Understanding Medication After Gastroscopy for Stomach Ulcers
Medications prescribed after gastroscopy? Hello Dr. Chen: I underwent an upper gastrointestinal endoscopy at Hospital A, and after taking medication for gastric ulcers for one to two months without improvement, I switched to treatment from a doctor at Hospital B. However, my fami...
Dr. Chen Qifeng Reply:
According to the National Health Insurance regulations, certain special medications for peptic ulcers require an endoscopy report within the last four months for coverage. After undergoing examination at Hospital A, a copy of the report must be taken to Hospital B, where the phys...[Read More] Understanding Medication After Gastroscopy for Stomach Ulcers
Understanding Abdominal Pain: Normal Endoscopy Results and Hidden Causes
Why are the results of the gastroscopy and colonoscopy normal, yet the cause of my abdominal pain cannot be identified? Dr. Chen: After undergoing gastroscopy and colonoscopy, the doctor diagnosed me with Helicobacter pylori and wrote in English—peptic ulcer. Therefore, I am unsu...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, it may just be functional issues such as bloating or indigestion. In theory, if there is a peptic ulcer, it should be treated; however, even if the coccyx is fractured, it should not penetrate the gastrointestinal tract. Having a family history of ca...[Read More] Understanding Abdominal Pain: Normal Endoscopy Results and Hidden Causes
Understanding Gastric Polyps: Questions After Two Endoscopies
Both gastroscopies revealed numerous gastric polyps (with an interval of one and a half years)? Hello Dr. Chen: I have undergone self-paid health check-ups for two consecutive years and have found polyps in my stomach. This year, I just completed a painless (under anesthesia) exa...
Dr. Chen Qifeng Reply:
Hello, "gastric polyps" are quite common lesions in clinical practice, with approximately 2% to 3% of the general population having gastric polyps. Most gastric polyps are asymptomatic, and many individuals discover they have them incidentally during gastroscopy. Only a...[Read More] Understanding Gastric Polyps: Questions After Two Endoscopies
Understanding the 13C-Urea Breath Test: Benefits and Limitations in Gastroenterology
13C-urea breath test 1. The carbon-13 urea breath test (CUBT) is less expensive under the National Health Insurance reimbursement (1160) compared to upper gastrointestinal endoscopy (1500), and it spares patients from the discomfort of invasive gastric procedures. However, it see...
Dr. Chen Qifeng Reply:
Hello, the C13 test can only check for the presence of Helicobacter pylori and cannot diagnose the disease itself, whether it is inflammation, ulcers, tumors, or other conditions. A definitive diagnosis requires an endoscopy. Therefore, how can the C13 test replace endoscopy? (Th...[Read More] Understanding the 13C-Urea Breath Test: Benefits and Limitations in Gastroenterology
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
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
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 Post-Meal Discomfort: Causes of Stomach Pain and Bloating
Why do symptoms such as stomach pain, reduced bowel motility, and bloating often occur after meals? Hello, Doctor You. I had surgery for a gastric hemorrhage when I was younger, and I have been experiencing stomach pain, intestinal motility issues, and bloating frequently after m...
Dr. You Ligang Reply:
Hello, individuals who have undergone abdominal surgery have a chance of developing intestinal adhesions, which can lead to bowel obstruction. If each episode of stomach pain is due to decreased intestinal motility and bloating, it may indicate the presence of adhesions. If the g...[Read More] Understanding Post-Meal Discomfort: Causes of Stomach Pain and Bloating
Understanding Digestive Discomfort: When to Consider a Gastroscopy
Stomach discomfort? Recently, I have been feeling like my stomach has food that hasn't been fully digested, and I also have a sensation of nausea. Eating greasy foods makes it worse. Do I need to go to the hospital for an endoscopy?
Dr. Chen Qifeng Reply:
Hello, if symptoms persist for more than a few weeks, an upper gastrointestinal endoscopy may be considered. Based on the clinical presentation, it could be gastritis. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Digestive Discomfort: When to Consider a Gastroscopy
Understanding Gastrointestinal Issues: Frequent Bowel Movements and Gas Problems
Gas and bowel movement issues? Doctor: Hello! I have been experiencing a troubling issue lately, which is the frequent need to use the restroom. This symptom has persisted for two to three months. I have visited various clinics for treatment, but none have resolved the issue. It ...
Dr. Chen Qifeng Reply:
Hello, I have been experiencing diarrhea for 2-3 months, with more than 5 episodes per day. I have already been referred to a gastroenterologist for a colonoscopy. If structural abnormalities (such as colorectal cancer or colitis) are ruled out, it may be considered a functional ...[Read More] Understanding Gastrointestinal Issues: Frequent Bowel Movements and Gas Problems
Understanding Duodenal Ulcers and White Spots: What You Need to Know
Pylorus/Duodenum: There are necrotic white spots????? Hello! In the past two days, I underwent a colonoscopy and an upper gastrointestinal endoscopy. On the day of the endoscopy, the doctor mentioned that there were areas of erosion in the pylorus and duodenum. Today, during the ...
Dr. Lin Minghui Reply:
Hello, 1. Regarding the diagnosis using endoscopy (gastroscopy and colonoscopy), it is advisable to consult a physician. 2. Four samples may be taken, which could involve biopsies that require histopathological examination; the results will take longer, approximately one week ...[Read More] Understanding Duodenal Ulcers and White Spots: What You Need to Know
Chronic Bloating and Diarrhea: Possible Causes and Solutions
Chronic bloating and diarrhea? Hello Doctor, I have been experiencing unstable stomach conditions for a long time. When I visit the doctor, I usually just receive some stomach medication, but within a few days, I return to experiencing bloating. Additionally, I often have diarrhe...
Dr. Chen Shidian Reply:
Hello Dr. Asakura: Regarding your dyspepsia/irritable bowel syndrome, the gastroscopy showed no other abnormalities. You can maintain a normal diet and take medication as needed for control. Changhua Hospital is concerned about your health. Best regards, Chen Shidian.[Read More] Chronic Bloating and Diarrhea: Possible Causes and Solutions
Understanding Gastroscopy: What Conditions Can It Reveal?
Stomach What conditions can be diagnosed through an upper gastrointestinal endoscopy? If someone experiences simple postprandial bloating, what could be the cause? Although it occurs somewhat frequently, there are no other symptoms, the stool is normal, and there is no abdominal ...
Dr. Chen Shidian Reply:
Hello Mr. Monkey: Most likely, it is just indigestion or gastrointestinal dysfunction. If eating smaller, more frequent meals at regular intervals does not improve the situation (especially if there is weight loss), an endoscopy can be performed to rule out rare causes. Changhua ...[Read More] Understanding Gastroscopy: What Conditions Can It Reveal?
Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions
Left lower abdominal pain? 1. The current symptoms include bloating and pain in the lower left abdomen, which have persisted for four years. There is still abdominal bloating and pain regardless of diet. 2. So far, I have consulted various specialists, including gastroenterolog...
Dr. Lin Minghui Reply:
Hello Mrs. Wu, You have been experiencing pain in your lower left abdomen, which must have been quite bothersome for a long time. You have undergone examinations for muscular, neurological, urinary, gastrointestinal, and gynecological issues, all of which showed no problems. Ho...[Read More] Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions
Chronic Left Lower Abdominal Pain: Seeking Solutions and Expert Advice
Left lower abdominal distension and pain? The patient would like to ask: 1. Currently, the symptoms include bloating and pain in the lower left abdomen, which have persisted for four years. Is there any dietary consideration that could alleviate the bloating and pain? 2. Up to no...
Dr. Chen Shidian Reply:
Dear Mrs. Wu, If the tests have returned normal results but you still experience symptoms, it is recommended to continue medication and follow-up (it may be functional impairment—likely Irritable Bowel Syndrome). Changhua Hospital cares about your health. Sincerely, Chen Shi...[Read More] Chronic Left Lower Abdominal Pain: Seeking Solutions and Expert Advice
Unexplained Symptoms: When Gastroscopy Fails to Diagnose
The cause could not be determined through gastroscopy? He mentioned to the teacher that he has been to several major hospitals, such as Veterans General Hospital and Chang Gung Memorial Hospital. As for whether he can provide detailed information, that may take some time, because...
Dr. Zhang Siyuan Reply:
Ader: Since the teacher has reasons that make it inconvenient to speak, you don't need to press further. However, you can clearly express your concerns to the teacher, as he is a good classmate and an important part of our class. Keep it up! Wishing you academic success! Dr....[Read More] Unexplained Symptoms: When Gastroscopy Fails to Diagnose
Why Six Endoscopies Failed to Diagnose My Classmate's Condition
The cause could not be determined through gastroscopy? I would like to ask on behalf of my classmate about his condition; from what I understand, he experiences a metallic smell before vomiting blood, and sometimes he becomes disoriented and needs assistance to be lifted. He ment...
Dr. Zhang Siyuan Reply:
Dear Ade: I can sense your concern for your classmate, which is truly commendable! First, I would like to know if the six gastroscopies were performed by the same physician or by different physicians at different hospitals. If it is the former, then that physician may highly susp...[Read More] Why Six Endoscopies Failed to Diagnose My Classmate's Condition
Managing Post-Gastric Bleeding: Safe Medications and Follow-Up Care
How to treat gastric bleeding and subsequent care? Hello Dr. Chen: At the beginning of the month, I was hospitalized due to gastric bleeding and underwent laser treatment to stop the bleeding. I was hospitalized for over ten days and have now been discharged, attending regular ou...
Dr. Chen Shidian Reply:
Hello Mr. Xiao Guo: Cataflam is a medication that can lead to ulcers, therefore it is recommended to: (1) concurrently use a strong gastric medication (PPI class) or (2) switch to a more advanced/less gastric irritating pain reliever (COX-2 class) or (3) use both (1) and (2) (but...[Read More] Managing Post-Gastric Bleeding: Safe Medications and Follow-Up Care
Can Gastroscopy Reveal Your Lifestyle Habits Like Smoking and Drinking?
Information that can be obtained from gastroscopy? Can a gastroscopy reveal your usual habits? For example, can a gastroscopy indicate whether you smoke or drink alcohol?
Dr. Lin Minghui Reply:
Hello Ben, the main purpose of an upper gastrointestinal endoscopy is to examine the esophagus, stomach, and duodenum for any lesions, including inflammation, erosion, ulcers, tumors, and changes related to lifestyle habits. Widespread lesions may be associated with irritant medi...[Read More] Can Gastroscopy Reveal Your Lifestyle Habits Like Smoking and Drinking?