Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Could you please clarify your question regarding medication issues related to Barrett's esophagus? Hello, doctor. I was diagnosed with mild Barrett's esophagus after undergoing an endoscopy. My attending physician advised me to take medication for control and to have an...
Dr. Cai Anshun Reply:
Hello: Research reports indicate that long-term use of proton pump inhibitors (PPIs) may lead to chronic kidney disease. Most of these studies are retrospective in nature, and currently, there are no double-blind studies, so the level of evidence is not strong. Furthermore, the p...[Read More] Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Understanding Throat and Esophageal Issues: Symptoms and Concerns
Throat and esophageal issues? Hello Doctor, I have been experiencing a bitter and foul taste whenever I swallow saliva for the past week. I also feel a sensation of something being stuck in my throat or at the esophageal opening. Pressing on the left side of my throat near the es...
Dr. Chen Shidian Reply:
First, try using gastric medication to observe the response. You can then follow up with an otolaryngologist or gastroenterologist to rule out other issues, and pay attention to oral hygiene.[Read More] Understanding Throat and Esophageal Issues: Symptoms and Concerns
Understanding Barrett's Esophagus: Treatment Options and Prognosis
Barrett's esophagus Hello, doctor. I recently had an endoscopy and was diagnosed with Barrett's esophagus due to long-term gastroesophageal reflux disease (GERD). I would like to ask: 1. Does Barrett's esophagus require treatment? (Aside from medication) 2. Can Bar...
Dr. Yang Zhichao Reply:
Dear Mr. Sean, Hello. Barrett's esophagus may be related to long-term gastric acid irritation, and it is necessary to examine the differentiation of the esophageal mucosa. If there is low or high-grade dysplasia, treatment is recommended. I suggest discussing this with you...[Read More] Understanding Barrett's Esophagus: Treatment Options and Prognosis
Chest Pain After Eating: Is It Related to Fish Bones?
Is there a correlation between left chest pain and fishbone ingestion? Hello Doctor: About a week ago, I had an eel rice bowl. At that time, I did not feel any sensation of something stuck in my throat or esophagus, and there were no unusual symptoms that night. However, the next...
Dr. Chen Shidian Reply:
Fishbone injuries to the gastrointestinal tract typically result in acute episodes requiring emergency treatment. A small number of elderly individuals may experience delayed onset due to swallowing difficulties or sensory impairment, but these cases are generally exceptions. If ...[Read More] Chest Pain After Eating: Is It Related to Fish Bones?
Can Antacids Interfere with Birth Control Pills? A Guide for Patients
Gastroesophageal reflux and contraceptive pills? Hello, I have been taking the oral contraceptive pill, Diane, for over six months. Recently, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). Can I take medications for GERD alongside the contraceptive p...
Dr. Cai Anshun Reply:
Hello: There is no interaction between medications for gastroesophageal reflux disease (GERD) and contraceptives; they can be taken two hours apart. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Can Antacids Interfere with Birth Control Pills? A Guide for Patients
Understanding Esophageal Discomfort: Causes and Treatment Options
Sensation of friction in the back of the esophagus during eating? Dear Doctor, I recently underwent an upper endoscopy due to gastroesophageal reflux disease (GERD), and the outpatient physician informed me that it is non-erosive reflux. My current issue is that when I eat, espe...
Dr. Cai Anshun Reply:
Hello: 1. Lesions located on mucosal surfaces are generally easier to detect. 2. Medications are supplementary; the key is whether the underlying cause of the reflux has been addressed. 3. It is recommended to obtain a prescription from a physician. Changhua Hospital cares about ...[Read More] Understanding Esophageal Discomfort: Causes and Treatment Options
Unusual Sensation in the Esophagus: Understanding GERD Symptoms
Dysphagia or abnormal sensation in the esophagus? Hello Doctor: I recently underwent an esophagogastroduodenoscopy (EGD) due to gastroesophageal reflux disease (GERD). The outpatient physician informed me that the results of the endoscopy showed that the esophagus, stomach, and d...
