Effective Treatment Options for Helicobacter Pylori Infection and Gastritis
Helicobacter pylori infection I underwent an upper gastrointestinal endoscopy in February of this year, and the results showed chronic superficial gastritis with Helicobacter pylori infection. What is the recommended treatment?
Dr. Chen Qifeng Reply:
Hello: For patients with gastritis combined with Helicobacter pylori, treatment guidelines recommend that only those with refractory gastritis should undergo bacterial eradication therapy for Helicobacter pylori. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Departm...[Read More] Effective Treatment Options for Helicobacter Pylori Infection and Gastritis
Understanding Chronic Digestive Discomfort: Causes and Solutions
Recently, I have been experiencing frequent gastrointestinal discomfort? Hello Doctor: I have been experiencing bloating and discomfort in my stomach for at least over a decade, but in the past year, the symptoms have slightly changed to a sensation of acid reflux (my stomach fee...
Dr. Chen Qifeng Reply:
Hello: Upper abdominal bloating is related to gastritis and gastroesophageal reflux disease (GERD). In addition to medication, it is important to follow dietary and lifestyle precautions. Furthermore, individuals with a history of abdominal surgery are more prone to bloating, abd...[Read More] Understanding Chronic Digestive Discomfort: Causes and Solutions
Understanding Gastric Polyps: When to Remove and Managing Recurrence
Gastrointestinal issues require a physician's response, thank you? 1. Symptoms (Location, Description): The doctor informed that there is a polyp in the stomach that does not need to be removed at this time. Is it necessary to remove a polyp in the stomach? Additionally, cou...
Dr. Chen Shidian Reply:
Hello Mrs. Tseng: 1. Small gastric polyps are mostly benign and do not undergo malignant transformation. Sometimes, if there are too many polyps, it may be difficult to remove them all, so follow-up is recommended. 2. The physician's diagnosis is only a preliminary asses...[Read More] Understanding Gastric Polyps: When to Remove and Managing Recurrence
Can Better Stomach Medications Be Prescribed for My Condition?
Can a better stomach medication be prescribed? After undergoing an upper gastrointestinal endoscopy, it was diagnosed as Grade A reflux esophagitis, superficial gastritis, duodenitis, and deformed (positive for Helicobacter pylori). The doctor mentioned that an ulcer is necessary...
Dr. Cai Anshun Reply:
Hello: The treatment for gastroesophageal reflux disease (GERD), gastric ulcers, and duodenal ulcers can include antacids, H2-receptor antagonists, or proton pump inhibitors (PPIs). However, proton pump inhibitors should only be prescribed with a clear endoscopic diagnosis of GER...[Read More] Can Better Stomach Medications Be Prescribed for My Condition?
Understanding Gastrointestinal Issues: When to Consider a Colonoscopy
Gastrointestinal issues Hello, doctor. I have a few questions to ask you. Recently, I went to the hospital due to abdominal pain and underwent an endoscopy, blood tests, and a fecal occult blood test. The results showed that I have gastritis after the endoscopy, my blood tests we...
Dr. Chen Qifeng Reply:
Hello: Fecal occult blood primarily tests for the presence of blood in the stool and is not directly related to inflammation. If there are changes in bowel habits, it is recommended to consult a gastroenterologist for evaluation. Wishing you peace and health. Sincerely, Dr. Chi-F...[Read More] Understanding Gastrointestinal Issues: When to Consider a Colonoscopy
Understanding Bloating and Weight Loss: Gastrointestinal Health Insights
: Bloating after eating and significant weight loss? Hello Doctor: Following up on my previous inquiry, I experience abdominal bloating after eating, and my weight has decreased by 6 kilograms over the month from early November to early December. An endoscopy showed mild gastriti...
Dr. Chen Shidian Reply:
Hello, sir: It is advisable to discuss with your outpatient physician and patiently cooperate with monitoring and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Weight Loss: Gastrointestinal Health Insights
Long-Term Use of Naisan: Risks and Effects on Stomach Health
Long-term use issues of Naisilin? Hello Dr. Chen, three years ago I injured my back and took anti-inflammatory medication for six months, after which my stomach has not been well. Over two years ago, due to increased stress, I underwent an endoscopy that revealed gastric inflamma...
