Understanding Chronic Abdominal Pain and Bloating: Possible Causes and Solutions
Abdominal pain, bowel movements, and belching? I experience abdominal pain every day, with flatulence and belching about 10 times an hour, accompanied by significant discomfort. The sounds are loud and foul-smelling, making it difficult for me to sleep well. I also suffer from co...
Dr. Chen Shidian Reply:
Hello, Miss: Flatulence is the result of gas production during the digestion of food (or swallowing too much air). You can adjust your diet and use digestive aids. Belching is often due to abnormal gastric motility, which can be managed with medication and by eating smaller, more...[Read More] Understanding Chronic Abdominal Pain and Bloating: Possible Causes and Solutions
Managing Esophageal Reflux: Treatment Options and Duration Explained
Gastroesophageal reflux disease (GERD) Hello Doctor: Regarding esophagitis (endoscopy revealed redness and swelling at the lower esophageal sphincter due to damage from gastric acid reflux) and a small gastric ulcer, the doctor has prescribed a PPI (Nexium) and recommended a four...
Dr. Chen Qifeng Reply:
Hello, the treatment duration for gastroesophageal reflux disease (GERD) depends on the severity of the condition. According to health insurance regulations, patients classified as A or B can use proton pump inhibitors (PPIs) for four months, while those classified as C or D can ...[Read More] Managing Esophageal Reflux: Treatment Options and Duration Explained
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Gastroesophageal reflux disease (GERD) About a month ago, I started feeling a sensation of fluid in my throat and esophagus when lying down (could this be considered acid reflux or excessive stomach acid?). After two weeks, I experienced a feeling of a foreign body and pressure i...
Dr. Chen Shidian Reply:
Hello Mr. QQ: In cases of mild gastroesophageal reflux, an endoscopy may not reveal any damage to the esophagus. However, there may be changes in the throat (but this can vary based on the subjective judgment of different physicians). If you still suspect that stomach acid is the...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Managing Duodenal Ulcers: When Symptoms Persist Despite Treatment
Ulcer In late January, I underwent an endoscopy which revealed a duodenal ulcer. I have been taking medications such as proton pump inhibitors and gastric mucosal protectants for over two months now, but there has been no improvement. My daily routine is normal, and I pay close a...
Dr. You Ligang Reply:
Hello, here is the response: Generally, if it is a simple duodenal ulcer, it is very well treated, and the medication you are taking, Baidu Kua, is a specific treatment. If there is no improvement after more than two months of medication, aside from a few cases due to insufficien...[Read More] Managing Duodenal Ulcers: When Symptoms Persist Despite Treatment
Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Regarding swallowing disorders? Hello Doctor: My mother has been experiencing discomfort in her throat, with a sensation of something being stuck, since she had a cold in April or May of the year before last. Subsequently, she has also been experiencing hiccups, and she feels the...
Dr. Chen Qifeng Reply:
Hello, if there is a sensation of something stuck in the throat or a growth, it can usually be seen with an upper gastrointestinal endoscopy. This is often a symptom of gastroesophageal reflux disease (GERD), which is commonly associated with excessive stomach acid. If treated pr...[Read More] Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Understanding Persistent Soft Stools: Causes and When to Seek Help
Consistently passing soft stools? Hello, doctor. I have been experiencing soft stools for over a month now. I have seen a doctor and taken medication, but the condition remains the same. I do not have any abdominal pain, my diet is normal, and I have bowel movements 1 to 2 times ...
Dr. Chen Shidian Reply:
Dear Ms. Donna: Surgery can affect gastric motility and digestion, and Omelon may also have some impact on the balance of intestinal flora, which can lead to softer stools. You may want to discuss with your physician about adjusting your medication and dietary habits. Changhua ...[Read More] Understanding Persistent Soft Stools: Causes and When to Seek Help
Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Gastroesophageal reflux disease (GERD) Hello Doctor: I was previously diagnosed with gastroesophageal reflux disease (GERD) and have been on proton pump inhibitors (PPIs) for four months. During this time, I have experienced mild abdominal bloating and pain as side effects, along...
