Understanding Stomach Pain: Managing GERD and Anxiety Effects
Stomach pain has affected my mental state! Doctor: Hello! In May, due to excessive mental stress, I experienced stomach pain and diarrhea. After evaluation by a physician, I was diagnosed with irritable bowel syndrome and gastroesophageal reflux disease (GERD). In August, I under...
Dr. Cai Anshun Reply:
Hello, (1) Helicobacter pylori is not directly related to gastroesophageal reflux disease (GERD), so it is reasonable not to perform a H. pylori test. The prevalence of H. pylori is about 50% to 60%; however, if there is no history of peptic ulcers, duodenal ulcers, or family his...[Read More] Understanding Stomach Pain: Managing GERD and Anxiety Effects
Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion
General Gastrointestinal Health Knowledge Hello Dr. Chen, I have a few questions to ask: 1. How long before bedtime should one stop eating to avoid being considered as having a late-night snack? (Some say two hours, others say four hours, and the opinions vary.) 2. How long aft...
Dr. Chen Qifeng Reply:
Hello: 1. From the perspective of gastroesophageal reflux disease, it is better not to eat anything three hours before bedtime. 2. Based on abdominal ultrasound and gastroscopy examinations, fasting is considered to start eight hours after a meal. 3. Generally, meals after 11 PM ...[Read More] Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion
Safe Imaging Options for Monitoring Polycystic Liver and Kidney Disease
Please provide me with a specific condition or symptom for which you would like a check-up or treatment recommendation. Thank you? Hello Dr. Tsai, I am 169 cm tall and weigh 75 kg. I do not smoke or drink alcohol, and I have no history of drug allergies. I had allergic rhinitis a...
Dr. Cai Anshun Reply:
Hello: Based on the information you provided, your kidney function (GFR = 69 cc/min) is estimated to be at stage 2 chronic kidney disease (mild decrease in kidney function). If a CT scan is absolutely necessary, it is recommended to use an isotonic contrast agent to minimize the ...[Read More] Safe Imaging Options for Monitoring Polycystic Liver and Kidney Disease
Should You Test for H. Pylori After Endoscopy for GERD Symptoms?
After undergoing an upper gastrointestinal endoscopy and taking the medication, the symptoms still persist..? About a year ago, I had an upper gastrointestinal endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD) and gastritis. At that time, the doct...
Dr. Cai Anshun Reply:
Hello, (1) To clarify, Helicobacter pylori is not directly related to gastroesophageal reflux disease (GERD). (2) If you have been diagnosed with a Helicobacter pylori infection but do not have a history of gastric ulcers, duodenal ulcers, gastric lymphoma, a history of gastric c...[Read More] Should You Test for H. Pylori After Endoscopy for GERD Symptoms?
Persistent Cough for Months: When to Seek Medical Evaluation?
Coughing every month? Doctor, I have been coughing continuously for the past 3 to 4 months. I went to a general clinic and was told it was just a cold. However, I tend to cough for about a month each time. Do I need to get an X-ray or any other tests?
Dr. Lin Minghui Reply:
Hello: Persistent coughing over a long period can be caused by various factors including the common cold, chronic bronchitis, asthma, and gastroesophageal reflux disease (GERD). It is recommended to consult with a pulmonologist, general internist, or family medicine physician for...[Read More] Persistent Cough for Months: When to Seek Medical Evaluation?
Understanding Mucus and Black Particles in Stool: Digestive Issues Explained
The presence of mucus and black particles in the stool may indicate digestive issues? Hello, Dr. Tsai. Recently, my bowel movements have been a bit unusual. I have difficulty passing stool, and when I do, it's in small amounts. There is always mucus present, but no blood. Th...
Dr. Cai Anshun Reply:
Hello: Based on your description, your suspicions are plausible. I recommend that you consult a gastroenterologist to order a stool analysis to confirm the diagnosis (which includes tests for white blood cells, red blood cells, occult blood, etc.). Additionally, upper gastrointes...[Read More] Understanding Mucus and Black Particles in Stool: Digestive Issues Explained
Struggling with Stomach Medications: Understanding Gastrointestinal Issues
Taking stomach medication is not effective? Taking stomach medication for the same condition is not effective.