Dr. Chen Qifeng Reply:
Hello: 1. It is recommended to use Nizatidine only after a diagnosis is confirmed via gastroscopy. 2. Side effects may include leukopenia and achlorhydria, but these are very rare, and there is little impact on the kidneys. 3. It can be taken as needed. Wishing you peace an...[Read More] Long-Term Use of Naisan: Risks and Effects on Stomach Health
Understanding Bloating and Weight Loss: Causes and Solutions
Experiencing bloating after eating and significant weight loss? Hello Doctor: Last month, after drinking a cup of coffee, I started experiencing severe stomach cramps. I eventually visited a gastroenterologist, but my symptoms have changed to bloating after every meal for the pas...
Dr. Chen Shidian Reply:
Hello, sir: Gastritis is merely a finding from the endoscopy and may not be the only issue. Please cooperate with your physician for further examinations and follow-ups (including blood sugar, colon, etc.), and pay attention to your dietary habits. Changhua Hospital cares about y...[Read More] Understanding Bloating and Weight Loss: Causes and Solutions
Understanding Nausea: Causes and Solutions for Gastrointestinal Issues
Gastrointestinal issues Hello, Dr. Lin. I have two questions: 1. What condition could cause a feeling of nausea upon waking up? 2. Recently, I also experience nausea when using the computer or scrolling on my phone.
Dr. Lin Minghui Reply:
Hello: There are many causes of nausea, including gastrointestinal diseases such as dyspepsia, gastritis, peptic ulcers, gastroesophageal reflux disease, gastric outlet obstruction, and intestinal obstruction. Additionally, acute hepatitis, cholecystitis, pancreatitis, and append...[Read More] Understanding Nausea: Causes and Solutions for Gastrointestinal Issues
Understanding Gastric Ulcers and Intestinal Differentiation: What You Need to Know
Gastrointestinal endoscopy In May, I underwent an upper gastrointestinal endoscopy, during which a small ulcer (approximately 0.5 cm) was found. The biopsy results indicated a superficial ulcer, but it was also noted that there were intestinal differentiated cells within the tiss...
Dr. Chen Shidian Reply:
Hello, sir: 1. First, confirm with the physician whether the biopsy showed the presence of Helicobacter pylori. If present, it is necessary to eradicate the bacteria to prevent the worsening of gastritis and intestinal metaplasia. 2. If there is severe intestinal metaplasia, then...[Read More] Understanding Gastric Ulcers and Intestinal Differentiation: What You Need to Know
Understanding Stomach Pain: Why Eating Relieves Discomfort
Stomach pain, not painful after eating? Hello, doctor: I am currently working in mainland China, and it is quite inconvenient for me to return to Taiwan for medical treatment. However, I am very concerned because I experience pain every day. My situation is that about a month ago...
Dr. Cai Anshun Reply:
Hello: Based on your description, there is a high possibility of gastritis or a gastric ulcer. It is advisable to quit tea, coffee, and smoking for now, as these are factors that can increase gastric acid secretion. Additionally, apart from eating smaller, more frequent meals, yo...[Read More] Understanding Stomach Pain: Why Eating Relieves Discomfort
Understanding When to Get Another Gastroscopy for Stomach Issues
Gastrointestinal issues Hello, Doctor: After experiencing early gastroesophageal reflux, I had some improvement, but recently, due to the busy company relocation and emotional stress, my stomach feels bloated regardless of whether I eat more or less. If I eat even a little more t...
Dr. Cai Anshun Reply:
Hello: If symptoms of gastric discomfort persist without improvement, or if they recur immediately after stopping medication, it may be necessary to undergo an endoscopy under the guidance of a physician. Additionally, it is important to change your lifestyle habits, including: e...[Read More] Understanding When to Get Another Gastroscopy for Stomach Issues
Understanding Hiccups: Insights for Gastroesophageal Reflux Patients
Could you please provide more details or specify your question regarding hiccups? Hello Doctor: I have gastroesophageal reflux disease (GERD) and I would like to ask about experiencing long burps five to six times intermittently within two hours after eating, sometimes accompanie...
