Gastroesophageal reflux disease, Gastroenterology and Hepatology FAQ

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Understanding Symptoms of Gastroesophageal Reflux and Related Conditions

I would like to ask Dr. Chen what symptoms might be indicated by a sudden tightening in the center of the chest when changing positions or after eating? Two years ago, I frequently enjoyed late-night snacks, particularly spicy and fried foods. One night, after finishing a snack, ...


Dr. Chen Shidian Reply:
It may be caused by anxiety. In addition to controlling it with gastric medication, it is still recommended to undergo pharmacological treatment and relaxation training from a psychosomatic specialist.

[Read More] Understanding Symptoms of Gastroesophageal Reflux and Related Conditions


Understanding the Timeline of GERD and Barrett's Esophagus Development

The timeline for the development of gastroesophageal reflux disease (GERD) and the formation of Barrett's esophagus? I started experiencing allergic rhinitis issues two to three years ago, occasionally feeling a sensation of a foreign body in my throat. I initially thought t...


Dr. Chen Shidian Reply:
Long-term symptoms of reflux combined with smoking and alcohol consumption are more likely to be associated with Barrett's esophagus. If there are concerns, an upper endoscopy can be performed for confirmation.

[Read More] Understanding the Timeline of GERD and Barrett's Esophagus Development


Concerns About Endoscopy and Anticoagulant Use: What You Should Know

Nasal-gastric endoscopy issues? Hello Doctor, I would like to ask about the esophagogastroduodenoscopy and Helicobacter pylori test I had on May 21. In April, I experienced recurrent chest tightness and pain, and after consulting several cardiologists and pulmonologists with no i...


Dr. Cai Jinji Reply:
Hello Miss Hsiao-Lü: I am unsure which anticoagulant medication you are taking, so I recommend consulting your cardiologist to see if it may affect your examination or coagulation function. If you stop the anticoagulant medication on April 30 and have the examination on May 21, i...

[Read More] Concerns About Endoscopy and Anticoagulant Use: What You Should Know


Understanding Right Upper Abdomen Pain: Causes and Next Steps

Pain under the right rib cage in the upper abdomen? Hello, doctor. I occasionally experience pain in the area just below the right rib cage. The pain is localized and typically lasts for about 1 to 2 weeks each time it occurs, but it tends to recur every few months. The pain beco...


Dr. Hu Guozheng Reply:
Hello, it is recommended to visit a pain management clinic. Thank you.

[Read More] Understanding Right Upper Abdomen Pain: Causes and Next Steps


Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?

Can I take vitamin C effervescent tablets if I have gastroesophageal reflux disease (GERD)? I have undergone a gastroscopy and there was slight mucosal abrasion. Biopsy and Helicobacter pylori tests were normal, but I occasionally feel a mild sensation of something stuck in my th...


Dr. Luo Yining Reply:
Caffeinated beverages, whole milk, and sweets can exacerbate symptoms of gastroesophageal reflux disease (GERD), so it is advisable to avoid drinking milk tea. If you want to supplement with vitamin C, it is recommended to take effervescent tablets after meals.

[Read More] Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?


Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests

Frequent bloating and abdominal pain? Hello Doctor, I have seen many doctors this month. In the first and second weeks, I visited for bloating, and in the third week, I consulted for gastroesophageal reflux disease. After taking medication, I felt better in two days, but then I e...


Dr. Luo Yining Reply:
The main cause of abdominal bloating is excessive air, which can generally be divided into two categories: excessive gas production or poor gas expulsion. Excessive gas production can be due to consuming too many gas-producing foods or swallowing too much air, such as when talkin...

[Read More] Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests


Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns

Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...


Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...

[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns


Understanding Chest Pain: Is It Related to GERD?

Gastroesophageal reflux disease (GERD), chest pain? I have been experiencing chest pain for over two years. I have consulted cardiology, rehabilitation, and pulmonology specialists, and all tests have come back normal. However, I have noticed that I experience intermittent burpin...


