Gastroesophageal reflux disease, Gastroenterology and Hepatology FAQ - Page 39

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Understanding GERD and Stomach Ulcers: Treatment and Recovery Insights

Gastroesophageal reflux and gastric ulcer? Dr. Chen: At the end of January this year, I went to the Veterans General Hospital due to chest tightness... I was diagnosed with gastroesophageal reflux disease (GERD)... and in February, I underwent an endoscopy... the report indicated...


Dr. Chen Qifeng Reply:
Hello, Nexium and omeprazole are both proton pump inhibitors, but Nexium generally has a better acid-reducing effect. These medications are effective for conditions such as gastroesophageal reflux disease (GERD) and gastric ulcers, and typically, patients will recover after a tre...

[Read More] Understanding GERD and Stomach Ulcers: Treatment and Recovery Insights


Understanding Causes and Precautions for Gastric Bleeding: A Guide

Gastrointestinal bleeding Gastric bleeding can be caused by several factors, including peptic ulcers, gastritis, esophageal varices, and certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs). Other potential causes include tumors, stress-related mucosal diseas...


Dr. Lin Minghui Reply:
Hello, the symptoms of upper gastrointestinal bleeding include black stools, vomiting blood, vomiting coffee-ground-like material, dizziness, palpitations, and shock. Common causes of upper gastrointestinal bleeding include peptic ulcers (duodenal ulcers, gastric ulcers), esophag...

[Read More] Understanding Causes and Precautions for Gastric Bleeding: A Guide


Managing Severe Acid Reflux: Effective Treatments and Tips

Severe acid reflux causes discomfort? Hello Doctor, I have been experiencing severe acid reflux for about two weeks, with acid reaching my mouth, throat, and esophagus. I also have two small blisters on my throat and my voice is somewhat hoarse, fluctuating between better and wor...


Dr. Chen Qifeng Reply:
Hello, the treatment for gastroesophageal reflux disease (GERD) primarily involves proton pump inhibitors (PPIs) such as Nexium, taken once or twice a day, with rarely a need for more than this dosage. If there is no improvement, it is recommended to consult a gastroenterologist....

[Read More] Managing Severe Acid Reflux: Effective Treatments and Tips


Managing Recurrent Acid Reflux: Treatment Options and Dietary Guidance

I have gastroesophageal reflux disease (GERD)? Last August, I was diagnosed with gastroesophageal reflux disease (GERD) after undergoing an endoscopy. After taking medication for four months, my condition improved. However, since December of last year, I have not been on medicati...


Dr. Chen Qifeng Reply:
1. The treatment for gastroesophageal reflux disease (GERD) primarily involves medication. Surgical intervention is not the mainstream approach. 2. It is advised to avoid smoking, alcohol, tea, coffee, spicy foods, and other irritants. Additionally, one should limit the intake ...

[Read More] Managing Recurrent Acid Reflux: Treatment Options and Dietary Guidance


Understanding Stomach Pain: When to Seek Further Evaluation

About stomach pain? Hello: 1. For the past week, I've experienced stomach pain for two to three days after meals, occurring one to two hours post-meal and only in the evening, accompanied by a mild burning sensation. A month ago, I underwent an endoscopy due to gastroesoph...


Dr. Chen Shidian Reply:
Hello, sir: It is not necessary to have an endoscopy for diagnosis (especially if you have already undergone one). It is recommended to start medication directly (however, the specific medication will need to be paid out of pocket; in Taiwan, it costs less than 10 NTD per pill, t...

[Read More] Understanding Stomach Pain: When to Seek Further Evaluation


Persistent Nausea: Understanding Gastrointestinal Issues and Causes

Constant nausea? In the past two to three months, I have frequently felt nauseous regardless of whether my stomach is empty or full, but I do not experience diarrhea or stomach pain. There is often a feeling of heaviness in the upper part of my stomach (the cardia). Over the past...


Dr. You Ligang Reply:
Hello, you may be experiencing gastroesophageal reflux disease (GERD). The causes could be related to lifestyle and dietary habits, such as smoking, alcohol consumption, sugary foods, coffee, lying down immediately after eating, constipation, high stress levels, and a tense perso...

[Read More] Persistent Nausea: Understanding Gastrointestinal Issues and Causes


Understanding Bad Breath: Is It Linked to Gastrointestinal Issues?

Could you please advise if the bad breath issue is caused by gastrointestinal problems? Hello, Doctor: I have been struggling with chronic bad breath for many years. The unpleasant odor in my mouth seems to be emanating from within my body. Even after I clean my mouth, the bad br...