Dr. Chen Qifeng Reply:
Hello, for third-degree or fourth-degree gastroesophageal reflux disease (GERD), medication treatment is covered for one year, while for first-degree and second-degree, it is covered for four months. Regarding the side effects of medication, they can vary from person to person; s...[Read More] Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Understanding Gastroscopy: Duration, Risks, and Overcoming Anxiety
Gastroscopy Hello Doctor, I would like to ask how long a normal gastroscopy takes. I am quite afraid that the endoscope entering my throat will cause a strong foreign body sensation that makes me want to vomit. Is there a risk of gastric perforation with a painless gastroscopy? H...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the duration of an upper gastrointestinal endoscopy is about 3 to 5 minutes. A painless endoscopy does not increase the risk of gastric perforation; it only requires the administration of anesthetic. Based on the symptoms, gastroesophageal reflux diseas...[Read More] Understanding Gastroscopy: Duration, Risks, and Overcoming Anxiety
Managing Heartburn and Digestive Issues: A Guide for Obese Patients
What should I do if I have burning sensations in my stomach and esophagus? Hello, doctor. I am a person with severe obesity, and due to irregular eating habits, I tend to binge eat. About one to two hours after eating, I feel a sensation of something stuck in my throat, and my st...
Dr. Chen Qifeng Reply:
Hello, severe obesity is indeed a risk factor for gastroesophageal reflux disease (GERD). Additionally, you have delayed gastric emptying and a positive serum test for Helicobacter pylori. Therefore, undergoing an upper gastrointestinal endoscopy is necessary. You may call your r...[Read More] Managing Heartburn and Digestive Issues: A Guide for Obese Patients
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Treatment Options
Irritable Bowel Syndrome (IBS) Hello, I would like to ask the doctor about my recent symptoms. I have been experiencing nausea, and even a small amount of any food makes me feel like vomiting. I also have a sensation of a foreign body in my throat. Could this be irritable bowel s...
Dr. Chen Qifeng Reply:
Based on the symptoms, gastroesophageal reflux disease (GERD) is the most likely issue. If over-the-counter antacids are ineffective, it is recommended to undergo an upper endoscopy to assess the severity of the reflux and provide appropriate and effective medication. The cost of...[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Chest Tightness and Nausea: Is It Related to GERD?
Chest tightness and nausea? Hello, I would like to ask about a persistent feeling of tightness in my chest, accompanied by frequent burping. If I have just eaten, I often feel nauseous, and sometimes I even vomit a little, even if I haven't eaten too much—just a small amount...
Dr. Chen Shidian Reply:
Hello Mr. B: Abnormal peristalsis can lead to such issues. You can start by adjusting your diet and lifestyle, and then add medication for control. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Chest Tightness and Nausea: Is It Related to GERD?
Managing Gastroesophageal Reflux: Insights on Treatment and Lifestyle Changes
Gastrointestinal dysfunction? Dear Dr. Dera, 1. Would taking food-grade digestive enzyme powder be helpful for symptoms of gastroesophageal reflux disease (GERD)? Additionally, would drinking homemade fruit and vegetable juices improve these symptoms? 2. After examination, it w...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: It is recommended that you discuss the details with your physician. Generally, reflux is difficult to cure, but dietary management and maintenance medications can be used long-term with minimal side effects. Changhua Hospital cares about your health. Sincerely, C...[Read More] Managing Gastroesophageal Reflux: Insights on Treatment and Lifestyle Changes
Understanding Persistent Abdominal Pain: Insights on Ulcers and Stress Factors
Mild pain in the abdominal area and epigastrium? Dear Doctor, I have been experiencing mild pain in my abdomen and epigastric area for the past six months. Two gastroscopies have revealed the presence of a gastric ulcer and gastroesophageal reflux disease (GERD). The physicians ...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: PPIs can treat gastric ulcers and reflux, but there may be a recurrence after discontinuation (which is different from the definition of ineffectiveness during treatment). A CT scan is used to examine organs other than the stomach, so the objectives are different...[Read More] Understanding Persistent Abdominal Pain: Insights on Ulcers and Stress Factors
Dietary Recommendations for Managing GERD and Stomach Ulcers
Diet for Gastroesophageal Reflux Disease (GERD) Hello, Doctor: I apologize for asking you another question. Regarding peptic ulcers and gastroesophageal reflux disease (GERD), some physicians suggest that if there is hunger between meals, one can eat some saltine crackers, and re...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: Foods can neutralize stomach acid. You may also consider keeping antacids on hand for occasional use between meals. Changhua Hospital cares about your health. Chen Shidian[Read More] Dietary Recommendations for Managing GERD and Stomach Ulcers
Where to Get Painless Transnasal Gastroscopy in Tainan?
