at the junction of the stomach and esophagus, or in my chest and back. Should I take an antacid o...
Dr. Chen Shidian Reply:
Hello, sir: If the abdominal pressure is too high after meals (due to overeating or a tight belt) or if you consume too much sweet or acidic food, it can lead to reflux. Antacids or prokinetic agents are often used to help control the symptoms. If these are not effective, an endo...[Read More] Managing Excess Stomach Acid: Antacids vs. Food Choices
Managing Upper Abdominal Discomfort: Medication Adjustments for Relief
Discomfort in the upper part of the stomach? I previously had gastroesophageal reflux disease (GERD) and after taking medication for a while, my condition improved significantly. Recently, I have been experiencing stomach issues. After each meal, I feel very uncomfortable in my s...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, it may be gastroesophageal reflux disease (GERD) and gastritis. It is recommended to discontinue the use of motility agents, continue with the other medications, and add medications for postprandial bloating. Wishing you good health. Dr. Chi-Feng Che...[Read More] Managing Upper Abdominal Discomfort: Medication Adjustments for Relief
Understanding Esophageal Discomfort: Causes and Solutions
Discomfort in the esophagus? Hello doctor, I had an upper gastrointestinal endoscopy six months ago, and aside from being diagnosed with gastroesophageal reflux disease (GERD), there were no significant issues. However, in the past few days, I've been experiencing discomfort...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, it appears to be a recurrence of gastroesophageal reflux disease (GERD). Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Esophageal Discomfort: Causes and Solutions
Understanding Chest Discomfort: GERD Symptoms and Management
The junction between the stomach and the esophagus often experiences a feeling of pressure or pain? I have symptoms of gastroesophageal reflux disease (GERD), but I have been feeling much better since taking medication. The chest tightness has improved, but I still frequently exp...
Dr. Chen Qifeng Reply:
Hello, you have undergone an endoscopy, which should have ruled out the possibility of cancer. Gastroesophageal reflux disease (GERD) is indeed prone to recurrence and can be easily affected by diet. Wishing you good health. Dr. Chen Chih-Feng, Taoyuan General Hospital, Departmen...[Read More] Understanding Chest Discomfort: GERD Symptoms and Management
Understanding Gastrointestinal Issues: When to Seek Medical Attention
I'm really worried about my gastrointestinal condition..? I have had a history of constipation for quite some time, probably for a few years now. A few years ago, I started experiencing pain and bleeding from the anus during bowel movements due to the stool being too hard. S...
Dr. Chen Qifeng Reply:
Hello, it is recommended to have a colon examination by a gastroenterologist. If the structure is normal, it may be due to gastrointestinal dysfunction and hemorrhoids; if it is merely a functional issue, adjusting dietary and bowel habits is the best approach. As for passing bla...[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Attention
Managing GERD Symptoms: Can I Combine PPI with Antacid Before Bed?
What medications can be taken before bedtime for gastroesophageal reflux disease (GERD)? Hello Dr. Chen, I have gastroesophageal reflux disease (GERD) and experience reflux symptoms at night. My doctor prescribed "Boweikang Zhi Kuiluo" (a PPI) which I have been taking...
Dr. Chen Qifeng Reply:
Hello, if you are taking a PPI (proton pump inhibitor) in the evening, it is recommended to take it around 9 PM. If one dose is insufficient, it is also suggested to take it twice a day, in the morning and evening. If you are taking a PPI once a day and still feel that acid suppr...[Read More] Managing GERD Symptoms: Can I Combine PPI with Antacid Before Bed?
Managing Nighttime Symptoms of GERD: Seeking the Right Specialist
excuse me? It seems that many people, like me, are suffering from gastroesophageal reflux disease (GERD). After undergoing an endoscopy, my doctor informed me that my lower esophageal sphincter is not closing properly, and this condition has significantly affected my quality of l...
