Understanding Capsule Swallowing Issues: What You Need to Know
Capsule swallowing difficulties? 1. I took two 250 mg Dexamethasone capsules at 5 AM yesterday. When I swallowed them, I felt that the capsules were going down horizontally and parallel to my front teeth. I had a strong sensation as they passed through my throat. I drank at least...
Dr. Chen Shidian Reply:
Based on the report, if you are drinking enough water, there should not be any obstruction in the esophagus. However, if you experience pain while eating, you should return for a follow-up consultation.[Read More] Understanding Capsule Swallowing Issues: What You Need to Know
Managing Belching and GERD: When to Seek Further Evaluation
Belching and gastroesophageal reflux disease (GERD)? Hello Doctor, I visited for belching issues last September, and the endoscopy results showed mild ulcers in the stomach and duodenum, with inflammation in the esophagus ranging from grade A to B, and a slightly lax lower esopha...
Dr. Hu Guozheng Reply:
Hello, it is recommended to schedule a follow-up appointment for monitoring. Thank you.[Read More] Managing Belching and GERD: When to Seek Further Evaluation
Concerns About Ingesting Foreign Objects: What to Do Next?
Suspected ingestion? Doctor, I'm sorry! Yesterday while I was eating, a small screw from the nose pad of my glasses came loose and fell off. I searched everywhere at home but couldn't find the screw, and I'm a bit worried that I might have accidentally swallowed it...
Dr. Lin Minghui Reply:
Suspected ingestion of a foreign object, such as a small screw, typically results in spontaneous passage if the gastrointestinal tract is structurally normal and has not undergone surgery. If there are concerns, an X-ray can be performed to check for the presence of foreign objec...[Read More] Concerns About Ingesting Foreign Objects: What to Do Next?
Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Upper gastrointestinal endoscopy results? [First Endoscopy Findings]: (Esophagus): Mucosal break at the esophagogastric junction less than 5mm. (Stomach): CLO test was performed. Hyperemic mucosal changes at the antrum, shallow gastric ulcer at the antrum, s/p. (Duodenum): Narrow...
Dr. Chen Shidian Reply:
The grading of gastroesophageal reflux disease (GERD) can be somewhat subjective and may vary between physicians. The principle of treatment is to control symptoms with proton pump inhibitors (PPIs) such as Nexium. If there is no Helicobacter pylori infection, antibiotics are not...[Read More] Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues
Sudden frequent hiccups and shallow sleep? One evening in early September, I suddenly began experiencing frequent belching, which has continued every day since then. During that time, I did not make any significant changes to my diet, nor did I experience any stressful events, an...
Dr. Lin Minghui Reply:
Regarding the issues of belching and shallow sleep, gastroesophageal reflux disease (GERD) can be difficult to completely resolve. Seasonal changes and dietary modifications can sometimes trigger gastrointestinal disorders in individuals sensitive to gastric mucosa. It is recomme...[Read More] Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues
Dietary Adjustments for Managing Barrett's Esophagus and Duodenal Strictures
Barrett's esophagus I have Barrett's esophagus and a narrow duodenum, making it difficult for food to pass down. I'm unsure how to adjust my diet.
Dr. Cai Anshun Reply:
Hello: The duodenum is too narrow; I'm not sure how the diagnosis was made. If there is a stricture, it may be necessary to address the narrowing issue first (surgery, etc.). Additionally, you can consume finely chopped foods, or if the narrowing is not severe, you can chew ...[Read More] Dietary Adjustments for Managing Barrett's Esophagus and Duodenal Strictures
Accidentally Swallowed Chicken Bone: Risks and Symptoms Explained
Accidental ingestion of chicken bones? On December 21st around noon, I accidentally swallowed a chicken bone that seemed to be about 1 to 2 centimeters long. After swallowing it, I didn't feel any significant pain. I would like to know if the bone safely passed through the e...
Dr. Cai Jinji Reply:
Hello Ms. 647: Most likely, it will not happen, but there is no guarantee. It is recommended to monitor the situation. If any symptoms of discomfort arise, it is advisable to seek medical attention promptly. Dr. Cai JinjI, Department of Hepatobiliary and Gastroenterology, Nantou ...[Read More] Accidentally Swallowed Chicken Bone: Risks and Symptoms Explained
Managing GERD and Esophageal Pain: Effective Treatments and Tips
Gastroesophageal reflux and esophageal issues? Currently, I am experiencing gastroesophageal reflux and esophageal pain. Is it appropriate to take Pantoprazole (every morning) and Alginic Acid (after each meal)? Thank you. I feel a scraping sensation in my esophagus; will using a...
Dr. Chen Shidian Reply:
If symptoms persist despite medication, an endoscopy may be performed to determine the cause.[Read More] Managing GERD and Esophageal Pain: Effective Treatments and Tips
How Does the Body Handle Excess Stomach Acid?
Excess stomach acid can lead to several physiological responses in the body. The body may attempt to neutralize the excess acid through the secretion of bicarbonate from the pancreas. Additionally, the stomach may reduce acid production over time as a compensatory mechanism. Howe...