Dr. Li Yongming Reply:
According to statistics from the National Health Insurance Administration, over 2 billion antacids (commonly referred to as stomach medications) are claimed in Taiwan each year, with an average of more than 100 antacid tablets used per person annually. In the OTC (over-the-counte...[Read More] Struggling with Stomach Medications: Understanding Gastrointestinal Issues
Understanding Vomiting Blood and Difficulty Swallowing: A Gastrointestinal Concern
Difficulty swallowing after vomiting blood? Hello doctor, today I had dinner at a restaurant and only ate two plates of food. I'm not sure if I ate too quickly, but suddenly I felt bloated in my abdomen and had a tight sensation in my left chest, as if something was stuck in...
Dr. Lin Minghui Reply:
Hello: Esophageal foreign body vomiting may lead to esophagitis and esophageal tears with bleeding. It is recommended to avoid irritating foods, including tea, coffee, chocolate, and fried foods. Symptoms such as chest discomfort and belching may occur. Differential diagnoses inc...[Read More] Understanding Vomiting Blood and Difficulty Swallowing: A Gastrointestinal Concern
Understanding Upper Abdominal Discomfort: Causes and Solutions
Upper abdominal discomfort and pain? Hello, Doctor. Recently, I've been experiencing some soreness in my right lower back, and there's a slight discomfort near the edge of my right rib cage, though it's not painful. I've also noticed occasional acid reflux. Th...
Dr. Yang Zhichao Reply:
Dear Mr./Ms. L, Hello: Essentially, gastroesophageal reflux disease (GERD) is a condition that does not typically resolve on its own. Some individuals experience this due to relaxation of the lower esophageal sphincter, and consuming high-fat or sugary foods can exacerbate the r...[Read More] Understanding Upper Abdominal Discomfort: Causes and Solutions
Foods to Avoid for Managing Gastroesophageal Reflux Disease (GERD)
Gastroesophageal reflux is very uncomfortable? Recently, I have been experiencing bloating and acid reflux, feeling uncomfortable whether I eat or not. What foods should patients with gastroesophageal reflux disease (GERD) try to avoid?
Dr. Chen Qifeng Reply:
Hello: Refrain from smoking and drinking alcohol, limit tea and coffee intake, reduce consumption of glutinous rice foods, avoid stimulating foods, and minimize sour and sweet foods. Drink less during meals, avoid eating three hours before bedtime, and elevate your head with a pi...[Read More] Foods to Avoid for Managing Gastroesophageal Reflux Disease (GERD)
Breathing Difficulties and A-Level Ulcers: Understanding Gastrointestinal Issues
Dyspnea with grade A ulcer? Last week, I experienced significant swelling in my larynx due to gastroesophageal reflux, and possibly anxiety while taking a taxi, which led to difficulty breathing. I went to the emergency room where my heart rate was recorded at 250. After four hou...
Dr. Chen Qifeng Reply:
Hello: Taike Gastrointestinal medication can treat gastric ulcers and gastroesophageal reflux disease (GERD), and generally, it is considered quite effective. Additionally, if you experience symptoms such as difficulty breathing, you should consult a cardiologist to rule out any ...[Read More] Breathing Difficulties and A-Level Ulcers: Understanding Gastrointestinal Issues
Why Does Eating Cause Severe Throat Pain? Insights from Gastroenterology
Experiencing a sharp pain in the throat while eating? Experiencing a sharp pain in the throat while eating, especially when consuming acidic foods, can be concerning. Since you have already consulted an otolaryngologist and undergone both a nasopharyngoscopy and X-ray examination...
Dr. Chen Qifeng Reply:
Hello: The symptoms mentioned are more indicative of oral or throat conditions. If the ENT examination shows no issues, you may consider undergoing an endoscopy to check for gastroesophageal reflux disease (GERD). Wishing you good health. Sincerely, Dr. Chi-Feng Chen, Taoyuan Hos...[Read More] Why Does Eating Cause Severe Throat Pain? Insights from Gastroenterology
Understanding Upper Abdominal Discomfort: Possible Causes and Insights
Continuing to inquire about the area just above the navel, in the middle of the ribs, slightly to the left? Hello, doctor. Today I went to a nearby clinic for an ultrasound examination. The doctor said there were no significant issues with my liver, gallbladder, or kidneys. Howev...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. L, if the pain above the navel is not related to liver or gallbladder issues, then it is likely related to gastrointestinal or muscular problems. If the pain intensifies when you are hungry, it suggests a gastrointestinal issue, and I recommend undergoing an upper g...[Read More] Understanding Upper Abdominal Discomfort: Possible Causes and Insights
Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Gastroesophageal reflux disease (GERD) Doctor, I apologize. A few days ago, I went to a nearby hospital for an examination and had an upper gastrointestinal endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), which is mild. I would like to ask if this condit...
