Understanding Blood in Vomit: Causes and When to Seek Help
Vomiting with blood? Feeling bloated after eating too much at night and then inducing vomiting can be concerning, especially if you noticed blood in the vomit. The presence of blood, even if it was only in one instance, could indicate a potential issue such as irritation or damag...
Dr. Lin Minghui Reply:
Hello, vomiting or severe vomiting, such as after excessive alcohol consumption, can cause injury to the gastric and esophageal mucosa, leading to bleeding. The most common injury is a tear at the esophagogastric junction, which is usually minor and can heal on its own. However, ...[Read More] Understanding Blood in Vomit: Causes and When to Seek Help
Understanding Gastrointestinal Issues: Ulcers, Reflux, and Medication Options
excuse me? I am a patient with a gastric ulcer and gastroesophageal reflux disease (GERD). After taking medication for three months, I have recently been experiencing a taste of medication from my throat to my esophagus. Could this be related to abnormal motility of the digestive...
Dr. Lin Minghui Reply:
Hello, 1. It may be related to gastroesophageal reflux. 2. Mosapride can promote gastrointestinal motility. 3. Low pressure of the lower esophageal sphincter can sometimes lead to the reflux of stomach contents. Certain external factors such as gastric distension, irritant fo...[Read More] Understanding Gastrointestinal Issues: Ulcers, Reflux, and Medication Options
Understanding Excess Stomach Acid: Causes, Diet, and Lifestyle Tips
Excess stomach acid issues? I have undergone an upper gastrointestinal endoscopy, and the doctor said I have excessive stomach acid. May I ask: 1. What causes excessive stomach acid? 2. When during the day is stomach acid usually higher? 3. What dietary restrictions should I foll...
Dr. Chen Shidian Reply:
Hello, Sir: Excess stomach acid is not necessarily due to an absolute excess amount, but rather the irritation of the stomach lining when the stomach is empty, or the discomfort caused by intermittent reflux into the esophagus. Generally, it is advisable to avoid irritating foods...[Read More] Understanding Excess Stomach Acid: Causes, Diet, and Lifestyle Tips
Understanding Week-Long Stomach Pain and Black Stool: When to Seek Help
Abdominal pain for one week + occasional black stools? Hello, doctor. Due to the end-of-term exams, my schedule has been a bit disrupted. For the past week, I've been experiencing stomach pain at midnight (including pain under my right rib), specifically in the upper abdomin...
Dr. Chen Shidian Reply:
Hello Ms. Lingling: It is still possible that your gastric or esophageal damage is caused by your lifestyle or antibiotics. It is recommended that you return to the outpatient clinic for examination and treatment. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Week-Long Stomach Pain and Black Stool: When to Seek Help
Understanding Painful Swallowing: Possible Causes and Solutions
Pain while swallowing food? Doctor, I recently recovered from a cold, but I still feel like there's something stuck in my throat, as if I haven't swallowed a pill properly. Sometimes this sensation disappears, but when I swallow food, I experience pain as if something i...
Dr. Chen Qifeng Reply:
Hello, there are two possible scenarios: 1. After taking cold medication, excessive stimulation of gastric acid secretion may lead to acid reflux, causing a sensation of a foreign body in the throat. 2. Taking cold medication may directly irritate the esophagus, resulting in esop...[Read More] Understanding Painful Swallowing: Possible Causes and Solutions
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Gastroesophageal reflux disease (GERD) About a month ago, I started feeling a sensation of fluid in my throat and esophagus when lying down (could this be considered acid reflux or excessive stomach acid?). After two weeks, I experienced a feeling of a foreign body and pressure i...
Dr. Chen Shidian Reply:
Hello Mr. QQ: In cases of mild gastroesophageal reflux, an endoscopy may not reveal any damage to the esophagus. However, there may be changes in the throat (but this can vary based on the subjective judgment of different physicians). If you still suspect that stomach acid is the...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Regarding swallowing disorders? Hello Doctor: My mother has been experiencing discomfort in her throat, with a sensation of something being stuck, since she had a cold in April or May of the year before last. Subsequently, she has also been experiencing hiccups, and she feels the...
