Understanding Prolonged Digestive Discomfort: GERD or Something More?
I have been experiencing gastrointestinal discomfort for one to two months? Hello Doctor, I have been experiencing gastrointestinal discomfort for quite some time. A gastroenterologist performed an endoscopy and diagnosed me with gastroesophageal reflux disease (GERD). Traditiona...
Dr. Hu Guozheng Reply:
Hello, if your symptoms do not improve with medication treatment, it is recommended that you return for a follow-up appointment for further evaluation by your doctor. Thank you.[Read More] Understanding Prolonged Digestive Discomfort: GERD or Something More?
Managing Gastroesophageal Reflux: Diet Tips and Health Concerns
Gastroesophageal reflux disease (GERD) I previously underwent an endoscopy and was diagnosed with gastroesophageal reflux disease (GERD). I'm very concerned about the possibility of developing esophageal cancer. I often experience heartburn, hoarseness, and bloating. How can...
Dr. Hu Guozheng Reply:
Hello, if your symptoms do not improve with medication, it is recommended to return for a follow-up appointment for the physician's evaluation. Regarding diet, it is advisable to consult a nutritionist. Thank you.[Read More] Managing Gastroesophageal Reflux: Diet Tips and Health Concerns
Can Gastroesophageal Reflux Cause Neck Tightness and Throat Discomfort?
Tightness in the back of the neck? Hello, doctor. I have a problem with gastroesophageal reflux disease (GERD). I underwent an endoscopy last year, which showed mild Grade A reflux. I had been taking medication for a while, but I am currently managing it through dietary adjustmen...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux can also cause the symptoms you described, with the impact on the ear, nose, and throat mostly being pharyngitis and a sensation of a foreign body in the larynx. In addition to medication, dietary and lifestyle changes are necessary to prevent recur...[Read More] Can Gastroesophageal Reflux Cause Neck Tightness and Throat Discomfort?
Long-Term Use of PPI Medications: Are There Risks for Stomach Cancer?
Regarding PPI medications for the stomach? Hello, doctor. Recently, I have been experiencing gastroesophageal reflux disease (GERD), and my doctor prescribed a proton pump inhibitor (PPI). I have read articles stating that PPI medications may increase the risk of gastric cancer. ...
Dr. Cai Anshun Reply:
Hello: The treatment period for gastroesophageal reflux disease (GERD) ranges from 4 months to 1 year, which is not considered long-term. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Long-Term Use of PPI Medications: Are There Risks for Stomach Cancer?
Persistent Abdominal Bloating for 3 Months: Possible Causes and Insights
Abdominal distension for approximately 3 months? Hello, for the past three months, I have been experiencing persistent abdominal bloating in the upper abdomen, which feels different from the usual gastric bloating. I do not have belching, flatulence, nausea, vomiting, or pain. Ev...
Dr. Chen Shidian Reply:
It may be a slight abnormality in peristaltic digestion. You can manage caloric intake and increase post-meal physical activity to promote peristalsis. If concerned, a fecal occult blood test can be performed to rule out the possibility of colorectal disease.[Read More] Persistent Abdominal Bloating for 3 Months: Possible Causes and Insights
Understanding the Link Between GERD and Elevated CA 72-4 Levels
Gastroesophageal reflux disease (GERD) I am 28 years old, and my recent health check report shows a CA 72-4 level of 24, which is elevated compared to last year's level of 10. I have a history of gastroesophageal reflux disease (GERD). I would like to know if there is a corr...
Dr. Hu Guozheng Reply:
Hello! Gastritis can also cause this index to rise. It is recommended to bring the report to the hepatobiliary and gastroenterology outpatient clinic for evaluation. Thank you![Read More] Understanding the Link Between GERD and Elevated CA 72-4 Levels
Understanding Chest Discomfort: Is It Gastroesophageal Reflux?
