Understanding Duodenal Ulcers: Symptoms, Treatment, and Anxiety Management
Duodenal ulcer Hello, doctor: In July of this year, I suddenly experienced severe chest tightness and persistent throat inflammation. I visited numerous ENT specialists, and later found online that it might be gastroesophageal reflux disease (GERD). An endoscopy revealed mild ulc...
Dr. Cai Anshun Reply:
Hello: You can start with dietary control, being careful not to consume coffee, tea, smoke, or drink alcohol. Avoid overeating and try to limit fried and spicy foods as much as possible. If there is no improvement, you may consider consulting a gastroenterologist. Changhua Hospit...[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Anxiety Management
Is Transnasal Gastroscopy Accurate for Diagnosing GERD?
Transnasal gastroscopy Hello, doctor. Is the accuracy of a transnasal gastroscopy high? Four months ago, I underwent a transnasal gastroscopy, and the result indicated gastroesophageal reflux disease (GERD). I have been taking Nexium for three months, but I still feel persistent ...
Dr. Cai Anshun Reply:
Hello: Generally speaking, the transnasal gastroscopy has a smaller diameter, but its diagnostic rate is comparable to that of a standard gastroscopy. However, the image resolution of older transnasal gastroscopes is not as good as that of standard endoscopes. Essentially, Nexium...[Read More] Is Transnasal Gastroscopy Accurate for Diagnosing GERD?
Understanding Chest Discomfort: Possible Causes and Solutions
Does the xiphoid process contract? Hello, Dr. Lin. I have a stent in my heart, and I experienced the following symptoms once two years before the procedure, which were quite severe. I was scared and went to the emergency room where multiple tests were conducted, but no cause was ...
Dr. Lin Minghui Reply:
The pain at the xiphoid process may occur suddenly and be cramp-like. If there are no abnormalities found in cardiology and endoscopy, there is no need for excessive concern. Some cases may involve gastroesophageal reflux, where the endoscopy appears normal but there is a reactio...[Read More] Understanding Chest Discomfort: Possible Causes and Solutions
Understanding Right Rib Pain: Is It Related to GERD?
Right rib pain? Hello doctor, I have recently been experiencing pain in my right rib cage while sleeping. The pain is so severe that I cannot turn over, and it takes a long time to subside. Occasionally, the pain causes some difficulty in breathing. Could this issue be related to...
Dr. Chen Shidian Reply:
Hello, Miss. Since it is not a symptom of acid reflux, you can visit the gastroenterology clinic for further examination. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Right Rib Pain: Is It Related to GERD?
Understanding Stomach Issues: Risks and Recommendations for Young Adults
The stomach has been consistently problematic? Hello doctor, I am 23 years old and have been a long-term smoker (about one pack a day), drink alcohol (approximately three times a week, about five cans of strong beer each time), and chew betel nut (currently about three packs a we...
Dr. Chen Shidian Reply:
Hello, sir. It appears that you are experiencing issues related to gastrointestinal motility and symptoms of gastroesophageal reflux disease (GERD). Improving your diet and medication can help manage these conditions, and there is currently no risk of gastric cancer; however, con...[Read More] Understanding Stomach Issues: Risks and Recommendations for Young Adults
Understanding Bloating and Pain: The Impact of Gallstones on Digestive Health
Bloating, stomach pain, and gallstones? Doctor, hello. I have been experiencing bloating after meals for many years, but I could quickly relieve it by taking some antacids or simethicone. However, in the past 1-2 years, the frequency of bloating has increased, and sometimes norma...
Dr. Chen Shidian Reply:
Hello, if you experience discomfort after meals, you may consider gallbladder surgery, although it may not necessarily be effective. It would be advisable to discuss this further with a gastroenterologist. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Bloating and Pain: The Impact of Gallstones on Digestive Health
Understanding Left Chest Pain: Possible Causes and Solutions
Pain in the left lower chest area related to the stomach? Hello, doctor. I am inquiring on behalf of my mother, who is 55 years old. Three months ago, she experienced discomfort in her stomach and underwent an endoscopy, which revealed mild gastric ulcers. After taking medication...
