Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Long-term gastroesophageal reflux disease (GERD) has been present for a long time? Hello doctor, I have very severe halitosis that has become so bad that even when others wear masks, they can still smell it. This has significantly affected my life. I also have severe gastroesopha...
Dr. Zhang Kebin Reply:
Dear Miss, Regarding your inquiry about long-term severe gastroesophageal reflux disease (GERD), it is noted that your symptoms improve with medication. I recommend discussing long-term medication management with your primary physician. If you are experiencing issues with being...[Read More] Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Understanding Weight Loss and Throat Issues from GERD: A Medical Insight
Gastroesophageal reflux disease (GERD)/laryngitis and weight loss? Hello, doctor. In the past few months, I have been experiencing frequent gastroesophageal reflux, which has also affected my throat, causing a sensation of something being stuck. This was the diagnosis and treatme...
Dr. Chen Shidian Reply:
If initial treatment and adjustments are still ineffective, it is recommended to perform an upper gastrointestinal endoscopy and a fecal occult blood test to rule out malignant diseases (it is unlikely, but it is necessary to exclude possibilities).[Read More] Understanding Weight Loss and Throat Issues from GERD: A Medical Insight
Understanding Bloating, Belching, and Rib Pain: A Teen's Health Journey
Belching, diarrhea, and pain in both sides of the rib cage? Hello, doctor. I am currently a sophomore in high school. Since starting high school, my body has experienced many issues that were not common before. The story begins in May 2020, during the second midterm exams. I sudd...
Dr. Cai Anshun Reply:
Hello: Do not eat late-night snacks before bed, avoid eating too quickly, and do not bend over, lie face down, or lie flat after eating. Try to consume easily digestible foods, and you may consider taking probiotics, which could help improve your condition. If there is still no i...[Read More] Understanding Bloating, Belching, and Rib Pain: A Teen's Health Journey
Understanding Incomplete Bowel Movements: When to Seek Medical Advice
Incomplete bowel evacuation? Hello Doctor, for the past few days (about a week), I have been experiencing the sensation of needing to have a bowel movement even after I have just finished. I usually go twice, but sometimes I also have a bowel movement at night, and I do pass stoo...
Dr. Cai Anshun Reply:
Hello: Individual hard stools may indicate constipation, and symptoms such as the presence of blood or the need to have a bowel movement more than twice could also be related to constipation. It is advisable to increase your intake of fruits and vegetables and stay hydrated. If t...[Read More] Understanding Incomplete Bowel Movements: When to Seek Medical Advice
Persistent Stomach Pain and Throat Inflammation: Seeking Medical Advice
Stomach pain, throat inflammation? Hello, Doctor. On January 25th, I visited an ENT specialist due to stomach pain, mild diarrhea, and a sore throat with inflammation and redness. After taking the three-day medication prescribed by the doctor, my condition improved slightly, but ...
Dr. Cai Anshun Reply:
Hello: If we exclude the possibility of a cold, gastroesophageal reflux can also cause pharyngitis, chest tightness, and upper abdominal pain. You may consult a gastroenterologist for an evaluation to determine if it is gastroesophageal reflux disease (GERD). However, if there is...[Read More] Persistent Stomach Pain and Throat Inflammation: Seeking Medical Advice
Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
The condition of gastric burning is not improving significantly with medication? Hello, doctor. I have been suffering from gastroesophageal reflux disease (GERD) for many years. I started treatment two years ago and have undergone several endoscopies. The results showed only slig...
Dr. Chen Shidian Reply:
It may be advisable to continue medication (possibly increasing the dosage at your own expense) and monitor the situation, while maintaining a normal diet. If necessary, a 24-hour esophageal pH monitoring can be performed (the test may cause some discomfort).[Read More] Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
Understanding Throat Discomfort and Acid Reflux Symptoms
Throat issues, gastroesophageal reflux disease (GERD)? Hello, doctor. On Sunday, I took a non-steroidal anti-inflammatory pain reliever for a headache. Starting Monday, I experienced stomach pain and took an antacid. The next day, I noticed that I had hiccups and a sensation of s...