Dr. Chen Shidian Reply:
Hello, Miss: Please first have your dental health and periodontal disease confirmed by a dentist, and then consider a self-funded bacterial test (blood test). If the result is positive, you may consider self-funded antimicrobial treatment. Changhua Hospital cares about your healt...

[Read More] Understanding Bad Breath: Is It Linked to Gastrointestinal Issues?


Understanding Stomach Issues: Causes of Inflammation and Bowel Changes

Gastric issues? Hello Doctor: I previously consulted a physician and underwent an endoscopy, during which the doctor indicated that I have gastritis and prescribed medication that I have been taking. However, since experiencing discomfort in my stomach, my bowel movements have no...


Dr. You Ligang Reply:
Hello, discomfort in the stomach can have many causes. You have already undergone an endoscopy to rule out peptic ulcers, but some conditions may not be visible through an endoscopy, such as Helicobacter pylori infection, gastroesophageal reflux disease, functional dyspepsia, or ...

[Read More] Understanding Stomach Issues: Causes of Inflammation and Bowel Changes


Understanding Persistent Burping: Gastrointestinal Issues and Solutions

Persistent hiccups? Hello Doctor: Around June, I went to a buffet and fell asleep right after returning home. Later, I experienced a bitter taste in my mouth, which I suspect was due to acid reflux, along with gas (not belching, but a feeling of gas buildup). I bought over-the-co...


Dr. Lin Minghui Reply:
Hello, I have been experiencing persistent abdominal discomfort, overeating, frequent belching, and discomfort in the sternum for a certain period of time. These symptoms suggest dyspepsia, but it is important to rule out conditions such as tumors, gastrointestinal ulcers, and ga...

[Read More] Understanding Persistent Burping: Gastrointestinal Issues and Solutions


Understanding Gastrointestinal Issues: Ulcers, Reflux, and Medication Options

excuse me? I am a patient with a gastric ulcer and gastroesophageal reflux disease (GERD). After taking medication for three months, I have recently been experiencing a taste of medication from my throat to my esophagus. Could this be related to abnormal motility of the digestive...


Dr. Lin Minghui Reply:
Hello, 1. It may be related to gastroesophageal reflux. 2. Mosapride can promote gastrointestinal motility. 3. Low pressure of the lower esophageal sphincter can sometimes lead to the reflux of stomach contents. Certain external factors such as gastric distension, irritant fo...

[Read More] Understanding Gastrointestinal Issues: Ulcers, Reflux, and Medication Options


Can Wakamoto Tablets Help Relieve Acid Reflux Symptoms?

Gastroesophageal reflux disease (GERD) Can taking WAKAMOTO digestive tablets help improve symptoms for someone with gastroesophageal reflux disease (GERD)? What other methods can be used to alleviate the condition? Thank you.


Dr. Chen Shidian Reply:
Hello, sir: WAKAMOTO is a digestive aid rather than an acid reducer, so its effectiveness may be limited. Please visit the outpatient clinic for confirmation and treatment (a chronic prescription can be issued if necessary for long-term management). Changhua Hospital cares about ...

[Read More] Can Wakamoto Tablets Help Relieve Acid Reflux Symptoms?


What Stomach Conditions Does Ba Yi Kui Treat?

excuse me? Bai Yi Kui is a medication used to treat gastric diseases, particularly for conditions such as gastric ulcers and gastritis.


Dr. Lin Minghui Reply:
Hello, Pariet (rabeprazole) is a proton pump inhibitor that acts on the gastric parietal cell membrane to suppress gastric acid secretion. Its efficacy is stronger than that of H2 blockers and can be used to treat peptic ulcers, gastroesophageal reflux disease (GERD), and other g...

[Read More] What Stomach Conditions Does Ba Yi Kui Treat?


Understanding GERD: Symptoms, Diagnosis, and Treatment Options

Gastroesophageal reflux disease (GERD) Hello, doctor. I previously experienced occasional shortness of breath, and after consulting with a pulmonologist, I was referred to an otolaryngologist, and finally to a gastroenterologist, who diagnosed me with gastroesophageal reflux dise...


Dr. Chen Qifeng Reply:
Hello, gastroesophageal reflux disease (GERD) can present with some atypical symptoms such as chest pain, shortness of breath, and insomnia. In about half of the patients, endoscopic examinations may appear normal. This condition is diagnosed based on symptoms. It can sometimes l...

[Read More] Understanding GERD: Symptoms, Diagnosis, and Treatment Options


Understanding GERD Treatment: Are Gesure Gran and Nidolium Safe?

excuse me? The doctor's explanation regarding gastroesophageal reflux disease (GERD) differs from what previous doctors and books have stated. The doctor from a well-established hospital in Madou prescribed Gesure Gran (Gastric Granules) and Nidolium (Nausea Tablets). Are th...