Dr. Chen Qifeng Reply:
Hello, if there is a sensation of something stuck in the throat or a growth, it can usually be seen with an upper gastrointestinal endoscopy. This is often a symptom of gastroesophageal reflux disease (GERD), which is commonly associated with excessive stomach acid. If treated pr...[Read More] Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Managing Heartburn and Digestive Issues: A Guide for Obese Patients
What should I do if I have burning sensations in my stomach and esophagus? Hello, doctor. I am a person with severe obesity, and due to irregular eating habits, I tend to binge eat. About one to two hours after eating, I feel a sensation of something stuck in my throat, and my st...
Dr. Chen Qifeng Reply:
Hello, severe obesity is indeed a risk factor for gastroesophageal reflux disease (GERD). Additionally, you have delayed gastric emptying and a positive serum test for Helicobacter pylori. Therefore, undergoing an upper gastrointestinal endoscopy is necessary. You may call your r...[Read More] Managing Heartburn and Digestive Issues: A Guide for Obese Patients
Unexplained Abdominal Pain: When to Seek Medical Attention?
Unexplained pain Hello, doctor: On Monday, I experienced a loss of appetite, and eating caused vomiting. After lunch and dinner, I felt nauseous, which means I haven't had a normal meal all day. However, after vomiting in the evening, I felt pain in the area between my ribs,...
Dr. Chen Qifeng Reply:
Hello, if you do not usually experience these symptoms, your condition may be acute gastritis. If the discomfort persists, please seek medical attention. Best wishes, Dr. Chen Qifeng, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Unexplained Abdominal Pain: When to Seek Medical Attention?
Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Gastroesophageal reflux disease (GERD) Since February of last year, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). After undergoing an endoscopy in April, I began taking medication, which I have continued to this day. In December of last year, I had ...
Dr. You Ligang Reply:
Hello, the factors contributing to acid reflux involve the backflow of gastric acid or stomach contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, a burning sensation in the chest, and a feeling of a foreign body in the throat. If there are n...[Read More] Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Understanding Subtle Esophageal Mucosal Changes in GERD Patients
Microscopic esophageal mucosal lesions refer to subtle abnormalities or changes in the lining of the esophagus that can be identified through histological examination. These lesions may indicate underlying conditions such as inflammation, infection, or precancerous changes, and o...
Dr. You Ligang Reply:
Hello, if there is a change in the color of the mucosal surface or if the surface is uneven, it may not be visible on upper gastrointestinal imaging. You can think of the difference between puppet shows and shadow plays to understand the distinction between the two examinations. ...[Read More] Understanding Subtle Esophageal Mucosal Changes in GERD Patients
What to Do If You Suspect Medication Burns in Your Digestive System?
What to do in case of suspected chemical burn from medication? For the past three days, I have experienced occasional sharp pain or discomfort in my esophagus or stomach while swallowing food. The symptoms are not very pronounced, and my daily life has not been significantly affe...
Dr. Lin Minghui Reply:
Hello, 1. Some pain relievers, anti-inflammatory medications, and poor dietary habits can sometimes lead to esophagitis or even esophageal ulcers. It is generally recommended to avoid irritating foods and beverages (such as spicy foods and alcohol), and to maintain a gentle die...[Read More] What to Do If You Suspect Medication Burns in Your Digestive System?
Can You Drink Water Before Bed? Insights on Acid Reflux and Barrett's Esophagus
Can I drink water? In your previous response, you mentioned that Splotin is different from typical antacids and proton pump inhibitors (PPIs). I would like to ask, if Splotin is taken long-term, will there be an issue with excessive reduction of stomach acid? This is my first que...
Dr. Chen Qifeng Reply:
Hello, the severity of gastroesophageal reflux increases the likelihood of developing Barrett's Esophagus. Patients with Barrett's Esophagus have a chance of developing esophageal cancer over time. Not everyone with gastroesophageal reflux will develop Barrett's Es...[Read More] Can You Drink Water Before Bed? Insights on Acid Reflux and Barrett's Esophagus
Understanding Asymptomatic Acid Reflux: What You Need to Know
Asymptomatic reflux is not considered? In your previous response, you mentioned that asymptomatic reflux does not indicate gastroesophageal reflux disease (GERD). Before being diagnosed with GERD during my endoscopy, I experienced chest tightness and sought medical attention, but...