Dr. Chen Qifeng Reply:
Hello: Hiccups are related to poor gastric emptying and are generally associated with conditions such as gastritis or peptic ulcers. As a principle, avoid overeating and limit the intake of hard-to-digest foods, while considering the use of medications that promote gastric motili...[Read More] Understanding Hiccups: Insights for Gastroesophageal Reflux Patients
Understanding Your Stomach Discomfort: Symptoms and Possible Causes
I have a lot of discomfort in my stomach? Hello: Recently, I've been experiencing discomfort in my stomach for the past few days. Sometimes it's so bad that I can't sleep at night. When I haven't eaten, my stomach feels empty and I also feel a bit nauseous (ab...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, both peptic ulcer disease and gastritis are possible. It is recommended to undergo an upper gastrointestinal endoscopy, as the symptoms are already quite evident. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Departmen...[Read More] Understanding Your Stomach Discomfort: Symptoms and Possible Causes
Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions
After undergoing an upper gastrointestinal endoscopy? Hello, doctor. I have a few questions: 1. After undergoing an upper endoscopy (nasal route), I noticed blood clots in my cough and phlegm. Is this normal? Should I seek medical attention again? 2. After the endoscopy, the ...
Dr. Chen Qifeng Reply:
Hello: 1. During the execution of an upper gastrointestinal endoscopy, there may be contact with the mucosa, causing slight damage and bleeding, as long as it is not continuous bleeding. 2. Gastritis is simply gastritis. 3. Helicobacter pylori may cause gastric wall inflammation,...[Read More] Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions
Understanding Abdominal Symptoms: Insights into Gastrointestinal Issues
Some abdominal symptoms? Hello, doctor. I am 18 years old and in my senior year of high school. I have some gastrointestinal issues I would like to ask about. When I was in elementary school, I often experienced abdominal cramps that would go away after a while (I don't have...
Dr. Cai Anshun Reply:
Hello: Based on your description of bowel habits, it seems that you may have a chronic constipation issue. Incomplete bowel movements can lead to symptoms such as abdominal cramps and bloating. Whether this is related to cancer or irritable bowel syndrome should be determined thr...[Read More] Understanding Abdominal Symptoms: Insights into Gastrointestinal Issues
Understanding Elevated CA72-4 Levels: Cancer Risks and Alternatives
The CA72-4 test index is elevated? Hello! After the health check-up, it was found that this index is elevated at 10, while the normal index is less than 5. I have read many reports stating that under normal circumstances, the index should not be elevated. An elevated index is oft...
Dr. Chen Qifeng Reply:
Hello: CA72-4 is a tumor marker with high sensitivity but low specificity, and it may also be elevated in cases of gastritis. Essentially, if you have undergone a gastroscopy and the results are normal, that is good. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gas...[Read More] Understanding Elevated CA72-4 Levels: Cancer Risks and Alternatives
Managing Uncomfortable Stomach Sensations After Tonsillitis Treatment
Stomach discomfort? Three weeks ago, I started taking medication for a tonsillar abscess. Since I began taking the medication, my stomach has been feeling strange. I often experience discomfort similar to hunger, even though I eat regularly and not in large amounts. What should I...
Dr. Lin Minghui Reply:
Hello: Anti-inflammatory and pain-relief medications can sometimes damage the gastrointestinal mucosa or alter gastrointestinal function, and they may also harm individuals with pre-existing gastrointestinal conditions such as gastritis or peptic ulcers. It is advisable to pay at...[Read More] Managing Uncomfortable Stomach Sensations After Tonsillitis Treatment
Understanding Gastritis: Persistent Belching and Throat Discomfort
Gastritis with persistent belching? Hello, doctor! I underwent an endoscopy which revealed gastritis and tested for Helicobacter pylori (but no bacteria were found). I have been experiencing persistent belching and a sensation of something stuck in my throat, along with a slight ...
Dr. Chen Shidian Reply:
Hello, Xiao Fan. You are likely experiencing functional gastrointestinal disorder, which can be easily influenced by involuntary underlying emotions. Therefore, low-dose sedatives are often used to help regulate your mood, reduce the sensation of foreign body presence, and can be...[Read More] Understanding Gastritis: Persistent Belching and Throat Discomfort
Understanding Chronic Stomach Pain: Causes and Insights on Duodenal Scarring
I have been experiencing stomach pain for over three years, which occurs on an empty stomach? I have been experiencing stomach pain for over three years, which occurs on an empty stomach. Previously, I was taking medication from a clinic, and my condition improved somewhat. Howev...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, the likelihood of gastrointestinal diseases remains the highest. Conditions such as gastritis, gastroesophageal reflux disease (GERD), and peptic ulcers are generally associated with excessive gastric acid. In addition to pharmacological treatment, t...[Read More] Understanding Chronic Stomach Pain: Causes and Insights on Duodenal Scarring