Dr. Li Yongming Reply:
Hello, gastroesophageal reflux disease (GERD) is defined according to the "Montreal definition" as the condition where gastric contents flow back into the esophagus, causing symptoms or injury to the esophagus, leading to discomfort or complications. Most patients exper...[Read More] Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know
Colonoscopy, gastroscopy Last year, during a self-paid health checkup at the hospital, I was found to have colon polyps (which were small and did not require removal, only follow-up monitoring was recommended), as well as a gastric ulcer and gastroesophageal reflux disease (GERD)...
Dr. Chen Qifeng Reply:
Hello: If the colonoscopy report confirms the presence of polyps, you can schedule an appointment with the Gastroenterology or Colorectal Surgery department under the National Health Insurance. A follow-up colonoscopy is recommended. Wishing you good health. Sincerely, Dr. Chi-Fe...[Read More] Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know
Understanding Heartburn: Causes, Symptoms, and Treatment Options
Heartburn issues? I work in the courier industry, and my job is quite stressful. In recent years, I have frequently experienced what is known as heartburn and have undergone an endoscopy, which revealed a mild gastric ulcer. The doctor mentioned that it is due to gastroesophageal...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is a condition that is prone to recurrence. Simply put, it occurs when the lower esophageal sphincter does not close properly due to individual physiology, allowing stomach acid to flow back into the esophagus. It is recommended to st...[Read More] Understanding Heartburn: Causes, Symptoms, and Treatment Options
Dealing with Hiccups and Chest Discomfort: What You Need to Know
If you are experiencing hiccups and a feeling of chest tightness, it is important to take the following steps: 1. **Stay Calm**: Anxiety can exacerbate symptoms, so try to relax. 2. **Hydrate**: Drink water slowly to help alleviate hic Hello, I would like to ask about a situatio...
Dr. Chen Qifeng Reply:
Hello: Symptoms such as hiccups and chest tightness may be caused by gastroesophageal reflux disease (GERD). If over-the-counter medications do not provide relief, it is recommended to undergo an upper gastrointestinal endoscopy. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, ...[Read More] Dealing with Hiccups and Chest Discomfort: What You Need to Know
Can a CT Scan Replace an Endoscopy for Abdominal Issues?
Is a CT scan of the lower abdomen as effective as an upper gastrointestinal endoscopy? Hello, I am a 41-year-old male. Two years ago, I underwent an upper endoscopy due to gastroesophageal reflux disease. On January 18, 2012, I visited my primary care physician for lower abdomina...
Dr. Chen Qifeng Reply:
Hello: 1. A general abdominal CT scan typically includes both the upper and lower abdomen. 2. A CT scan may sometimes be insufficient for evaluating the gastrointestinal tract, and an endoscopy may be necessary when indicated. 3. Gastrointestinal discomfort or pain does not alway...[Read More] Can a CT Scan Replace an Endoscopy for Abdominal Issues?
Can Surgery or Endoscopy Cure Gastroesophageal Reflux Disease?
Is surgical treatment available for gastroesophageal reflux disease (GERD)? I have gastroesophageal reflux disease (GERD). I have seen a doctor twice and taken medication for four months each time, but my condition worsens after stopping the medication. I'm quite frustrated ...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is indeed a condition that is prone to recurrence. In addition to pharmacological treatment, it is essential to incorporate dietary and lifestyle modifications. Our hospital does not perform related endoscopic treatments or surgeries....[Read More] Can Surgery or Endoscopy Cure Gastroesophageal Reflux Disease?
Understanding Upper Abdominal Discomfort: Causes and Remedies
Discomfort in the upper abdomen? Hello, doctor. I would like to ask about my condition. Around mid-January, I experienced stomach discomfort and went for an examination. The doctor diagnosed me with gastritis. I have been taking medication for about four times, and I feel that th...
Dr. Yang Zhichao Reply:
Hello Alan! You mentioned experiencing discomfort in the upper abdomen. This symptom should be considered in relation to gastroesophageal reflux disease or peptic ulcers. If you have recently noticed black stools, it may indicate a bleeding phenomenon. It is recommended that you ...[Read More] Understanding Upper Abdominal Discomfort: Causes and Remedies