Chest tightness issue? Hello, doctor. I have been experiencing chest tightness that often occurs suddenly while sitting or standing, and it is accompanied by nausea and a feeling of wanting to vomit. When I do vomit, the contents are acidic, and the chest tightness disappears imm...
Dr. Lin Minghui Reply:
A 26-year-old female is experiencing chest tightness, nausea, and a desire to vomit. After vomiting gastric acid, her chest tightness improves, which may indicate gastroesophageal reflux disease (GERD) or other issues. The symptoms of GERD do not always correlate with the finding...[Read More] Understanding Chest Discomfort: Is It Gastroesophageal Reflux?
Understanding Liver Enzyme Changes: Should You Stop Your Medication?
Issues related to liver function tests? Hello Doctor: I have gastroesophageal reflux disease and grade A esophagitis. The doctor prescribed Dexilant, which I have been taking for two months. Recently, during a health check-up, my GOT and GPT levels increased from 23 and 25 to 35 ...
Dr. Chen Shidian Reply:
Deglycyrrhizinated licorice (DGL) is a medication used to treat symptoms of gastroesophageal reflux disease (GERD). Such medications rarely affect liver or kidney function (creatinine levels) and can be monitored; if necessary, it may be advisable to discontinue or switch medicat...[Read More] Understanding Liver Enzyme Changes: Should You Stop Your Medication?
Managing Dietary Control with Lower Esophageal Sphincter Relaxation
Relaxation of the lower esophageal sphincter causes bloating? I previously visited a clinic near my home due to long-term issues with bloating and gastroesophageal reflux disease (GERD). An endoscopy revealed a problem with a relaxed lower esophageal sphincter. The doctor advised...
Dr. Lin Minghui Reply:
Relaxation of the lower esophageal sphincter can lead to gastroesophageal reflux disease (GERD) dietary issues. The following recommendations are suggested: consume soups and liquids separately from solid foods, avoid eating too quickly, do not overeat, and refrain from lying dow...[Read More] Managing Dietary Control with Lower Esophageal Sphincter Relaxation
Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Upper gastrointestinal endoscopy results? [First Endoscopy Findings]: (Esophagus): Mucosal break at the esophagogastric junction less than 5mm. (Stomach): CLO test was performed. Hyperemic mucosal changes at the antrum, shallow gastric ulcer at the antrum, s/p. (Duodenum): Narrow...
Dr. Chen Shidian Reply:
The grading of gastroesophageal reflux disease (GERD) can be somewhat subjective and may vary between physicians. The principle of treatment is to control symptoms with proton pump inhibitors (PPIs) such as Nexium. If there is no Helicobacter pylori infection, antibiotics are not...[Read More] Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Understanding Mild Gastroesophageal Reflux: Symptoms and Concerns
Gastroesophageal reflux disease (GERD) Hello, doctor. I have been experiencing intermittent chest tightness. I have undergone many tests, and both my heart and chest cavity are normal. After that, I had an endoscopy and was diagnosed with mild gastroesophageal reflux disease (GER...
Dr. Cai Anshun Reply:
Hello: In addition to medication, it is important to pay attention to dietary and lifestyle adjustments. Avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, and sweets. Additionally, being underweight or overweight, constipation, and rapid ...[Read More] Understanding Mild Gastroesophageal Reflux: Symptoms and Concerns
Managing GERD and Belching: Seeking Solutions for Ongoing Discomfort
Gastroesophageal reflux and belching? Hello Doctor: I have been suffering from gastroesophageal reflux disease (GERD) and belching for the past five years. I have undergone three esophagogastroduodenoscopies (EGDs), and the doctors have indicated that there are no gastric ulcers....
Dr. Chen Shidian Reply:
Currently, treatment involves medication (strong gastric medications available for self-pay in conjunction with National Health Insurance gastric medications) and dietary control. If the condition is severe, endoscopic surgery may be considered in the future when the technology h...[Read More] Managing GERD and Belching: Seeking Solutions for Ongoing Discomfort
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Upper Right Abdominal Discomfort: Could It Be Cancer?