Dr. Hu Guozheng Reply:
It is recommended to visit the gastroenterology and hepatology outpatient clinic for evaluation. Thank you.

[Read More] Understanding Chest Pain: Is It Related to GERD?


Understanding Bad Breath: Causes and Connections to GERD

The main causes of bad breath..? Hello Dr. Hu: I have mild gastroesophageal reflux disease (GERD).... (I wake up in the morning with a bitter taste in my mouth), but the saliva in my throat and the middle of my tongue has a sour and foul odor. I would like to ask: 1. If the saliv...


Dr. Hu Guozheng Reply:
If an oral assessment has been conducted and non-dental diseases have been ruled out, it is recommended to visit the gastroenterology or otolaryngology outpatient clinic for further evaluation. Thank you.

[Read More] Understanding Bad Breath: Causes and Connections to GERD


Gallbladder Removal: When Is Surgery Necessary for Gallstones?

Cholecystectomy Hello, doctor. I have gastroesophageal reflux disease, and recently I've experienced right upper abdominal pain twice within a week. The emergency department diagnosed me with gallstones leading to cholecystitis, but my blood tests are normal. I would like to...


Dr. Hu Guozheng Reply:
The primary treatment for symptomatic gallstones is cholecystectomy. If a physician assesses that a patient is not suitable for surgery, extracorporeal shock wave lithotripsy combined with medication can be considered. Additionally, lifestyle and dietary modifications are necessa...

[Read More] Gallbladder Removal: When Is Surgery Necessary for Gallstones?


Understanding Bloating and Discomfort: When to See a Gastroenterologist

Bloating, gas, and stomach discomfort? Recently, I have been experiencing frequent bloating and belching, and sometimes I feel discomfort in my stomach along with mild gastroesophageal reflux, usually occurring in the evening or before bedtime. I previously consulted a gastroente...


Dr. Chen Shidian Reply:
You can discuss medication preparation at the gastroenterology outpatient clinic.

[Read More] Understanding Bloating and Discomfort: When to See a Gastroenterologist


Throat Sensation and Bloating: What Tests Should You Consider?

Sensation of a foreign body in the throat and bloating? Hello, doctor! I have a sensation of a foreign body in my throat (but there is no actual obstruction) and I'm unable to burp, which is causing difficulty in breathing and chest tightness. I visited a pulmonologist, and ...


Dr. Cai Anshun Reply:
Hello: The sensation of a foreign body in the throat (without an actual obstruction) may be a symptom of gastroesophageal reflux disease (GERD). It is recommended to limit the intake of tea (black/green/milk tea), coffee, tobacco, alcohol, fried foods, spicy foods, sweets, and ch...

[Read More] Throat Sensation and Bloating: What Tests Should You Consider?


Understanding Esophageal Relaxation Issues and Acid Reflux Symptoms

Gastroesophageal reflux and lower esophageal sphincter relaxation issues? Hello, doctor: Recently, after eating, I experience bloating and burping with the taste of food, and sometimes food feels like it is flowing back into my throat and I swallow it again. However, I do not hav...


Dr. Hu Guozheng Reply:
There are many reasons that can lead to relaxation of the lower esophageal sphincter. It is recommended that you seek evaluation from a gastroenterologist. Thank you.

[Read More] Understanding Esophageal Relaxation Issues and Acid Reflux Symptoms


Understanding Acid Reflux: Symptoms and When to See a Gastroenterologist

Excess stomach acid Hello, doctor. After my lunch break today, as I was preparing to return to work, I suddenly felt a burning sensation in my throat, along with a feeling of something being stuck there. Since it's currently cold and flu season, I'm unsure if this is ca...


Dr. Chen Shidian Reply:
Reflux, commonly referred to as excessive stomach acid, can be managed by reducing the intake of acidic and sweet foods, as well as coffee and tea. If necessary, medication for gastric control may be taken.