Dr. Chen Shidian Reply:
It may be related to gastroesophageal reflux, but it should not be a cause for concern. You can start with medication treatment for a while and then see if your symptoms improve. The Chiayi Hospital of the Ministry of Health and Welfare cares about you![Read More] Unusual Sensation in the Esophagus: Understanding GERD Symptoms
Understanding Unusual Swallowing Sensations: Insights from Gastroenterology
I have a strange sensation when swallowing in my back? Hello Doctor: I have been experiencing gastroesophageal reflux and a strange sensation in my back (around the scapula, possibly corresponding to the cardia?) while swallowing for the past two to three months. This sensation u...
Dr. Chen Qifeng Reply:
Current endoscopy has a very low probability of misdiagnosis or missed diagnosis for the esophagus, stomach, and the first part of the duodenum. Please follow the physician's instructions for treatment.[Read More] Understanding Unusual Swallowing Sensations: Insights from Gastroenterology
Understanding Odd Swallowing Sensations in GERD Patients
Abnormal sensations during swallowing caused by gastroesophageal reflux disease (GERD)? Hello Doctor: For the past two to three months, I have been experiencing symptoms of gastroesophageal reflux, accompanied by a peculiar sensation when swallowing. This sensation occurs primari...
Dr. Chen Qifeng Reply:
It is recommended to undergo an upper gastrointestinal endoscopy.[Read More] Understanding Odd Swallowing Sensations in GERD Patients
Post-Endoscopy Abdominal Pain: Causes and When to Seek Further Evaluation
Abdominal pain after undergoing an upper gastrointestinal endoscopy? Hello Dr. Tsai, I have a question. I have been experiencing hunger pains in my abdomen for some time, which are more severe at night and in the early morning. On February 27, 2019, I underwent an upper gastroint...
Dr. Cai Jinji Reply:
Hello: If you still feel unwell after the examination, it is advisable to discuss it with your physician to clarify the cause or any other considerations.[Read More] Post-Endoscopy Abdominal Pain: Causes and When to Seek Further Evaluation
Understanding Esophageal Tightness and Digestive Issues After Medication
Esophageal stricture and gastric distension issues? Hello Doctor: Recently, I experienced significant side effects from medication, leading to a week of severe nausea, during which I couldn't eat and lost about 5 kilograms. The medication has been stopped, and while the naus...
Dr. Chen Qifeng Reply:
Typical symptoms of gastroesophageal reflux disease (GERD) and gastritis. Please visit a gastroenterologist.[Read More] Understanding Esophageal Tightness and Digestive Issues After Medication
Persistent Throat Discomfort: When to Seek Further Medical Evaluation
My throat feels strange? Two-thirds of the time, I felt a fishbone stuck in my throat. I went for an examination of my throat and esophagus (endoscopy), and the doctors said there was no fishbone. Although it doesn't hurt now, I occasionally feel a strange sensation in my th...
Dr. Cai Anshun Reply:
Hello: Sometimes, injuries to the mucous membrane or the presence of small splinters embedded beneath the mucosa can cause a sensation of foreign body. If the condition persists, it is recommended to seek medical attention again. The Gastroenterology or Otolaryngology department ...[Read More] Persistent Throat Discomfort: When to Seek Further Medical Evaluation
Is Esophageal Mucosal Thickening a Sign of Early Cancer?
Diffuse white mucosal thickening of the esophagus could potentially be indicative of cancer? Hello Doctor, I recently underwent an upper gastrointestinal endoscopy during my health check-up and have some questions regarding the findings. The report noted: diffuse white mucosal t...
Dr. Chen Qifeng Reply:
You should go back to the original hospital for a detailed consultation. Based on your description, it does not appear to be a sign of cancer.[Read More] Is Esophageal Mucosal Thickening a Sign of Early Cancer?
Long-Term Use of PPIs: Risks and Side Effects After Barrett's Esophagus Diagnosis
Taking De-Xi Gastrointestinal Medicine for nearly a year, could there be side effects? I had an endoscopy at the end of April and was diagnosed with Barrett's esophagus, but it is less than 1 cm. For the first three months, I took 60 mg of Pantoprazole, and later switched to...
Dr. Chen Qifeng Reply:
Products made from corn and glutinous rice often pose issues with digestion or increase gastric acid secretion. The side effects of proton pump inhibitors (PPIs) do not necessarily occur in every patient, and a one-year treatment duration is essential for severe gastroesophageal ...[Read More] Long-Term Use of PPIs: Risks and Side Effects After Barrett's Esophagus Diagnosis
Morning Saliva with Blood and Bitter Taste: Understanding Possible Causes
Waking up in the morning with yellow saliva that has a blood-like taste and a bitter flavor? I have a history of gastroesophageal reflux and laryngitis, with my first episode occurring a year and a half ago. After persistent coughing that wouldn't improve, I was referred fro...
Dr. Lin Minghui Reply:
Hello: The typical symptom of gastroesophageal reflux disease (GERD) is a burning sensation in the upper abdomen that radiates to the throat. Atypical symptoms may include a feeling of something stuck in the throat, chronic pharyngitis, and asthma-like symptoms. If there is blood...[Read More] Morning Saliva with Blood and Bitter Taste: Understanding Possible Causes
Understanding Esophageal Issues: Symptoms and Treatment Insights
Esophageal issues? Hello Doctor: Today, when I took a sip of water from a bottle, the water did not flow down slowly as usual; instead, it got stuck in the esophagus just below the throat. At that moment, I felt a bloating and pain in the esophagus, but eventually, the water went...
Dr. Cai Jinji Reply:
Hello, may I ask how long you have been experiencing this condition? If you have been feeling unwell for an extended period, I recommend visiting a hospital for evaluation. For questions regarding medications, it would be best to consult a pharmacist for more clarity.[Read More] Understanding Esophageal Issues: Symptoms and Treatment Insights
Understanding Esophageal Issues: GERD, Symptoms, and Follow-Up Care
Esophageal issues Hello Doctor: I had an upper gastrointestinal endoscopy a year ago, which revealed a small polyp in my stomach, ulcers in my esophagus and duodenum, and gastroesophageal reflux disease (GERD). The doctor prescribed a 4-month course of omeprazole, which I complet...
Dr. Cai Anshun Reply:
Hello: 1. There is a possibility of recurrence; it is recommended to quit smoking, alcohol, and tea/coffee. 2. Based on clinical symptoms, regular follow-up is not necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Esophageal Issues: GERD, Symptoms, and Follow-Up Care
Understanding Abdominal Bloating: Causes, Symptoms, and Solutions
Abdominal bloating issues? Hello Doctor: A month ago, I initially only experienced some noises in my abdomen, which I thought were related to digestion and didn’t pay much attention to. However, over the past month, my symptoms have gradually developed into the following conditio...
Dr. Lin Minghui Reply:
Hello, I have been experiencing sounds in my abdomen, frequent belching, and occasional discomfort and pain in the upper abdomen. At night, I feel something rising into my esophagus, causing a scratchy throat and cough. After an examination by an otolaryngologist, there is a susp...[Read More] Understanding Abdominal Bloating: Causes, Symptoms, and Solutions
Understanding Gastrointestinal Issues: Causes and Solutions for Bloating and Belching
Gastrointestinal issues Hello Doctor, regarding the question I asked you last time, I later went to see a gastroenterologist. The doctor tested my stool again and said there was no trace of blood, and my blood tests were normal. My bowel movements are also normal now. I forgot to...
Dr. Cai Anshun Reply:
Hello: 1. Do not drink too quickly; if swallowing other substances is not an issue, there is no need to worry too much. 2. Belching may indicate that there is gas in the stomach, which could be due to poor gastric emptying or gas in the intestines. 3. If there is not too much sto...[Read More] Understanding Gastrointestinal Issues: Causes and Solutions for Bloating and Belching
Understanding Gastroesophageal Reflux and Esophageal Smooth Muscle Tumors
Gastroesophageal reflux and esophageal leiomyoma? Hello, Doctor. I started experiencing gastroesophageal reflux disease (GERD) about two and a half years ago, and it became severe to the point where I felt nauseous when lying down. Although I didn't vomit, I did expel foam. ...
Dr. Chen Qifeng Reply:
1. Treatment for gastroesophageal reflux disease (GERD) can lead to improvement, but it is prone to recurrence. 2. Drinking tea can easily trigger a relapse. 3. Your symptoms are primarily related to gastroesophageal reflux. Tumors should be monitored over time.[Read More] Understanding Gastroesophageal Reflux and Esophageal Smooth Muscle Tumors