Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Rapid heartbeat, dizziness, and hiccups? Hello, I have had gastrointestinal issues since childhood, and I often burp after eating. Last week, I started experiencing dizziness, and this week I noticed an increased heart rate (90 when lying down and over 100 when standing). I also ...
Dr. Lin Minghui Reply:
Hello, after eating and drinking, frequent burping, dizziness, and rapid heartbeat are observed. It is advised not to overeat or drink too quickly. It is recommended to check for any issues related to the esophagus, gastrointestinal tract, liver, gallbladder, and pancreas. Wishin...[Read More] Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Concerns About Taking Lansoprazole Capsules: Safety and Risks Explained
Capsule issues? Hello, doctor. I have gastroesophageal reflux disease, and my doctor prescribed Lansoprazole for me. However, yesterday the capsule accidentally fell on the floor, and due to concerns about the recent pandemic, I was afraid the capsule might be contaminated with v...
Dr. Chen Shidian Reply:
It will not cause direct harm, but it may reduce the effectiveness of the medication.[Read More] Concerns About Taking Lansoprazole Capsules: Safety and Risks Explained
Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
If the effectiveness of PPI medications for acid reflux is poor, what should be done? My symptoms include a burning and uncomfortable sensation in the upper abdomen (possibly in the duodenum or stomach), which is most severe when I am fasting. Interestingly, the symptoms are less...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate should be considered. Avoid late-night snacks, do not lie down after eating, refrain f...[Read More] Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Irritable bowel syndrome Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to eso...
Dr. Chen Shidian Reply:
It is still mild, and lifestyle and dietary adjustments are recommended, along with short-term medication treatment if necessary.[Read More] Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Understanding the Connection Between Gastrointestinal Symptoms and Heart Palpitations
Recently, I have started to feel my stomach and esophagus pulsating like my heart? Hello Doctor: I am 170 cm tall and weigh 70 kg. About a month ago (on May 26), I woke up in the early morning with palpitations, shortness of breath, and a feeling of bloating in my stomach, so I w...
Dr. Chen Shidian Reply:
It is advisable to cooperate with the physician for treatment and lifestyle adjustments. If symptoms persist, it is still necessary to visit the hospital to confirm the condition.[Read More] Understanding the Connection Between Gastrointestinal Symptoms and Heart Palpitations
Understanding Gastric Pathology Reports: Insights on Intestinal Metaplasia and Follow-Up Care
Issues with gastric endoscopy pathology reports? [Procedure Note and Report of Esophagogastroduodenoscopy] **Indications:** Upper abdominal symptoms **Informed Consent:** Yes **Current Medication (Anticoagulants, Aspirin, and NSAIDs):** No **Premedication:** Oral Simethico...
Dr. Chen Shidian Reply:
There is only mild localized dysplasia, and no bacteria present, so there is no cause for concern regarding deterioration. If you have further questions, please consult the original gastroenterologist for clarification.[Read More] Understanding Gastric Pathology Reports: Insights on Intestinal Metaplasia and Follow-Up Care
Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
How long does it take for gastroesophageal reflux disease (GERD) to improve when taking proton pump inhibitors (PPIs)? What should I do if I experience a bitter taste and acid reflux after stopping PPIs? Hello: In February of this year, I underwent an upper gastrointestinal endos...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux disease (GERD) is classified into four grades (A, B, C, D) based on the extent of esophageal mucosal injury due to gastric acid, according to the Los Angeles Classification. Under the National Health Insurance regulations, grades A and B allow for p...[Read More] Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
Accidentally Swallowed Aluminum Foil: Health Implications and What to Expect
Ingestion of the aluminum foil packaging from medication? Accidentally swallowing the thin aluminum foil from a medication package can cause a slight scratchy sensation in the throat. Generally, if there are no significant symptoms or discomfort, it is likely that the foil will p...