Which hospitals in Tainan City and County offer painless transnasal gastroscopy? Due to having gastroesophageal reflux disease and heart disease, I would like to inquire if it is possible to undergo a transnasal painless gastroscopy? Also, which hospitals in Tainan City and Count...
Dr. You Ligang Reply:
Hello, if the heart disease is well controlled, it is possible to undergo a transnasal painless gastroscopy. Best regards, Dr. Liu Li-Guang, Taoyuan Hospital, Department of Health.[Read More] Where to Get Painless Transnasal Gastroscopy in Tainan?
Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Gastroesophageal reflux disease (GERD) Since February of last year, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). After undergoing an endoscopy in April, I began taking medication, which I have continued to this day. In December of last year, I had ...
Dr. You Ligang Reply:
Hello, the factors contributing to acid reflux involve the backflow of gastric acid or stomach contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, a burning sensation in the chest, and a feeling of a foreign body in the throat. If there are n...[Read More] Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Understanding Symptoms of Stomach Ulcers and Acid Reflux
Symptoms of gastric ulcers and gastroesophageal reflux disease (GERD) include: Hello Doctor: I have symptoms of gastric ulcer and gastroesophageal reflux disease. After taking medication (Pantoprazole and Mosapride), I experience some abdominal bloating and pain before breakfast ...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: I am not familiar with the ingredients of Ampern, so I cannot provide any recommendations. Long-term use of PPIs is generally considered safe, as gastric acid is still secreted in small amounts, and stopping the medication can return levels to normal (but may lea...[Read More] Understanding Symptoms of Stomach Ulcers and Acid Reflux
Understanding Lower Esophageal Sphincter Relaxation and GERD Management
Lower esophageal sphincter relaxation Dear Dr. You, After undergoing an endoscopy, I was diagnosed with gastroesophageal reflux disease (GERD) and advised to undergo treatment for 3 to 4 months. The physician mentioned that the symptoms are caused by the relaxation of the lower ...
Dr. You Ligang Reply:
Hello, Nizatidine can be used long-term, but it should be divided into acute phase usage and general maintenance therapy. During the acute phase, it is recommended to take 1 to 2 capsules daily for 1 to 2 months. After that, the dosage can be reduced to half a capsule daily for a...[Read More] Understanding Lower Esophageal Sphincter Relaxation and GERD Management
Understanding GERD: When to Get Endoscopy and Manage Symptoms
Gastroesophageal reflux disease (GERD) I have been suffering from gastroesophageal reflux disease (GERD) for nearly ten months. I would like to ask the doctor if I need to have regular endoscopies to check for any changes in my condition. If so, when should I have the endoscopy? ...
Dr. You Ligang Reply:
Hello, your symptoms have been present for a while. It is recommended that you visit a nearby medical facility with a gastroenterology specialty. Wishing you good health. Sincerely, Dr. Liu Li-Kuang, Taoyuan Hospital, Department of Health.[Read More] Understanding GERD: When to Get Endoscopy and Manage Symptoms
Understanding Subtle Esophageal Mucosal Changes in GERD Patients
Microscopic esophageal mucosal lesions refer to subtle abnormalities or changes in the lining of the esophagus that can be identified through histological examination. These lesions may indicate underlying conditions such as inflammation, infection, or precancerous changes, and o...
Dr. You Ligang Reply:
Hello, if there is a change in the color of the mucosal surface or if the surface is uneven, it may not be visible on upper gastrointestinal imaging. You can think of the difference between puppet shows and shadow plays to understand the distinction between the two examinations. ...[Read More] Understanding Subtle Esophageal Mucosal Changes in GERD Patients