Managing Throat and Gastrointestinal Discomfort: A Patient's Journey
Throat and gastrointestinal discomfort? Hello Doctor: I have been experiencing gastroesophageal reflux and bloating issues for 2-3 years, but I can still eat normally. My symptoms have not worsened and have even improved. I was taking traditional Chinese medicine to regulate my g...
Dr. Chen Shidian Reply:
You can visit a gastroenterologist for evaluation, especially if there is significant weight loss. If you continue to experience severe palpitations or tremors, you may consider consulting a psychiatrist.[Read More] Managing Throat and Gastrointestinal Discomfort: A Patient's Journey
Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Gastroesophageal reflux disease (GERD) and superficial gastritis? Dear Vice President Chen, I underwent an upper gastrointestinal endoscopy at the hospital on July 31, 2023, and the results are as follows: Examination time: Start time: 10:32:06 End time: 10:36:13 Clinica...
Dr. Chen Shidian Reply:
Medication can be reduced or discontinued; this can be discussed with the attending physician without conflict.[Read More] Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Burned Tongue from Hot Soup: Should You Get an Endoscopy?
Accidentally burned while drinking soup? Hello, Deputy Director. I have been eating very quickly due to work commitments, and I have burned my tongue while eating over the past few days. For the last two to three days, I have been experiencing some stomach pain, though it's ...
Dr. Chen Shidian Reply:
Start with medication; if symptoms persist, an endoscopy can be performed.[Read More] Burned Tongue from Hot Soup: Should You Get an Endoscopy?
Understanding Weight Loss and Hair Loss: The Impact of Autonomic Dysfunction
Weight issues, autonomic nervous system disorders, gastrointestinal problems? I have recently been experiencing irregular sleep patterns, often staying up all night and sometimes going over 24 hours without sleep, followed by long sleep sessions of about 12 hours. This situation ...
Dr. Chen Shidian Reply:
It may be autonomic nervous system dysfunction, which can be managed and monitored for weight changes by a psychosomatic medicine specialist.[Read More] Understanding Weight Loss and Hair Loss: The Impact of Autonomic Dysfunction
Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Gastroesophageal reflux with blood-tinged saliva? Hello, doctor. I have been experiencing gastroesophageal reflux disease (GERD) for a long time. I underwent an upper endoscopy last November, which showed mild grade A reflux. I have been on medication for treatment, but I still e...
Dr. Hu Guozheng Reply:
It is recommended to seek medical attention for evaluation. Thank you.[Read More] Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Swallowed Coin: When to Seek X-Ray for Gastrointestinal Concerns?
Coin ingestion If you accidentally swallowed a one-dollar coin while eating dumplings, should you go for an X-ray immediately, or can you wait to see if it passes? How long should you wait?
Dr. Lin Minghui Reply:
A 48-year-old female accidentally swallowed a one-dollar coin. Generally, if the gastrointestinal tract is structurally normal without any narrowing issues, 95% of foreign objects will typically pass through the stool. This can take 2 to 3 days or up to a week, depending on indiv...[Read More] Swallowed Coin: When to Seek X-Ray for Gastrointestinal Concerns?
Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Please advise on the active treatment options for Barrett's esophagus? Dear Dr. Chen, I am a 41-year-old male, 174 cm tall and weighing 90 kg. My past medical history includes peptic ulcer disease and irritable bowel syndrome. Currently, I have moderate fatty liver disease,...
Dr. Chen Shidian Reply:
It is recommended to start medication and follow up with an endoscopy in one year, and then consider endoscopic treatment if necessary. In Taiwan, this is not commonly practiced; patients must go to a medical center for a complete preoperative evaluation, and decisions will be ma...[Read More] Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Gastroesophageal reflux disease (GERD) I experience some pain in my esophagus when eating, but it has improved somewhat. I also have some stomach pain, primarily located around the right side of my chest, so I suspect it might be related to my stomach. Sometimes, when I drink hot...
Dr. Hu Guozheng Reply:
Based on your description, a medical evaluation has been conducted. Please follow the treatment as prescribed. If you have any questions or continue to experience discomfort, it is recommended to return for a consultation with your original physician. Thank you.[Read More] Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Gastroesophageal reflux disease (GERD) Hello Doctor, I suddenly experienced severe stomach pain and chest pain one day in mid-May, so I went to see a doctor during my lunch break. At that time, I was feeling very uncomfortable, and I had previously often experienced chest pain, h...
Dr. Hu Guozheng Reply:
If symptoms do not improve with medication, please return for a follow-up appointment to discuss with the original prescribing physician. Thank you.[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact
Gastroesophageal reflux disease (GERD) or gastritis? I have experienced occasional indigestion in the past, but recently, over the last two to three months, I have been frequently suffering from indigestion. I feel uncomfortable almost every time after meals, and I have been burp...
Dr. Chen Shidian Reply:
Obesity is often associated with gastroesophageal reflux disease (GERD), so weight loss combined with reduced food intake is recommended. Avoid sitting still for long periods after meals, engage in weekly exercise, and refrain from consuming acidic, sweet, caffeinated beverages, ...[Read More] Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact
Understanding Your Gastroscopy Report: Insights on Type IIa Lesions
Gastrointestinal Endoscopy Report Recently, I underwent a painless gastroscopy and saw the report in English on the app. I noticed a type IIa classification, which made me very anxious. I would like to ask the doctor to take a look at what this means. Thank you. Epigastralgia ...