Dr. Zhang Kebin Reply:
Hello Mr. Zhong: You reported accidentally ingesting a thin aluminum foil from the packaging, and you experienced a slight prickling sensation in your throat when swallowing. Generally, aluminum foil is not absorbed by the body and will be excreted in the feces. However, due to i...[Read More] Accidentally Swallowed Aluminum Foil: Health Implications and What to Expect
Feeling a Lump in Your Throat After Eating Steak: When to See a Doctor?
Eating steak without chewing thoroughly and swallowing large pieces can lead to a sensation of something being stuck in the esophagus? After eating the last piece of meat, I took big bites and swallowed without chewing much. Now, five hours have passed, and I feel a tightness in ...
Dr. Lin Minghui Reply:
Hello: After swallowing a large piece of meat, there is a sensation of something stuck in the esophagus. Generally, esophageal foreign bodies should be addressed within 24 hours. If there is difficulty breathing, bleeding, fever, or chest pain, seek medical attention immediately!...[Read More] Feeling a Lump in Your Throat After Eating Steak: When to See a Doctor?
Understanding Drug-Induced Esophagitis: Symptoms, Treatment, and Recovery
Drug-induced esophagitis Hello, Doctor. Last Thursday night (the 18th), I took the antibiotic doxycycline, drank very little water, and went to sleep immediately. I woke up in the middle of the night with a burning sensation in my esophagus and difficulty breathing, which lasted ...
Dr. Chen Shidian Reply:
After undergoing gastroscopy, it is confirmed to take mucosal protectants and consume only cold or lukewarm semi-solid foods. Improvement and recovery should be expected within 3 to 5 days.[Read More] Understanding Drug-Induced Esophagitis: Symptoms, Treatment, and Recovery
Understanding Throat Discomfort and Acid Reflux Symptoms
Throat issues, gastroesophageal reflux disease (GERD)? Hello, doctor. On Sunday, I took a non-steroidal anti-inflammatory pain reliever for a headache. Starting Monday, I experienced stomach pain and took an antacid. The next day, I noticed that I had hiccups and a sensation of s...
Dr. Chen Shidian Reply:
There may be gastroesophageal reflux disease (GERD); you can take gastrointestinal medications, discontinue pain relievers, and avoid irritating foods for further observation.[Read More] Understanding Throat Discomfort and Acid Reflux Symptoms
Post-Bariatric Surgery: Managing Worsened Acid Reflux Symptoms
After undergoing gastric sleeve surgery, gastroesophageal reflux disease (GERD) has worsened? Hello Doctor, I have a history of gastroesophageal reflux disease (GERD), occurring about 3-4 times a week. Recently, I underwent gastric sleeve surgery due to morbid obesity, and it has...
Dr. Cai Anshun Reply:
Hello: It may be more helpful to consult with the surgeon who performed your operation, as they are likely to have a better understanding of your condition. In addition to the types of food, the quantity of food consumed is also important, as the stomach's capacity is reduce...[Read More] Post-Bariatric Surgery: Managing Worsened Acid Reflux Symptoms
Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Gastrointestinal discomfort, with intermittent nausea and dry heaving? Hello Dr. Chang, I had two gastroscopies 1 to 2 years ago, during which Helicobacter pylori was detected. After treatment and medication, I underwent another gastroscopy to confirm that the treatment was succe...
Dr. Zhang Kebin Reply:
Dear Mr. Hsiang, Regarding your previous upper gastrointestinal endoscopy, the findings included: 1. Helicobacter pylori infection, 2. Bile reflux, 3. Relaxation of the lower esophageal sphincter, 4. Gastroesophageal reflux disease (GERD), and 5. Erythema of the gastric wall wit...[Read More] Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Managing Heartburn After Tooth Extraction Antibiotic Use
Antibiotics for Tooth Extraction Hello Doctor: Due to tooth extraction, the dentist prescribed Amoxicillin 500 mg. However, after taking it, I experienced a burning sensation and pain in my stomach and esophagus. What should I do?
