Understanding Abnormal Liver Function Tests: Causes and Concerns
Abnormal liver function test results? Hello Doctor, I have a few questions. I have not been very healthy regarding my gastrointestinal system since middle school, experiencing recurrent issues such as duodenal ulcers, gastric ulcers, and gastroesophageal reflux disease. I usual...
Dr. Cai Anshun Reply:
Hello: 1. If the values are greater than normal, it can be classified as acute hepatitis. However, if it is accompanied by jaundice and coagulation dysfunction, it indicates hepatic decompensation, which poses a risk. 2. There are many causes of hepatitis; if you have not been ev...[Read More] Understanding Abnormal Liver Function Tests: Causes and Concerns
Understanding Nausea, Abdominal Pain, and Fatigue: Gastrointestinal Issues
Nausea, lower abdominal pain, fatigue? Hello Doctor, I would like to ask about my recent situation. I've been experiencing a lot of work-related stress, and since I wake up in the morning, I've been feeling nauseous. The nausea becomes more severe when I brush my teeth,...
Dr. Cai Anshun Reply:
Hello: Please be aware if the issues are caused by gastritis, gastroesophageal reflux disease (GERD), or problems related to fecal retention/constipation. Additionally, if there is excessive fatigue, it is important to monitor for signs of hepatitis. It is recommended to adjust y...[Read More] Understanding Nausea, Abdominal Pain, and Fatigue: Gastrointestinal Issues
Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Abdominal distension, followed by tachycardia and then vomiting? Hello Doctor, since last week I have been experiencing bloating and rapid heartbeat after meals, which leads to vomiting. After vomiting, I feel normal again. Two years ago, I had an endoscopy that showed mild infla...
Dr. Chen Qifeng Reply:
Helicobacter pylori infection itself is asymptomatic; however, it can lead to conditions such as gastritis, gastric ulcers, or duodenal ulcers, which do present symptoms. Recently, it appears to be a recurrence of gastritis, so a mild and non-irritating diet is recommended.[Read More] Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Understanding Hiccups and Hoarseness: Insights from Gastroenterology
Hiccups in the throat? Hello Doctor, In March of this year, I underwent an upper gastrointestinal endoscopy at Taipei United Hospital, which revealed mild gastroesophageal reflux disease (GERD). I am currently on medication. At present, I do not experience acid reflux, but I ha...
Dr. Yang Zhichao Reply:
Dear Paul, you have already undergone a gastroscopy and are currently on medication. If you continue to experience symptoms, please discuss the possibility of changing your medication with your attending physician. Regarding your hoarseness, if it does not improve after treatment...[Read More] Understanding Hiccups and Hoarseness: Insights from Gastroenterology
Understanding Throat Discomfort After Acid Reflux: Causes and Concerns
Gastroesophageal reflux with a sensation of a foreign body in the throat? Hello Dr. Chen: I started experiencing gastroesophageal reflux when I woke up on Monday morning. It eased up the next day and was gone by the third day. However, a new issue arose! On the third day, I felt ...
Dr. Chen Shidian Reply:
Hello, the sensation of a foreign body is often caused by gastroesophageal reflux disease (GERD). You may consider undergoing an upper endoscopy to rule out other conditions, or you can directly opt for strong antacid medications at your own expense to see if your symptoms improv...[Read More] Understanding Throat Discomfort After Acid Reflux: Causes and Concerns
Managing Acid Reflux: Long-Term Effects of Medication and Dietary Tips
Gastroesophageal reflux disease (GERD) Hello, Dr. Chen. Last year, I was diagnosed with gastroesophageal reflux disease (GERD) after undergoing an endoscopy. Sometimes when it flares up, I need to take medication. Will long-term use of these medications have any effects on my bod...
Dr. Chen Qifeng Reply:
1. It seems more likely to be a drug allergy. 2. High salt intake may not necessarily affect gastroesophageal reflux, while excessive sweetness or acidity is more likely to have an impact.[Read More] Managing Acid Reflux: Long-Term Effects of Medication and Dietary Tips
Managing Bile Reflux: Do You Need PPI Treatment for Discomfort?
Gastroesophageal reflux disease (GERD) Hello doctor, a few weeks ago I underwent an upper gastrointestinal endoscopy. The doctor said that I only have bile reflux, and esophageal reflux is not significant. There are no other issues with my stomach, just a bit of inflammation, so ...