Dr. Yang Zhichao Reply:
For medical explanations regarding issues, please visit the outpatient clinic for clarification.[Read More] Understanding Your Gastroscopy Report: Insights on Type IIa Lesions
Managing Persistent GERD and Tongue Numbness: Seeking Solutions
Gastroesophageal reflux has been recurring for over six months. I have been taking medication to manage it, but it hasn't improved. Recently, I have experienced numbness in my tongue. What should I do? In the second half of 2022, I experienced a burning sensation in my throa...
Dr. Hu Guozheng Reply:
Hello! It is advisable to discuss this with your attending physician. Thank you.[Read More] Managing Persistent GERD and Tongue Numbness: Seeking Solutions
How Long Should You Stay Upright After Taking Doxycycline?
Medication Consultation: How long after taking medication can I lie down? 1. Bending over with your upper body parallel to the floor after taking doxycycline may increase the risk of drug-induced esophagitis, especially if the medication has not fully cleared the esophagus. It is...
Dr. Cai Anshun Reply:
Hello: 1. Because your water intake is relatively high, bending over or exerting pressure on your abdomen immediately after taking medication and drinking water may cause reflux. 2. Elevating your upper body by about 15-30 degrees can help prevent reflux. 3. Each person's ga...[Read More] How Long Should You Stay Upright After Taking Doxycycline?
Understanding Doxycycline: Risks of Esophagitis and Capsule Dissolution
Medication Consultation I am currently taking Doxycycline for itching in my private area. When I was swallowing the capsule, I wasn't very good at it, so during the first sip of water, I didn't swallow it. For the second sip, I held the capsule and water in my mouth for...
Dr. Chen Shidian Reply:
After taking medication, drink plenty of water and avoid lying down for a while to prevent drug-induced esophagitis. I am also unsure how much will dissolve, but according to reports, there should be no issues.[Read More] Understanding Doxycycline: Risks of Esophagitis and Capsule Dissolution
Understanding GERD: Symptoms, Treatment, and Recurrence Risks
Gastroesophageal reflux disease (GERD) Hello, doctor. At the end of last year, I underwent an endoscopy which revealed gastroesophageal reflux disease (GERD) and a small abrasion in my stomach, but my esophagus was not damaged. I took a proton pump inhibitor (PPI) for about six m...
Dr. Chen Shidian Reply:
Reflux is prone to recurrence after discontinuation of medication; medication can be used again for control, along with dietary adjustments.[Read More] Understanding GERD: Symptoms, Treatment, and Recurrence Risks
Understanding Intestinal Metaplasia: When to Seek Further Gastrointestinal Evaluation
Intestinal metaplasia issues? Hello, doctor. I underwent an upper gastrointestinal endoscopy (NBI) at the end of December 2018, which revealed intestinal metaplasia in the gastric antrum. The report indicated: 1. Larynx: no significant abnormalities 2. Esophagus: gastroesophageal...
Dr. Yang Zhichao Reply:
You can undergo an upper gastrointestinal endoscopy.[Read More] Understanding Intestinal Metaplasia: When to Seek Further Gastrointestinal Evaluation
Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Gastroesophageal reflux disease (GERD) and gastric cramps? Hello Doctor, I currently have gastroesophageal reflux disease (GERD), which causes chest burning and tightness, along with stomach heat and bloating. I had an endoscopy last July, and the doctor said my esophagus had abr...
Dr. Chen Shidian Reply:
Abnormal peristalsis/irritable bowel syndrome can be managed with medication and dietary adjustments.[Read More] Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Understanding Persistent Esophageal Discomfort: Is It Related to Indigestion?
Gastroesophageal reflux disease (GERD) Two months ago, I had a late dinner and ate a lot, which led to some related symptoms. I visited a doctor who prescribed some medication, and I felt a bit better. However, I still experience a sensation of something stuck in my esophagus. I ...
Dr. Hu Guozheng Reply:
Hello, if your symptoms do not improve with medication, it is recommended to return for a follow-up appointment for the physician to evaluate your condition. Thank you.[Read More] Understanding Persistent Esophageal Discomfort: Is It Related to Indigestion?
Understanding Fundic Gland Polyps: What You Need to Know After a Gastroscopy
Gastric fundic gland polyps? Hello, Doctor. I had an upper gastrointestinal endoscopy at a large hospital and discovered polyps. Two weeks later, during a follow-up appointment, the doctor said the biopsy results indicated fundic gland polyps in the stomach and that there was no ...
Dr. Hu Guozheng Reply:
Hello, please trust your examination and your attending physician. If you have concerns about family history, it is advisable to schedule a follow-up appointment for the doctor to evaluate. Thank you.[Read More] Understanding Fundic Gland Polyps: What You Need to Know After a Gastroscopy
Understanding Fundic Gland Polyps: Concerns and Recommendations for Young Adults
Gastric fundic gland polyps Hello Doctor, I underwent an upper gastrointestinal endoscopy at a large hospital, and the physician who performed the procedure was different from the one I consulted afterward. During the procedure, I was informed that there were polyps taken for bio...
Dr. Chen Shidian Reply:
Small gastric polyps are a common occurrence.[Read More] Understanding Fundic Gland Polyps: Concerns and Recommendations for Young Adults