Dr. Zhang Kebin Reply:
Hello, you report that after taking Amoxicillin 500 mg, you experienced a burning sensation and pain in your stomach and esophagus. You suspect it may be a side effect of the medication, but you feel that you should not discontinue the antibiotic. It is recommended that you visit...[Read More] Managing Heartburn After Tooth Extraction Antibiotic Use
Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective
Chest tightness and difficulty breathing? Hello Doctor: On November 21 (Saturday), I went to the emergency room because I suddenly experienced chest tightness, difficulty breathing, and rapid heartbeat shortly after taking a shower. The hospital conducted chest X-rays, blood test...
Dr. Zhang Kebin Reply:
Hello, you reported the following symptoms: 1. Chest tightness, shortness of breath, and rapid heartbeat. 2. Mild dizziness and nausea, which are common symptoms of gastroesophageal reflux disease (GERD), including heartburn and acid regurgitation. Generally, chest tightness, sho...[Read More] Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective
Can You Open Capsules? Safety and Absorption of Supplements Explained
Opening capsules and others? Hello, doctor. I have seen in the news that certain antibiotic capsules should not be opened to consume the powder inside, as it can cause damage to the esophagus and throat. Since I follow a vegetarian diet and have recently been taking dietary suppl...
Dr. Chen Shidian Reply:
→ It should not be a problem, but please confirm with a pharmacist. → Helicobacter pylori antibodies are long-term indicators, not short-term indicators, so it cannot be answered.[Read More] Can You Open Capsules? Safety and Absorption of Supplements Explained
Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Weight Issues ~ Weight Continues to Decrease Despite Normal Diet Hello, Doctor. My current health status is as follows: On December 3, 2020, I underwent an upper gastrointestinal endoscopy. The attending physician explained that I have gastritis and mild ulcers, but my esophagus ...
Dr. Chen Shidian Reply:
Please discuss with the attending physician regarding the current data (hemangioma of the liver should only be monitored) and the management/consultation for weight loss.[Read More] Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Understanding Gastrointestinal Issues: Insights on Weight Loss and Pain
Gastrointestinal issues consultation~ Recently, I went to the emergency room due to stomach pain (accompanied by cold sweats, but no fever). After measuring my temperature, blood tests, and X-rays, all the results came back normal. I was given a painkiller, and while waiting for ...
Dr. Cai Anshun Reply:
Hello: You may have gastrointestinal issues, possibly gastritis, gastroesophageal reflux disease (GERD), or an ulcer. It is recommended to undergo further examination with an endoscopy. Additionally, significant weight loss is defined as a decrease of 10% of your original weight ...[Read More] Understanding Gastrointestinal Issues: Insights on Weight Loss and Pain
Understanding Gastroesophageal Reflux: Symptoms and Treatment Options
Gastroesophageal reflux disease (GERD) Hello, Doctor: Earlier this year, I underwent an endoscopy due to symptoms of gastroesophageal reflux disease (GERD). The esophagus showed some discoloration, but it wasn't severe, so I didn't pay much attention to it. Last month, ...
Dr. Cai Anshun Reply:
Hello: The burning sensation is likely related to issues with stomach acid production. As for whether it may be accompanied by other problems, adjustments to medication, diet, body posture, mental stress (including insomnia), or constipation, as well as gastrointestinal motility ...[Read More] Understanding Gastroesophageal Reflux: Symptoms and Treatment Options
Feeling Worse After Endoscopy: Understanding Post-Procedure Discomfort
Feeling more uncomfortable after undergoing an endoscopy? Hello, doctor. On Saturday (10/17), I visited a gastroenterologist due to chest pain while swallowing, and the doctor diagnosed it as "esophageal ulcer." Then, the doctor asked if I wanted to have an endoscopy, l...
Dr. Chen Shidian Reply:
It may be due to tension that there is throat irritation during the gastroscopy, which should resolve in a day or two. Esophageal or chest pain will depend on the results of the gastroscopy. A diet of mild, soft, and liquid foods for two days can aid in recovery.[Read More] Feeling Worse After Endoscopy: Understanding Post-Procedure Discomfort