Discomfort in the right upper abdomen - cancer concerns? In August 2022, I started experiencing nausea, abdominal bloating, discomfort in the upper right abdomen, and a tingling sensation. I subsequently went to the hospital for an endoscopy, which revealed gastroesophageal reflu...
Dr. Chen Shidian Reply:
It is unlikely to be related to cancer; it may just be a digestive issue. A fecal occult blood test can be performed.[Read More] Upper Right Abdominal Discomfort: Could It Be Cancer?
Morning Nausea and Dry Heaving: Causes and Concerns
Nausea and dry heaving upon waking up in the morning? Hello doctor, recently I have been feeling nauseous upon waking up, especially when brushing my teeth and tongue. Sometimes I vomit yellow gastric acid. What could be causing these symptoms? Could it be due to gastroesophageal...
Dr. Chen Shidian Reply:
It stimulates reflexive vomiting of gastric contents (including a small amount of yellow bile).[Read More] Morning Nausea and Dry Heaving: Causes and Concerns
Understanding Persistent Hiccups: Causes and Concerns in Gastroenterology
Persistent Hiccups Hello Doctor: I have never experienced issues such as hiccups or gastrointestinal discomfort in the past. However, starting in October of last year, I began to have symptoms of chest tightness, acid reflux, and nausea when lying down. After receiving treatment ...
Dr. Hu Guozheng Reply:
Hello, it is advisable to seek medical examination. Thank you.[Read More] Understanding Persistent Hiccups: Causes and Concerns in Gastroenterology
Understanding Gastroesophageal Reflux: Symptoms, Treatments, and Concerns
Gastroesophageal reflux disease (GERD) I recently went to the hospital for an endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD). I was prescribed Tegaserod, and I have been taking it for two days. I have noticed that my flatulence is accompanied b...
Dr. Hu Guozheng Reply:
Hello, if there is no improvement with medication treatment or if new symptoms arise, it is advisable to return for a follow-up appointment and discuss this with your attending physician. Thank you.[Read More] Understanding Gastroesophageal Reflux: Symptoms, Treatments, and Concerns
Understanding Burping After Meals: When to Seek Medical Advice
Burping after meals or drinking water? I have been experiencing burping for a while now, even after eating a small amount. The burps come in quick succession, sometimes two or three in a row shortly after eating. Occasionally, even one or two hours after a meal, I will burp again...
Dr. Chen Shidian Reply:
Weight loss can help alleviate reflux and belching. Eating smaller, more frequent meals, engaging in post-meal activities to aid digestion, and minimizing talking during meals to reduce air swallowing can also be beneficial. If symptoms worsen, an upper endoscopy may be considere...[Read More] Understanding Burping After Meals: When to Seek Medical Advice
Effective Medications for Managing Gastroesophageal Reflux Symptoms
Medications for Peptic Ulcer Disease Last June, I underwent an upper gastrointestinal endoscopy, and the results were normal, but there was slight enlargement of the cardia and mild gastroesophageal reflux. It was advised to change my dietary habits. However, in mid-January of th...
Dr. Cai Anshun Reply:
Hello: 1. Yes, it can alleviate the symptoms of gastroesophageal reflux disease (GERD); however, in addition to medication, dietary and emotional changes are also necessary. It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat ...[Read More] Effective Medications for Managing Gastroesophageal Reflux Symptoms
Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues
Sudden frequent hiccups and shallow sleep? One evening in early September, I suddenly began experiencing frequent belching, which has continued every day since then. During that time, I did not make any significant changes to my diet, nor did I experience any stressful events, an...
Dr. Lin Minghui Reply:
Regarding the issues of belching and shallow sleep, gastroesophageal reflux disease (GERD) can be difficult to completely resolve. Seasonal changes and dietary modifications can sometimes trigger gastrointestinal disorders in individuals sensitive to gastric mucosa. It is recomme...[Read More] Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues