Understanding Right Upper Abdominal Pain: Causes and Solutions
Right upper quadrant pain? Hello Doctor, I have been experiencing difficulty sleeping until dawn for over a year and a half since 2021 due to high stress, which has led to a decline in my overall health. Recently, I have had recurrent fevers, abdominal pain, acid reflux, and diar...
Dr. Chen Shidian Reply:
A medical examination is sufficient. If the physician's palpation or ultrasound shows no significant abnormalities, local heat application and dietary/emotional adjustments can be recommended.[Read More] Understanding Right Upper Abdominal Pain: Causes and Solutions
Understanding Esophageal Reflux: Medication Duration and Symptoms Explained
Medication Consultation I recently underwent an upper endoscopy, which confirmed that I have gastroesophageal reflux disease (GERD) and esophagitis. The doctor prescribed Nexium (esomeprazole), which I took for two months, and I felt much better. However, I interrupted the medica...
Dr. Chen Shidian Reply:
Controlling stomach acid/reflux should be effective; further observation and dietary adjustments can be made, and prokinetic agents may be added.[Read More] Understanding Esophageal Reflux: Medication Duration and Symptoms Explained
Best Practices for Taking Glutamine After Esophageal Surgery
Methods of consuming glutamic acid? Hello Dr. Chen: About 1 to 2 weeks ago, I underwent surgery for gastroesophageal reflux disease (GERD). The hospital informed me that I need to supplement with glutamine, but after taking it for a while, I realized that it should not be taken d...
Dr. Chen Shidian Reply:
No experience in use.[Read More] Best Practices for Taking Glutamine After Esophageal Surgery
Should You Take Nankang Weili Zan Before or After Meals?
Nanguang Weili Zan should be taken before meals? Hello Dr. Tsai, I have gastroesophageal reflux disease, and the doctor prescribed me Nankang Gastric Relief to be taken twice a day. The medication bag and the Nankang product leaflet state to take it after breakfast and dinner, bu...
Dr. Cai Anshun Reply:
Hello: It can be taken before or after meals. However, since it is a medication that suppresses gastric acid secretion, taking it before meals aims to achieve the suppressive effect before food enters the stomach. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Should You Take Nankang Weili Zan Before or After Meals?
Understanding Drug Interactions: Managing GERD with Multiple Medications
Medication consultation I have gastroesophageal reflux disease and am taking Nexium. I am also on psychiatric medications Easyfor (an SNRI) and Sulpiride. I previously felt that Nexium was effective, but recently I feel that it is not working well. I wonder if there are any inter...
Dr. Chen Shidian Reply:
There is no research that would affect this; it is necessary to discuss further with a physician and pay attention to diet, avoiding acidic, sweet, and irritating foods.[Read More] Understanding Drug Interactions: Managing GERD with Multiple Medications
Understanding Cough Related to Gastroesophageal Reflux Disease
Gastroesophageal reflux cough Hello, doctor. I had a cold around the Mid-Autumn Festival this year, and after recovering, I developed a mild cough that has persisted until now. I often experience an itchy throat and occasionally cough. This has been going on for quite some time. ...
Dr. Chen Shidian Reply:
A trial of a strong gastric medication (self-paid) for 1-2 weeks can be conducted, followed by discontinuation of the medication to compare symptom changes and determine correlation. If necessary, an endoscopy can be performed for confirmation.[Read More] Understanding Cough Related to Gastroesophageal Reflux Disease
Understanding GERD: When Medication Stops Working and Next Steps
Gastroesophageal reflux disease (GERD) I would like to ask the doctor about gastroesophageal reflux disease (GERD). I previously underwent an endoscopy, which confirmed that I have esophageal reflux with noticeable damage to the esophagus. The doctor prescribed Nexium (esomeprazo...
Dr. Chen Shidian Reply:
The validity of the gastroscope is four months. Symptom management still requires lifestyle adjustments, and prokinetic agents may be added if necessary.[Read More] Understanding GERD: When Medication Stops Working and Next Steps
Understanding Side Effects of Anxiety Medications and Gastrointestinal Treatments
Drug side effects I would like to ask the doctor, I am currently taking an anti-anxiety medication (Cymbalta) and during a visit to the gastroenterologist last week, I was diagnosed with mild gastroesophageal reflux disease. The doctor prescribed "Esomeprazole" to be ta...
Dr. Chen Shidian Reply:
Medication can be discontinued for observation; if improvement occurs, the medication can be restarted. If diarrhea recurs, consider switching to a different medication.[Read More] Understanding Side Effects of Anxiety Medications and Gastrointestinal Treatments
Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...
Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Abdominal bloating? Hello Dr. Lin, I apologize for bothering you. I would like to ask about a feeling of tightness and bloating in my stomach that I've been experiencing for the past few months. Sometimes, I feel a bloating sensation in the area just a little to the left of ...
Dr. Lin Minghui Reply:
The sensation of a skipped heartbeat in the chest, along with tightness, may commonly be attributed to causes such as indigestion, gastroenteritis, gastroesophageal reflux disease (GERD), peptic ulcers, irritable bowel syndrome (IBS), and liver, gallbladder, or pancreatic disease...[Read More] Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Gastroesophageal reflux disease (GERD) and superficial gastritis? Dear Vice President Chen, I underwent an upper gastrointestinal endoscopy at the hospital on July 31, 2023, and the results are as follows: Examination time: Start time: 10:32:06 End time: 10:36:13 Clinica...
