Persistent Stomach Pain and Throat Inflammation: Seeking Medical Advice
Stomach pain, throat inflammation? Hello, Doctor. On January 25th, I visited an ENT specialist due to stomach pain, mild diarrhea, and a sore throat with inflammation and redness. After taking the three-day medication prescribed by the doctor, my condition improved slightly, but ...
Dr. Cai Anshun Reply:
Hello: If we exclude the possibility of a cold, gastroesophageal reflux can also cause pharyngitis, chest tightness, and upper abdominal pain. You may consult a gastroenterologist for an evaluation to determine if it is gastroesophageal reflux disease (GERD). However, if there is...[Read More] Persistent Stomach Pain and Throat Inflammation: Seeking Medical Advice
Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
The condition of gastric burning is not improving significantly with medication? Hello, doctor. I have been suffering from gastroesophageal reflux disease (GERD) for many years. I started treatment two years ago and have undergone several endoscopies. The results showed only slig...
Dr. Chen Shidian Reply:
It may be advisable to continue medication (possibly increasing the dosage at your own expense) and monitor the situation, while maintaining a normal diet. If necessary, a 24-hour esophageal pH monitoring can be performed (the test may cause some discomfort).[Read More] Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
Understanding Upper Right Abdominal Pain During Swallowing
Swallowing-related pain in the right upper abdomen? Hello Doctor: I have gastroesophageal reflux disease and I am currently taking Dexilant. Recently, for the past two weeks, I have been experiencing pain in the upper right abdomen while eating, which subsides after swallowing fo...
Dr. Chen Shidian Reply:
You can discuss and have an examination with the physician during your follow-up visit.[Read More] Understanding Upper Right Abdominal Pain During Swallowing
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
Understanding Persistent Heartburn: Causes and Solutions
I have persistent heartburn, but it goes away after I eat? Experiencing persistent heartburn that resolves after eating but returns after about two hours could be indicative of gastroesophageal reflux disease (GERD). The occasional sharp pain in the stomach, along with heartburn ...
Dr. Cai Jinji Reply:
Hello Mr. A-Ren: It is possible that there is a problem with your stomach. As for the diagnosis, it is recommended that you visit a hospital for examination and treatment in order to confirm the issue. Director Cai Jin-ji of the Department of Hepatobiliary and Gastroenterology at...[Read More] Understanding Persistent Heartburn: Causes and Solutions
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
Is Intestinal Metaplasia from H. Pylori Infection Reversible? Insights and Risks
Is intestinal metaplasia caused by Helicobacter pylori reversible? Recently, I was diagnosed with gastroesophageal reflux disease and underwent an endoscopy, which revealed that Helicobacter pylori has caused partial intestinal metaplasia of the gastric wall, resembling a Buddha&...
Dr. Zhang Kebin Reply:
Hello, sir: Regarding your inquiry about whether intestinal metaplasia of the gastric mucosa is reversible, whether it will worsen, and the likelihood of progression to gastric cancer: 1. According to the Maastricht V/Florence Consensus, intestinal metaplasia is considered irre...[Read More] Is Intestinal Metaplasia from H. Pylori Infection Reversible? Insights and Risks
Managing Gastroesophageal Reflux: Symptoms, Treatment, and Weight Concerns
Gastroesophageal reflux disease (GERD) issues? Hello, doctor. Two weeks ago, I experienced chest pain while eating, and after seeking medical attention and undergoing an endoscopy, I was diagnosed with gastroesophageal reflux disease (GERD) and gastritis. Currently, I am taking t...
Dr. Chen Shidian Reply:
No need for now, maintain a normal diet, reduce sweet and acidic foods, and follow up later.[Read More] Managing Gastroesophageal Reflux: Symptoms, Treatment, and Weight Concerns
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Gastrointestinal issues I would like to ask the doctor... Previously, I was diagnosed with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed medication, including antibiotics and a medication called rabeprazole, which is supposed to be tak...