Dr. Chen Qifeng Reply:
Hello, if gastroesophageal reflux disease (GERD) triggers asthma, resolving the GERD will certainly improve asthma symptoms, but dietary and lifestyle changes must also be implemented. It is important to avoid smoking, alcohol, tea, coffee, spicy foods, glutinous rice, overly swe...[Read More] Managing Nighttime Symptoms of GERD: Seeking the Right Specialist
Understanding GERD: Symptoms, Causes, and Treatment Insights
Gastroesophageal reflux and the gastroesophageal junction? Hello Doctor: I have a few questions I would like to ask you. 1. Gastroesophageal reflux disease (GERD) generally refers to the esophagus being affected by stomach acid. However, my symptoms include discomfort in the st...
Dr. Chen Qifeng Reply:
Hello, 1. Gastroesophageal reflux disease (GERD) is assessed both by symptoms and through endoscopic diagnosis. It is often accompanied by gastritis or peptic ulcers, and therefore, gastric symptoms are commonly present. 2. For GERD, mild cases typically require treatment for...[Read More] Understanding GERD: Symptoms, Causes, and Treatment Insights
Understanding Your Stomach Issues: Bloating, Belching, and Discomfort
Hello, Doctor... my stomach..? I previously experienced gastroesophageal reflux disease (GERD) and have adjusted my diet, daily routine, and completely avoided late-night snacks. After taking both Western and traditional Chinese medicine, I saw improvements; at least food no long...
Dr. Chen Shidian Reply:
Hello Sir: Sorry for the late reply! It should be gastroesophageal reflux disease (GERD). Eating smaller, more frequent meals, reducing abdominal pressure, and limiting acidic/sweet foods while increasing alkaline foods can help improve the condition initially. For severe cases, ...[Read More] Understanding Your Stomach Issues: Bloating, Belching, and Discomfort
Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been experiencing gastroesophageal reflux for almost 4 months now. I have undergone various tests including gastroscopy, X-rays, blood tests, and ultrasound. The gastroscopy report indicated that there is erosion in my s...
Dr. Chen Qifeng Reply:
Hello, 1. Nexium is currently one of the most potent acid-suppressing medications available, but individual "dosage requirements" may vary. Some GERD patients may need to take it twice a day to adequately relieve their symptoms (however, health insurance does not cove...[Read More] Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Understanding Your Worsening GERD Symptoms: What to Do Next?
Hello doctor, could you please tell me what is wrong with my stomach? I previously visited a family doctor who diagnosed me with gastroesophageal reflux disease (GERD) and prescribed medication, which helped somewhat. However, I still experience intermittent symptoms like belchin...
Dr. Chen Qifeng Reply:
Hello, if dietary and lifestyle adjustments have been made appropriately and symptoms persist, it is recommended to undergo further examination with an upper gastrointestinal endoscopy. Wishing you good health, Dr. Chen Qi-feng, Taoyuan Hospital, Department of Health.[Read More] Understanding Your Worsening GERD Symptoms: What to Do Next?
Managing Severe Acid Reflux: Effective Treatments and Tips
Severe acid reflux causes discomfort? Hello Doctor, I have been experiencing severe acid reflux for about two weeks, with acid reaching my mouth, throat, and esophagus. I also have two small blisters on my throat and my voice is somewhat hoarse, fluctuating between better and wor...
Dr. Chen Qifeng Reply:
Hello, the treatment for gastroesophageal reflux disease (GERD) primarily involves proton pump inhibitors (PPIs) such as Nexium, taken once or twice a day, with rarely a need for more than this dosage. If there is no improvement, it is recommended to consult a gastroenterologist....[Read More] Managing Severe Acid Reflux: Effective Treatments and Tips
Understanding Post-Meal Nausea: Causes and Concerns in Digestive Health
Feeling nauseous after eating? Hello Dr. Chen, I've been experiencing nausea after meals for quite some time now, along with a cough and a feeling of wanting to vomit. Usually, after vomiting once or twice, I feel much better. I went to the hospital for an endoscopy, and the...
Dr. Chen Shidian Reply:
Hello, sir: Please trust the professional examination of your gastroenterologist and pay attention to whether there is improvement after treatment. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Post-Meal Nausea: Causes and Concerns in Digestive Health