Dr. Chen Shidian Reply:
Medication can be reduced or discontinued; this can be discussed with the attending physician without conflict.[Read More] Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Gastroesophageal reflux with blood-tinged saliva? Hello, doctor. I have been experiencing gastroesophageal reflux disease (GERD) for a long time. I underwent an upper endoscopy last November, which showed mild grade A reflux. I have been on medication for treatment, but I still e...
Dr. Hu Guozheng Reply:
It is recommended to seek medical attention for evaluation. Thank you.[Read More] Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Can Pain Relief Medications Worsen Acid Reflux Symptoms?
Can pain relief medications potentially exacerbate gastroesophageal reflux disease (GERD)? Due to a diagnosis of mild gastroesophageal reflux disease (GERD) and a previous duodenal ulcer, I am currently taking gastrointestinal medications including Pantoprazole and Domperidone. A...
Dr. Hu Guozheng Reply:
If there are concerns about potential drug interactions, it is advisable to consult a pharmacist or the prescribing physician. The medication bag should contain relevant contact information. Thank you.[Read More] Can Pain Relief Medications Worsen Acid Reflux Symptoms?
Understanding GERD and Ulcers: Treatment Challenges and Insights
Gastroesophageal reflux and ulcers? Earlier this year, I was diagnosed with gastric ulcers, duodenal ulcers, and gastroesophageal reflux disease (GERD). Before seeing the doctor, I had taken painkillers, so the first test for Helicobacter pylori was not conducted. It was only dur...
Dr. Chen Shidian Reply:
There should only be a dysfunction of gastrointestinal motility, unrelated to bacteria. Depending on the symptoms, it may be necessary to adjust the medication duration and discuss it further with the attending physician.[Read More] Understanding GERD and Ulcers: Treatment Challenges and Insights
Can Gastritis and GERD Cause Fatigue? Recovery Time Explained
Gastrointestinal issues and fatigue? Doctor, I have undergone an endoscopy and was diagnosed with mild gastroesophageal reflux disease (GERD) and gastritis. Can gastritis cause fatigue and weakness in the body? Additionally, how long does it typically take to recover from gastrit...
Dr. Chen Shidian Reply:
The effects of reflux medications can be seen within a few days, but stopping the medication may lead to a relapse. However, it is not related to fatigue.[Read More] Can Gastritis and GERD Cause Fatigue? Recovery Time Explained
Managing Gastrointestinal Issues: Tips for Constipation Relief After PPI Use
Gastrointestinal and bowel-related issues? Hello doctor, I would like to ask about my condition. I was diagnosed with grade C gastroesophageal reflux disease (GERD) and a gastric ulcer over a year ago after undergoing an endoscopy. I have been taking a proton pump inhibitor (PPI)...
Dr. Lin Minghui Reply:
Due to severe gastroesophageal reflux disease (GERD) and gastric ulcers, the patient has been taking proton pump inhibitors (PPIs) for a year and a half. The use of PPIs may lead to looser stools. The patient often experiences constipation. It is recommended that, in addition to ...[Read More] Managing Gastrointestinal Issues: Tips for Constipation Relief After PPI Use
Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Please advise on the active treatment options for Barrett's esophagus? Dear Dr. Chen, I am a 41-year-old male, 174 cm tall and weighing 90 kg. My past medical history includes peptic ulcer disease and irritable bowel syndrome. Currently, I have moderate fatty liver disease,...
Dr. Chen Shidian Reply:
It is recommended to start medication and follow up with an endoscopy in one year, and then consider endoscopic treatment if necessary. In Taiwan, this is not commonly practiced; patients must go to a medical center for a complete preoperative evaluation, and decisions will be ma...[Read More] Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Persistent discomfort below the navel? Hello Doctor: I have gastroesophageal reflux disease and have been under treatment with medication for over a year, primarily using traditional Chinese medicine. My TCM physician mentioned that I have signs of gastritis, as I experience shar...
Dr. Chen Shidian Reply:
If the fecal occult blood test is normal, it is still possible to have irritable bowel syndrome (IBS). Medical consultation and adjustments to lifestyle and dietary habits may be necessary.[Read More] Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Gastroesophageal reflux disease (GERD) I experience some pain in my esophagus when eating, but it has improved somewhat. I also have some stomach pain, primarily located around the right side of my chest, so I suspect it might be related to my stomach. Sometimes, when I drink hot...
Dr. Hu Guozheng Reply:
Based on your description, a medical evaluation has been conducted. Please follow the treatment as prescribed. If you have any questions or continue to experience discomfort, it is recommended to return for a consultation with your original physician. Thank you.[Read More] Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Managing Chronic Gastritis: Dietary Strategies for Weight Gain
Chronic gastritis, dietary issues? Hello Doctor, I have been diagnosed with gastric antrum inflammation and grade A gastroesophageal reflux disease. I am currently taking PPIs and Gaviscon. Because I am underweight (158 cm / 44 kg) and have a very small appetite, I am unable to e...
Dr. Chen Shidian Reply:
Increase total caloric intake and engage in moderate exercise. Additionally, consider consulting a nutritionist.[Read More] Managing Chronic Gastritis: Dietary Strategies for Weight Gain