Dr. You Ligang Reply:
In normal individuals, gastric acid may occasionally reflux into the esophagus without causing any symptoms. If a healthy person undergoes a health check and the endoscopy results show esophagitis without symptoms, treatment is not necessary. Gastroesophageal reflux disease (GERD...[Read More] Understanding Asymptomatic Acid Reflux: What You Need to Know
Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Gastroesophageal reflux without sensation? I did not feel the acid reflux into my esophagus before experiencing chest tightness and discomfort in my stomach. How can I know if there is acid reflux? This is the first question. The second question is why gastroesophageal reflux dis...
Dr. You Ligang Reply:
Hello, 1. Gastroesophageal reflux disease (GERD) is defined as the reflux of gastric acid or gastric contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, heartburn, and a sensation of a foreign body in the throat. If there are no symptoms, i...[Read More] Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Can Endoscopy Determine If Esophagitis Is Due to GERD?
Can esophagitis be determined to be caused by gastroesophageal reflux after undergoing an endoscopy? Can esophagitis be determined to be caused by gastroesophageal reflux disease (GERD) after an endoscopy, rather than by other causes of esophagitis?
Dr. Chen Shidian Reply:
Hello, Miss: The endoscopy shows lesions at the lower end of the esophagus, which can be inferred to be caused by gastroesophageal reflux disease (GERD). Lesions caused by other reasons would typically be located in the mid-esophagus and have a different appearance, allowing for ...[Read More] Can Endoscopy Determine If Esophagitis Is Due to GERD?
Long-Term Use of Acid Suppressants: Risks and Concerns Explained
Long-term use of such medications may also lead to excessive reduction of gastric acid? In your response to the previous question, you mentioned that long-term use of such medications may lead to excessive reduction of stomach acid. Are you referring to all medications that suppr...
Dr. Chen Qifeng Reply:
Hello, Splitin is not a typical antacid; its effect is achieved by acting on the stomach and the vagus nerve to reduce gastric acid. Clinically, this type of medication is not commonly used to treat gastroesophageal reflux disease (GERD). As for proton pump inhibitors (PPIs) used...[Read More] Long-Term Use of Acid Suppressants: Risks and Concerns Explained
Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Waking up with dry mouth and a taste similar to bile? Hello, I am a 54-year-old middle-aged male, with a smoking history of 30 years, a height of 170 cm, and a weight of 82 kg, which classifies me as having a central obesity body type. Six months ago, I began experiencing dry mou...
Dr. You Ligang Reply:
Hello, experiencing dry mouth and bile reflux into the oral cavity may indicate gastroesophageal reflux disease (GERD), which involves the backflow of stomach acid, bile, and even food from the stomach into the esophagus. This condition is commonly associated with smoking, obesit...[Read More] Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Understanding Digestive Issues: Insights on Pain and Complications
Consultation 1. I have a history of constipation for 26 years, and my medication adherence has been inconsistent, resulting in poor absorption and digestive issues. Two years ago, I underwent surgery for uterine fibroids, and recently I've been experiencing difficulties with...
Dr. Chen Qifeng Reply:
Hello, individuals with long-term chronic constipation, especially those with a history of abdominal surgery, often require medication assistance in addition to general lifestyle and dietary adjustments. If there has been a recent worsening of constipation, it is important to see...[Read More] Understanding Digestive Issues: Insights on Pain and Complications
Effective Treatments for Acid Reflux After Esophageal Surgery
Gastroesophageal reflux disease (GERD) Hello Dr. Chang, I had surgery for esophageal cancer nine years ago, during which my esophagus and part of my stomach were removed. Now my stomach is located in the thoracic cavity, but I have been experiencing gastroesophageal reflux sympto...
Dr. Zhang Siyuan Reply:
To Chikuang: Your condition appears to be more pronounced than typical gastroesophageal reflux, with nighttime gastric acid reflux reaching the throat, leading to coughing. Pantoprazole has been used at a dosage of 80 mg per day, which is double the standard treatment for gastroe...[Read More] Effective Treatments for Acid Reflux After Esophageal Surgery