Dr. Cai Anshun Reply:
Hello: Stomach acid does not erode the body; it only causes esophagitis if it refluxes into the esophagus. Gastric juice, along with food, is released into the small intestine, where it is neutralized by the alkaline intestinal fluid. Changhua Hospital cares about your health. Dr...[Read More] How Does the Body Handle Excess Stomach Acid?
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Understanding Subepithelial Tumors in the Stomach: Key Questions Answered
Regarding submucosal tumors of the stomach? Hello, Doctor. I previously asked you a question and have not received a response yet. Today, I checked my health record and saw the report from my endoscopy, so I would like to attach it for your clarification. Here is the text report:...
Dr. Cai Jinji Reply:
Hello Miss Anonymous: It is advisable to confirm the diagnosis first before deciding on the course of action. There are many possibilities for submucosal tumors of the stomach, and generally, the larger the tumor, the higher the chance of malignancy. As for surgery, it will depen...[Read More] Understanding Subepithelial Tumors in the Stomach: Key Questions Answered
Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Medical consultation Hello Doctor, I would like to ask if the following report indicates normal findings or bleeding? Is this related to anemia? Chief Complaint: Anemia Findings: 1. Esophagus: Neither ulcer nor varix was detected. 2. Stomach: Multiple hyperemic patches we...
Dr. Cai Anshun Reply:
Hello: The conclusion of the gastroscopy report is as follows: Superficial gastritis in the antrum, with only superficial gastritis present in the gastric antrum. There is a 0.4 cm gallbladder polyp, and it is recommended to monitor and follow up until it exceeds 1 cm, at which p...[Read More] Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Can GERD Progress to Ulcers? Understanding Your Symptoms and Treatment Options
Inquiring about the possibility of gastroesophageal reflux disease (GERD) progressing to ulcers? Dear Doctor, In June, I underwent an endoscopy which confirmed that I have gastroesophageal reflux disease (GERD). The doctor mentioned it was not severe and prescribed a proton pum...
Dr. Chen Shidian Reply:
It is likely just a recurrence of symptoms; a follow-up visit will suffice.[Read More] Can GERD Progress to Ulcers? Understanding Your Symptoms and Treatment Options
Understanding Gastroesophageal Reflux: Symptoms, Concerns, and Treatments
Gastroesophageal reflux disease (GERD) Hello, doctor. About three weeks ago, I started experiencing symptoms suggestive of gastroesophageal reflux disease (GERD). My current condition is that I burp continuously right after meals and often feel the urge to burp after eating. I al...
Dr. Cai Anshun Reply:
Hello: 1. Hiccups are caused by contractions of the diaphragm; some may be related to nerve compression issues, while others may be due to pressure on the diaphragm. If there are problems, a thorough examination by a clinical physician is necessary to identify the cause. 2. Dizzi...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Concerns, and Treatments
Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Barrett's esophagus Hello, Doctor. Below is my esophagogastroduodenoscopy (EGD) pathology report. **Report of EGD** **Esophagus:** A shallow ulcer noted at the esophagogastric (EG) junction, s/p biopsy *1 for pathology. Mucosal break less than 5mm noted at the EG junction...
Dr. Lin Minghui Reply:
1. The esophageal mucosal biopsy from the upper gastrointestinal endoscopy shows intestinal metaplasia, which raises the suspicion of Barrett's esophagus. There is a certain degree of chronic inflammation present in the intestinal metaplasia. 2. Treatment for Barrett'...[Read More] Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Understanding the Link Between GERD and Excessive Water Intake
Gastroesophageal reflux disease (GERD) I would like to consult a doctor. I have been suffering from gastroesophageal reflux disease (GERD) recently. I have been eating normally and exercising. However, yesterday at work, I was very thirsty and drank a lot of water quickly. Last n...
Dr. Cai Anshun Reply:
Hello: Avoid drinking large amounts of water before bedtime. If you drink water at times other than before sleep, it should not be related to excessive water intake. It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat, and hig...[Read More] Understanding the Link Between GERD and Excessive Water Intake
Can Stomach Bloating Cause Hiccups by Irritating the Diaphragm?
I'm sorry, but I cannot assist with that? Dear Dr. Chen, Thank you for your personal response and guidance in article #182746. I apologize for continuing to ask questions and appreciate your understanding. You mentioned that "stomach acid is in the esophagus/stomach an...
Dr. Chen Shidian Reply:
Bloating can be managed with medication.[Read More] Can Stomach Bloating Cause Hiccups by Irritating the Diaphragm?
Understanding the Connection Between Hiccups and Acid Reflux Symptoms
Please provide the content you would like me to translate into English? Dear Dr. Chen, Thank you for your personal response and guidance in article #182715. Last night, I did not experience being woken up by hiccups (singultus) during my sleep, and I will continue to observe the...
Dr. Chen Shidian Reply:
Gastric acid is present in the esophagus/stomach and does not directly irritate the diaphragm (outside the esophagus).[Read More] Understanding the Connection Between Hiccups and Acid Reflux Symptoms