Dr. Lin Minghui Reply:
Pain in the left lower chest related to gastroesophageal issues may include differential diagnoses such as esophageal and gastrointestinal diseases, neuropathic pain, pancreatic disorders, colonic conditions, and thoracic diseases. If symptoms do not improve, continued medical ev...[Read More] Understanding Left Chest Pain: Possible Causes and Solutions
Understanding Blood in Stool: Causes and When to Seek Further Testing
Blood in the stool? Hello, Doctor. In August, I experienced stomach pain and bloating, along with frequent burping and flatulence. I underwent an endoscopy, and the doctor diagnosed me with excessive stomach acid, gastroesophageal reflux disease (GERD), and gastric erosion. I hav...
Dr. Chen Qifeng Reply:
Some symptoms, such as flatulence and bloody stools, are associated with colonic issues. Although a sigmoidoscopy has been performed, a full colonoscopy may still be necessary if indicated.[Read More] Understanding Blood in Stool: Causes and When to Seek Further Testing
Understanding Swallowing Difficulties: When to Seek Medical Help
Is it dysphagia? Doctor, I have a history of gastrointestinal issues but have not been on long-term medication for it. A few years ago, I started experiencing intermittent difficulty swallowing solid foods (liquid foods do not cause any issues). Each time this occurs, I feel unco...
Dr. Chen Qifeng Reply:
Based on the symptoms, an esophagogastroduodenoscopy (EGD) is necessary to rule out esophageal-related diseases.[Read More] Understanding Swallowing Difficulties: When to Seek Medical Help
Persistent Throat Discomfort: When to Seek Gastrointestinal Evaluation
There is a cool sensation in the throat? I have been experiencing a cool sensation in my throat for about a week, along with a feeling of something stuck there, similar to a failed attempt to swallow a capsule. There is a strange sensation in my throat and esophagus, and I find m...
Dr. Yang Zhichao Reply:
Dear Anonymous, The symptoms you described are very similar to laryngitis caused by gastroesophageal reflux disease (GERD). If the acid has not refluxed into your throat, you may not be aware of it. It is recommended that you consult a gastroenterologist. If medication does not...[Read More] Persistent Throat Discomfort: When to Seek Gastrointestinal Evaluation
Understanding GERD: Your Questions Answered by a Gastroenterologist
Inquiry about gastroesophageal reflux disease (GERD) examination? Hello Dr. Tsai, I have been experiencing symptoms of gastroesophageal reflux disease (GERD) that come and go. I have undergone two gastroscopies, but I feel that the effects of the Western medications, particularly...
Dr. Cai Anshun Reply:
Hello: If you have already undergone two gastroscopies and have taken PPIs, the underlying issue may lie in your diet or lifestyle habits, such as consuming tea, coffee, soda, chocolate, sweets, glutinous rice products, high-fat/high-protein foods, eating until very full, smoking...[Read More] Understanding GERD: Your Questions Answered by a Gastroenterologist
Understanding Gastroesophageal Issues: Nausea and Bloating Explained
Gastroesophageal issues Hello, Doctor. For the past two months, I've been experiencing nausea and a feeling of fullness after eating sweet foods or after meals. I also have bloating and some discomfort in my esophagus (not pain), as if the food I just ate is about to come ba...
Dr. Chen Shidian Reply:
Hello, sir. You may be experiencing gastroesophageal reflux disease (GERD). Please reduce your intake of sweets, and if necessary, seek medical attention for medication. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Gastroesophageal Issues: Nausea and Bloating Explained
Understanding Prolonged Symptoms of Gastroesophageal Reflux Disease
The symptoms of gastroesophageal reflux disease (GERD) have persisted for a long time? Hello doctor, I had an upper gastrointestinal endoscopy at the age of 21, which revealed significant gastroesophageal reflux disease (GERD). I sought the procedure because I was experiencing pe...
Dr. Chen Shidian Reply:
Hello, sir. You can either see a doctor first for an examination or start medication right away; there's no need to worry. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Prolonged Symptoms of Gastroesophageal Reflux Disease
Could Your Breathing Issues Be a Sign of GERD Recurrence?
Could the feeling of congestion in the breathing be a recurrence of gastroesophageal reflux disease (GERD)? Hello, Doctor: Over four months ago, I underwent an upper gastrointestinal endoscopy at a major hospital, and the report indicated severe gastric ulcers, duodenal ulcers, a...