Dr. Chen Shidian Reply:
There may be gastroesophageal reflux disease (GERD); you can take gastrointestinal medications, discontinue pain relievers, and avoid irritating foods for further observation.[Read More] Understanding Throat Discomfort and Acid Reflux Symptoms
Understanding Persistent Heartburn: Causes and Solutions
I have persistent heartburn, but it goes away after I eat? Experiencing persistent heartburn that resolves after eating but returns after about two hours could be indicative of gastroesophageal reflux disease (GERD). The occasional sharp pain in the stomach, along with heartburn ...
Dr. Cai Jinji Reply:
Hello Mr. A-Ren: It is possible that there is a problem with your stomach. As for the diagnosis, it is recommended that you visit a hospital for examination and treatment in order to confirm the issue. Director Cai Jin-ji of the Department of Hepatobiliary and Gastroenterology at...[Read More] Understanding Persistent Heartburn: Causes and Solutions
Post-Bariatric Surgery: Managing Worsened Acid Reflux Symptoms
After undergoing gastric sleeve surgery, gastroesophageal reflux disease (GERD) has worsened? Hello Doctor, I have a history of gastroesophageal reflux disease (GERD), occurring about 3-4 times a week. Recently, I underwent gastric sleeve surgery due to morbid obesity, and it has...
Dr. Cai Anshun Reply:
Hello: It may be more helpful to consult with the surgeon who performed your operation, as they are likely to have a better understanding of your condition. In addition to the types of food, the quantity of food consumed is also important, as the stomach's capacity is reduce...[Read More] Post-Bariatric Surgery: Managing Worsened Acid Reflux Symptoms
Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Gastrointestinal discomfort, with intermittent nausea and dry heaving? Hello Dr. Chang, I had two gastroscopies 1 to 2 years ago, during which Helicobacter pylori was detected. After treatment and medication, I underwent another gastroscopy to confirm that the treatment was succe...
Dr. Zhang Kebin Reply:
Dear Mr. Hsiang, Regarding your previous upper gastrointestinal endoscopy, the findings included: 1. Helicobacter pylori infection, 2. Bile reflux, 3. Relaxation of the lower esophageal sphincter, 4. Gastroesophageal reflux disease (GERD), and 5. Erythema of the gastric wall wit...[Read More] Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Persistent Gas and Nausea: Understanding GERD and Treatment Options
Nausea and a feeling of heaviness in the stomach? Hello, doctor. I would like to ask about my condition. I have been experiencing belching, nausea, and a feeling of fullness in my stomach for a month, so I underwent an endoscopy. The results showed mild gastroesophageal reflux an...
Dr. Chen Shidian Reply:
→ It is advisable to observe for a while longer and pay more attention to diet, with regular portion control and timing, as well as taking a walk after meals.[Read More] Persistent Gas and Nausea: Understanding GERD and Treatment Options
Managing Gastroesophageal Reflux: Symptoms, Treatment, and Weight Concerns
Gastroesophageal reflux disease (GERD) issues? Hello, doctor. Two weeks ago, I experienced chest pain while eating, and after seeking medical attention and undergoing an endoscopy, I was diagnosed with gastroesophageal reflux disease (GERD) and gastritis. Currently, I am taking t...
Dr. Chen Shidian Reply:
No need for now, maintain a normal diet, reduce sweet and acidic foods, and follow up later.[Read More] Managing Gastroesophageal Reflux: Symptoms, Treatment, and Weight Concerns
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Gastrointestinal issues I would like to ask the doctor... Previously, I was diagnosed with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed medication, including antibiotics and a medication called rabeprazole, which is supposed to be tak...