Dr. Cai Anshun Reply:
Hello: It is correct that stomach medication should be taken before meals. As for why the doctor changed the timing, there may be a specific reason for it; you can ask him during your follow-up visit. If you have started feeling unwell again with nausea, dizziness, and loss of ap...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
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
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Gastrointestinal issues Hello, Doctor. I would like to ask a question. Previously, I had an uncomfortable stomach and went to the hospital for an endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), a bit of gastritis, and Helicobacter pylori infection. I was...
Dr. Zhang Kebin Reply:
Hello Ruru, 1. According to the consensus on Helicobacter pylori treatment in Taiwan, after completing antibiotic therapy, it is recommended to wait four weeks before testing for eradication using either a urea breath test (UBT) or a stool antigen test (SAT). Proton pump inhibi...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Understanding Acid Reflux: Causes, Symptoms, and Management Tips
Gastroesophageal reflux disease (GERD) Hello, Dr. Tsai... In mid-September, I underwent an endoscopy due to bloating and belching, which revealed grade A gastroesophageal reflux disease (GERD) and chronic gastritis. An ultrasound examination was normal. I have been taking antacid...
Dr. Cai Anshun Reply:
Hello: If there are conditions such as rapid movements, being underweight or overweight, or emotional stress, similar symptoms may occur. It is advisable to examine various factors and discuss them in detail with your attending physician. Changhua Hospital cares about your health...[Read More] Understanding Acid Reflux: Causes, Symptoms, and Management Tips
Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Helicobacter pylori Dear Doctor, I previously experienced discomfort in my stomach and underwent an endoscopy at the hospital. The doctor diagnosed me with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed antibiotics and a medication ca...
Dr. Cai Anshun Reply:
Hello: You can determine whether the eradication was successful through a carbon-13 breath test or a stool antigen test for Helicobacter pylori. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Is it still painful after taking medication for Helicobacter pylori? Hello doctor, I have undergone an upper gastrointestinal endoscopy, and the diagnosis is chronic gastritis and gastroesophageal reflux disease (GERD), caused by Helicobacter pylori. I am currently on a 14-day co...
Dr. Yang Zhichao Reply:
Hello Ms. Chen, you have already been seen by a physician. You can discuss your current issues further with your doctor.[Read More] Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Persistent Hunger: Understanding Gastrointestinal Issues After GERD Treatment
Constantly feeling hungry? Hello Doctor: I have a history of gastroesophageal reflux disease (GERD) and have been taking proton pump inhibitors for a while, which have improved my condition significantly. However, recently I have been feeling constantly hungry, eating twice the a...
Dr. Chen Shidian Reply:
There are currently no specific recommendations; please practice self-control over your appetite and choose appropriate food components.[Read More] Persistent Hunger: Understanding Gastrointestinal Issues After GERD Treatment
Do You Need Treatment for Asymptomatic GERD? Understanding the Risks
Is treatment necessary if there are no symptoms of gastroesophageal reflux disease (GERD)? When I visited an otolaryngologist for a nasopharyngoscopy, I was unexpectedly informed by the doctor that I have gastroesophageal reflux disease (GERD). I find it puzzling because I have n...
Dr. Chen Shidian Reply:
It is a matter of personal opinion and can be further discussed with the attending physician.[Read More] Do You Need Treatment for Asymptomatic GERD? Understanding the Risks
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
Understanding GERD: When to Seek Medical Help for Breathing Issues
Gastroesophageal reflux disease (GERD) Hello Doctor, I previously had an experience with gastroesophageal reflux disease (GERD), but recently I've been feeling short of breath after meals, even when I haven't eaten too much. I also experience burping. I would like to as...
Dr. Cai Anshun Reply:
Hello: Please avoid tea, coffee, spicy foods, fried foods, high-fat and high-protein foods, smoking, and drinking alcohol. Do not overeat. If there is no improvement, it is recommended to consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding GERD: When to Seek Medical Help for Breathing Issues