Dr. Chen Shidian Reply:
Hello, Miss: Generally, treatment involves the use of medications that reduce or neutralize stomach acid and increase gastrointestinal motility, along with a diet low in sweetness and acidity. Changhua Hospital is concerned about your health. Chen Shidian

[Read More] Understanding GERD Treatment: Are Gesure Gran and Nidolium Safe?


Understanding Acid Reflux: Symptoms, Snoring, and When to Seek Help

Gastroesophageal reflux disease (GERD) Hello! My father has been experiencing symptoms that suggest gastroesophageal reflux disease (GERD) and has been snoring for some time. During sleep, he suddenly chokes and has difficulty breathing, and at times his face turns pale and his l...


Dr. Lin Minghui Reply:
Hello, 1. Snoring is sometimes associated with obstructive sleep apnea syndrome. It is recommended to consult an otolaryngologist for snoring issues. Snoring can sometimes be improved by weight loss and changing sleeping positions, while in some cases, it may require reconstruc...

[Read More] Understanding Acid Reflux: Symptoms, Snoring, and When to Seek Help


Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment

Multiple ulcers of the stomach and duodenum? Hello doctor, I recently visited my usual clinic due to discomfort in my throat. This same symptom has occurred two to three times over the past 1 to 2 years. The doctor suggested I undergo an endoscopy because he suspected gastroesoph...


Dr. Chen Shidian Reply:
Hello, sir: Generally speaking, the symptoms and examination results described should not indicate a serious illness. The effectiveness of medication treatment should be satisfactory. Ulcers do not always cause pain (about 1 in 5 cases), and as long as you complete the medication...

[Read More] Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment


Can a CT Scan Replace an Endoscopy for Gastrointestinal Issues?

Can a CT scan replace an endoscopy? Hello Dr. Lin, I am a 50-year-old male. Two years ago, I underwent an endoscopy due to gastroesophageal reflux disease. On June 12, 2009, I visited my primary care physician for abdominal swelling, and the doctor recommended that I pay out of p...


Dr. Lin Minghui Reply:
I'm sorry, but I cannot view attachments. Please provide the text you would like me to translate.

[Read More] Can a CT Scan Replace an Endoscopy for Gastrointestinal Issues?


Long-Term Use of Acid Suppressants: Risks and Concerns for Gastric Health

Medications that suppress gastric acid? Dear Dr. Chen, I previously underwent an endoscopy that revealed symptoms of gastric ulcers and gastroesophageal reflux disease (GERD). I have been taking proton pump inhibitors (PPIs) such as Pantoprazole or Nexium for a long time. Will l...


Dr. Chen Qifeng Reply:
Long-term use of medications to suppress gastric acid can have varying effects on individuals. Some people may even require double the dosage of proton pump inhibitors (PPIs) to effectively achieve acid suppression. As for the long-term consequences of gastric acid suppression, i...

[Read More] Long-Term Use of Acid Suppressants: Risks and Concerns for Gastric Health


Long-Term PPI Use: Impact on Stomach Sensitivity and Recovery Tips

Long-term use of proton pump inhibitors (PPIs) Hello Dr. Chen, Regarding the long-term use of PPIs (more than 4 months), could it lead to the stomach or intestines becoming weaker or more sensitive? Currently, I often experience mild discomfort or pain in my stomach or abdomen a...


Dr. Chen Qifeng Reply:
Hello, if you experience discomfort in the stomach while fasting, it is often associated with conditions such as gastritis or ulcers. Regarding medication use, there may be some effects, but if the medication has been discontinued, the effects will often cease. Additionally, for ...

[Read More] Long-Term PPI Use: Impact on Stomach Sensitivity and Recovery Tips


Understanding Stomach Discomfort from Cold Medications After GERD Treatment

Taking cold medicine may cause gastrointestinal discomfort and pain? Hello Dr. Chen: I previously had gastroesophageal reflux disease and a gastric ulcer, and after taking medication (Pantoprazole) for four months, I stopped because I felt much better. However, recently I've...


Dr. Chen Qifeng Reply:
Hello, if cold medications contain NSAIDs (non-steroidal anti-inflammatory drugs), they can easily irritate the stomach in individuals with a history of ulcers, potentially leading to ulcer recurrence or even bleeding. Therefore, it is advisable to avoid using NSAIDs when experie...

[Read More] Understanding Stomach Discomfort from Cold Medications After GERD Treatment


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