Dr. Cai Anshun Reply:
Hello: It is correct that stomach medication should be taken before meals. As for why the doctor changed the timing, there may be a specific reason for it; you can ask him during your follow-up visit. If you have started feeling unwell again with nausea, dizziness, and loss of ap...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective
Chest tightness and difficulty breathing? Hello Doctor: On November 21 (Saturday), I went to the emergency room because I suddenly experienced chest tightness, difficulty breathing, and rapid heartbeat shortly after taking a shower. The hospital conducted chest X-rays, blood test...
Dr. Zhang Kebin Reply:
Hello, you reported the following symptoms: 1. Chest tightness, shortness of breath, and rapid heartbeat. 2. Mild dizziness and nausea, which are common symptoms of gastroesophageal reflux disease (GERD), including heartburn and acid regurgitation. Generally, chest tightness, sho...[Read More] Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Gastrointestinal issues Hello, Doctor. I would like to ask a question. Previously, I had an uncomfortable stomach and went to the hospital for an endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), a bit of gastritis, and Helicobacter pylori infection. I was...
Dr. Zhang Kebin Reply:
Hello Ruru, 1. According to the consensus on Helicobacter pylori treatment in Taiwan, after completing antibiotic therapy, it is recommended to wait four weeks before testing for eradication using either a urea breath test (UBT) or a stool antigen test (SAT). Proton pump inhibi...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Understanding Acid Reflux: Causes, Symptoms, and Management Tips
Gastroesophageal reflux disease (GERD) Hello, Dr. Tsai... In mid-September, I underwent an endoscopy due to bloating and belching, which revealed grade A gastroesophageal reflux disease (GERD) and chronic gastritis. An ultrasound examination was normal. I have been taking antacid...
Dr. Cai Anshun Reply:
Hello: If there are conditions such as rapid movements, being underweight or overweight, or emotional stress, similar symptoms may occur. It is advisable to examine various factors and discuss them in detail with your attending physician. Changhua Hospital cares about your health...[Read More] Understanding Acid Reflux: Causes, Symptoms, and Management Tips
Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Helicobacter pylori Dear Doctor, I previously experienced discomfort in my stomach and underwent an endoscopy at the hospital. The doctor diagnosed me with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed antibiotics and a medication ca...
Dr. Cai Anshun Reply:
Hello: You can determine whether the eradication was successful through a carbon-13 breath test or a stool antigen test for Helicobacter pylori. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Is it still painful after taking medication for Helicobacter pylori? Hello doctor, I have undergone an upper gastrointestinal endoscopy, and the diagnosis is chronic gastritis and gastroesophageal reflux disease (GERD), caused by Helicobacter pylori. I am currently on a 14-day co...
Dr. Yang Zhichao Reply:
Hello Ms. Chen, you have already been seen by a physician. You can discuss your current issues further with your doctor.[Read More] Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Persistent Hunger: Understanding Gastrointestinal Issues After GERD Treatment
Constantly feeling hungry? Hello Doctor: I have a history of gastroesophageal reflux disease (GERD) and have been taking proton pump inhibitors for a while, which have improved my condition significantly. However, recently I have been feeling constantly hungry, eating twice the a...
Dr. Chen Shidian Reply:
There are currently no specific recommendations; please practice self-control over your appetite and choose appropriate food components.[Read More] Persistent Hunger: Understanding Gastrointestinal Issues After GERD Treatment
Do You Need Treatment for Asymptomatic GERD? Understanding the Risks
Is treatment necessary if there are no symptoms of gastroesophageal reflux disease (GERD)? When I visited an otolaryngologist for a nasopharyngoscopy, I was unexpectedly informed by the doctor that I have gastroesophageal reflux disease (GERD). I find it puzzling because I have n...
Dr. Chen Shidian Reply:
It is a matter of personal opinion and can be further discussed with the attending physician.[Read More] Do You Need Treatment for Asymptomatic GERD? Understanding the Risks