Dr. Chen Shidian Reply:
Hello, sir. It is recommended to discuss with your original gastroenterologist whether to continue medication for controlling gastroesophageal reflux. Changhua Hospital cares about your health. Chen Shidian.[Read More] Could Your Breathing Issues Be a Sign of GERD Recurrence?
Managing Symptoms of Gastroesophageal Reflux Disease Effectively
Gastroesophageal reflux disease (GERD) I have been experiencing a burning sensation in my throat all day for the past month, along with a feeling of something stuck in my throat. I also frequently feel bloated and nauseous, especially after meals. Recently, I noticed some tendern...
Dr. Chen Shidian Reply:
Hello, sir. It is recommended to undergo an upper gastrointestinal endoscopy and to reduce the intake of sweet and sour foods. Changhua Hospital cares about your health. Chen Shidian.[Read More] Managing Symptoms of Gastroesophageal Reflux Disease Effectively
Understanding Gastrointestinal Issues: Causes and Dietary Tips
Gastrointestinal issues Hello Doctor, I have a question I would like to ask you. Recently, for the past few weeks, I have been feeling hungry often for no apparent reason. During meals, I do not feel full, and even one or two hours after eating, I feel hungry again. My bowel move...
Dr. Chen Shidian Reply:
Hello, please discuss your health concerns with your gastroenterologist at Changhua Hospital. Best regards, Chen Shidian.[Read More] Understanding Gastrointestinal Issues: Causes and Dietary Tips
Can Muscle Relaxants Affect the Esophageal Sphincter in GERD?
I would like to inquire about medications for gastroesophageal reflux disease (GERD)? Hello, doctor. Recently, I was diagnosed with possible gastroesophageal reflux disease (GERD). Since then, I have made some changes to my lifestyle, and I no longer feel the constant sensation o...
Dr. Cai Anshun Reply:
Hello: Muscle relaxants primarily act on skeletal muscles, while the lower esophageal sphincter is composed of smooth muscle, so theoretically, the impact should be minimal. However, if there are concerns about potential effects, you can try stopping the medication for three days...[Read More] Can Muscle Relaxants Affect the Esophageal Sphincter in GERD?
Can GERD Be Completely Cured? Understanding Treatment and Recurrence
Can gastroesophageal reflux disease (GERD) be cured? Hello, I experienced my first episode of acid reflux at the age of 18. After undergoing an endoscopy and taking medication for a while, my symptoms disappeared. The doctor mentioned that if I felt better, I didn't need to ...
Dr. Chen Shidian Reply:
Hello, the acid reflux is difficult to completely cure because the patient's stomach/esophagus structure may be relatively loose, and lifestyle changes are needed to limit sweet and acidic foods. For mild symptoms, antacids can be used for treatment, while more severe cases ...[Read More] Can GERD Be Completely Cured? Understanding Treatment and Recurrence
Can Acid Reflux Cause Neck and Shoulder Numbness? Exploring the Connection
Can gastroesophageal reflux disease (GERD) cause numbness in the shoulders and neck? Hello doctor, this week I've been experiencing a sensation of something stuck in my throat, which is very uncomfortable. My shoulders and neck feel numb, extending to my scalp, and my entire...
Dr. Cai Anshun Reply:
Hello, I would like to know if the numbness in my shoulders and neck could be caused by gastroesophageal reflux disease (GERD). I plan to observe whether the symptoms gradually disappear after treatment for GERD, which would help determine if it is the cause. Changhua Hospital ca...[Read More] Can Acid Reflux Cause Neck and Shoulder Numbness? Exploring the Connection
Understanding Chest Discomfort and Palpitations: Could It Be GERD?
Suspected gastroesophageal reflux disease (GERD) with chest tightness and palpitations? Hello, doctor. For the past few months, I have frequently experienced chest tightness and palpitations, along with a sensation of something stuck in my throat (+ mild hand numbness and weaknes...
Dr. Chen Shidian Reply:
Hello, Miss. You can either undergo an upper gastrointestinal endoscopy or take (out-of-pocket) acid-reducing medication to see how you respond. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Chest Discomfort and Palpitations: Could It Be GERD?