Dr. Chen Shidian Reply:
Hello, generally for gastroesophageal reflux disease (GERD), proton pump inhibitors (PPIs) are effective, but health insurance regulations require confirmation of significant inflammation through endoscopy. If standard medications are not effective, we can discuss the option of s...[Read More] Managing Bile Reflux: Do You Need PPI Treatment for Discomfort?
Understanding Duodenal Ulcers and H. Pylori: Managing Symptoms and Treatment
Duodenal ulcer Helicobacter pylori Hello Doctor, I have been experiencing stomach pain for quite some time. I previously went to the hospital for an endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD), multiple areas of gastric inflammation, and sev...
Dr. Chen Shidian Reply:
Hello, the antibiotics may have some side effects, and it is important to endure them and take the full course as prescribed to reduce the failure rate. If necessary, you may return for a follow-up appointment to consult with the prescribing physician about possibly changing the ...[Read More] Understanding Duodenal Ulcers and H. Pylori: Managing Symptoms and Treatment
Understanding Gastric Erosions vs. Ulcers: Can I Take Herbal Supplements?
Ulceration of the stomach and duodenum? Hello Dr. Tsai, I have gastroesophageal reflux disease. In December 2014, I underwent an endoscopy at National Taiwan University Hospital, and the results showed that I had abrasions in my stomach and duodenum. The doctor prescribed me with...
Dr. Cai Anshun Reply:
Hello: The term "broken skin" likely refers to a superficial mild ulcer, for which Naisan was prescribed. After treatment, there have been no further clinical symptoms of discomfort, indicating that it has likely healed. Therefore, the aforementioned components should n...[Read More] Understanding Gastric Erosions vs. Ulcers: Can I Take Herbal Supplements?
Managing Gastrointestinal Discomfort: When to Continue Medication or Seek Further Testing
Gastrointestinal discomfort Hello, Doctor. I had an upper gastrointestinal endoscopy in early December last year, and the results showed mild gastroesophageal reflux disease (GERD). After taking medication for nearly three months, I felt that the GERD had improved. However, after...
Dr. Chen Shidian Reply:
Hello, Miss. 1. Reflux issues often tend to recur, so it is advisable to have sufficient medication on hand and use it as needed to alleviate discomfort. 2. After gastroenteritis, it is common to experience abnormal digestive motility, so it is also recommended to have enough ...[Read More] Managing Gastrointestinal Discomfort: When to Continue Medication or Seek Further Testing
Should You Schedule a Follow-Up Appointment for Stomach Issues?
Do I need to schedule a follow-up appointment with the doctor? Hello Doctor, last week I went to the hospital for an upper gastrointestinal endoscopy and a barium X-ray. This week, after reviewing the report, the doctor said I have stage II gastroesophageal reflux disease, gastri...
Dr. Cai Anshun Reply:
Hello: The lymph nodes in the groin are not significantly related to Helicobacter pylori. If there is a wound on the foot, you can consult an infectious disease specialist. If there is no wound, it is recommended to see a hematologist to determine the cause of the lymphadenopathy...[Read More] Should You Schedule a Follow-Up Appointment for Stomach Issues?
Understanding Esophageal Ulcers in Teens: Causes and Treatment Options
A 16-year-old child with esophageal ulcer, please advise? My child is 16 years old and started experiencing a warm sensation in the stomach two weeks ago. He usually does not have obvious symptoms of gastroesophageal reflux disease (GERD). A week ago, an endoscopy revealed an eso...
Dr. Chen Qifeng Reply:
Generally, for grade A or B, a 4-month course of PPI is sufficient. However, for grade C or D, a longer treatment duration may be necessary. As for the reasons, they can sometimes be multifactorial.[Read More] Understanding Esophageal Ulcers in Teens: Causes and Treatment Options
Understanding Chest Tightness After Heart Stent Placement: Causes and Concerns
The chest feels constricted? Hello Dr. Yang, I have a stent in my heart, and after one year, I occasionally experience sudden contractions in the area of my sternum, at the height of my heart. When this happens, I find it difficult to catch my breath, and it is sometimes accompan...
Dr. Yang Zhichao Reply:
Dear Mr. Chang, Regarding the symptoms you described, if cardiac issues have been ruled out, gastroesophageal reflux disease (GERD) should be considered. Some patients with acid reflux may experience the acid traveling up to the throat, which may not give them the sensation of r...[Read More] Understanding Chest Tightness After Heart Stent Placement: Causes and Concerns
Understanding Post-Endoscopy Discomfort: Insights on Gastric Issues
Gastrointestinal endoscopy issues? On May 2nd, I underwent an upper gastrointestinal endoscopy due to persistent stomach pain located in the upper left quadrant near the navel. I received sedation during the procedure. After the examination, the doctor mentioned that everything l...