[Read More] Understanding Acid Reflux: Symptoms and When to See a Gastroenterologist


Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns

Back pain, occasional nausea, and bloating issues? Hello Doctor: Last May, I sought medical attention for gastrointestinal bloating after consuming too much milk. Due to a family history of diabetes (grandfather, mother, and father), the doctor arranged for a colonoscopy, an endo...


Dr. Chen Shidian Reply:
It should not be related to pancreatic cancer; managing with medication and dietary control is sufficient, so there is no need to worry.

[Read More] Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns


Understanding GERD: Treatment Options and Medication Effectiveness Explained

Gastroesophageal reflux disease (GERD) I previously underwent an endoscopy and was diagnosed with gastroesophageal reflux disease (GERD). The doctor prescribed me pantoprazole, along with some antiemetics and medications to neutralize stomach acid. When I took pantoprazole, it wa...


Dr. Chen Shidian Reply:
If symptoms improve, the medication can be gradually reduced, and eventually, it may be changed to an as-needed basis. However, individual circumstances vary, so it's advisable to discuss this with a physician. Additionally, there are chewable tablets available to assist wit...

[Read More] Understanding GERD: Treatment Options and Medication Effectiveness Explained


Could My Symptoms Indicate Gastroesophageal Reflux Disease?

Uncertain if it could be gastroesophageal reflux disease (GERD)? Yesterday, I visited an otolaryngologist because I have been experiencing intermittent sharp pain in the front part of my neck for a month. I took medication in between, which alleviated the pain, but it has recurre...


Dr. Chen Shidian Reply:
If there is gradual improvement, you may continue to observe. Additionally, reduce the intake of sweet and sour foods.

[Read More] Could My Symptoms Indicate Gastroesophageal Reflux Disease?


Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity

Is it possible to completely cure Barrett's esophagus? Is surgery necessary? Hello Doctor: During my endoscopy for gastroesophageal reflux disease, I was diagnosed with Barrett's esophagus. The clinic physician mentioned that it is "non-dysplastic." Currently,...


Dr. Hu Guozheng Reply:
It is generally recommended to have follow-up appointments at least once a year, although this may vary depending on individual health conditions. It is advisable to seek follow-up and treatment at a gastroenterology clinic in a regional hospital or higher, and to discuss any que...

[Read More] Can Barrett's Esophagus Be Cured? Exploring Treatment Options and Surgery Necessity


Feeling of Foreign Body in Throat and Breathing Difficulties: Gastrointestinal Concerns

There is a sensation of a foreign body in the middle of the chest below the breasts and difficulty breathing? Hello Dr. Yang, I have had gastrointestinal issues since childhood, often experiencing diarrhea. I also have a history of obesity. Over the past two months, I frequently ...


Dr. Yang Zhichao Reply:
Hello Ms. Chou, your condition is likely due to gastroesophageal reflux disease (GERD). I recommend weight loss, increased physical activity, and a diet rich in fruits and vegetables. Additionally, please consult a gastroenterologist for an evaluation and to arrange for an endosc...

[Read More] Feeling of Foreign Body in Throat and Breathing Difficulties: Gastrointestinal Concerns


Feeling of Foreign Body in Throat and Breathing Difficulties: Gastrointestinal Concerns

There is a sensation of a foreign body in the middle of the chest below the breast and difficulty breathing? Hello, Dr. Yang. I have had gastrointestinal issues since childhood, often experiencing diarrhea. I also have a history of obesity. Over the past two months, I frequently ...


Dr. Yang Zhichao Reply:
Hello Ms. Chou, your condition is likely due to gastroesophageal reflux disease (GERD). It is recommended that you lose weight, exercise more, and increase your intake of fruits and vegetables. Additionally, please consult a gastroenterologist for an evaluation and to arrange for...

[Read More] Feeling of Foreign Body in Throat and Breathing Difficulties: Gastrointestinal Concerns


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