Dr. Chen Shidian Reply:
Hello, sir. You may discuss adjusting your medication with your physician. Local heat application can help relax the gastrointestinal tract. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Post-Endoscopy Discomfort: Insights on Gastric Issues
Understanding Bloating and Regurgitation: Insights on GERD Symptoms
Recently, the vaccination feels strange? Hello, doctor. Why do the foods I eat at 5:30 PM come back up around 8:30 PM as burps and sometimes flow back into my mouth? Also, recently, my burps tend to bring back the things I just ate or drank. What condition might I have? Note: I h...
Dr. Cai Anshun Reply:
Hello: Try not to overeat, and consume foods that are easier to digest. Avoid excessive oil and meat. Also, make sure to chew vegetables and fruits thoroughly before swallowing. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Bloating and Regurgitation: Insights on GERD Symptoms
Managing Gastric Ulcers: Medication, Symptoms, and Dietary Tips
Medication issues for gastric ulcers? Hello, I currently weigh about 93 kg and am 177 cm tall. Let me describe the history of my symptoms. Five years ago, I had gastroesophageal reflux disease (GERD), which improved after about four months of treatment. Previously, I had a habit ...
Dr. Cai Anshun Reply:
Hello: (1) If you have concerns, it is advisable to return for a follow-up consultation rather than self-medicate. (2) Certain cases of gastroesophageal reflux disease (GERD) can cause discomfort in the chest area; however, this discomfort typically follows the central line, whic...[Read More] Managing Gastric Ulcers: Medication, Symptoms, and Dietary Tips
Understanding Appetite Changes and Acid Reflux: Causes and Solutions
I feel very hungry, but after eating, I often feel like vomiting. I frequently experience gastroesophageal reflux? My appetite fluctuates easily, but since this year's winter break, my appetite suddenly decreased significantly, and I lost 5 kilograms almost overnight. Recent...
Dr. Lin Minghui Reply:
After eating, there is a feeling of tightness in the chest, as if something is blocking, accompanied by nausea and the urge to vomit, along with weight loss. Differential diagnoses include gastroesophageal reflux disease (GERD), peptic ulcer disease, gastritis, and pyloric obstru...[Read More] Understanding Appetite Changes and Acid Reflux: Causes and Solutions
Thick Saliva and Foreign Sensation in the Esophagus: Causes and Solutions
Abnormal thick saliva and a sensation of foreign body in the cardia? Hello Doctor: My saliva has become very thick for the past six months, and I feel like there are always bubbles in my mouth, which is very uncomfortable and distressing. I can't help but tighten my mouth to...
Dr. Chen Qifeng Reply:
Based on the symptoms, it may be gastroesophageal reflux disease (GERD), and you should consider visiting a gastroenterologist for an endoscopy.[Read More] Thick Saliva and Foreign Sensation in the Esophagus: Causes and Solutions
Understanding Left Rib Tightness: Gastrointestinal Issues Explained
The left rib cage feels tight? Hello Doctor: Last December, I frequently experienced bloating and belching. In January, I underwent an endoscopy, which revealed a duodenal ulcer and gastroesophageal reflux disease (GERD) with inflammation at the gastroesophageal junction, as show...
Dr. Cai Anshun Reply:
Hello: Based on the described location, symptoms related to the stomach and esophagus are more common. It is important to pay attention to your diet by avoiding foods that irritate stomach acid, overeating, or consuming hard-to-digest foods (such as high-fat and high-protein food...[Read More] Understanding Left Rib Tightness: Gastrointestinal Issues Explained
Understanding Gastrointestinal Issues: Insights on Endoscopy and Treatment Options
Gastrointestinal endoscopy and colonoscopy examinations? Hello, Doctor. My mother recently visited a physician due to a sensation of a foreign body in her throat (approximately below the Adam's apple). The doctor diagnosed her with gastroesophageal reflux disease (GERD), pre...
Dr. Cai Anshun Reply:
Hello: I'm not quite sure what "colonic angulation" refers to. Is it related to adhesions or difficulties in performing a colonoscopy? I suggest asking for clarification during your next appointment. Changing dietary habits is a priority; it's important to eat...[Read More] Understanding Gastrointestinal Issues: Insights on Endoscopy and Treatment Options