Managing Acid Reflux: When to Consider Medication and Further Testing
Gastroesophageal reflux disease (GERD) recurrence after discontinuation of medication? Hello Doctor: Last August, I underwent an endoscopy, and the result was grade 2 gastroesophageal reflux disease (GERD). Since then, I have been intermittently taking NEXIUM. Whenever I take the...
Dr. Cai Anshun Reply:
Hello: If your condition worsens, you may want to consult a gastroenterologist to evaluate whether another endoscopy is necessary. Additionally, you should review your diet and avoid foods that may exacerbate acid reflux. Changhua Hospital cares about your health. Dr. Tsai An-shu...[Read More] Managing Acid Reflux: When to Consider Medication and Further Testing
Is Too Much or Too Little Stomach Acid the Real Issue?
Too much or too little stomach acid? Hello Doctor: I have been visiting a gastroenterologist for many years, primarily for issues related to excessive stomach acid, bloating, or gastric discomfort. I have taken various antacids and proton pump inhibitors for many years and have a...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux refers to the symptoms caused by stomach acid flowing back into the esophagus, regardless of whether there is an issue of excess or insufficient stomach acid. Factors such as tea, coffee, spicy foods, high-fat and high-protein foods, smoking, alcoho...[Read More] Is Too Much or Too Little Stomach Acid the Real Issue?
Understanding Abdominal Bloating: Causes and Solutions
Abdominal bloating? Hello doctor, for the past two weeks, I've been feeling a bloated and uncomfortable sensation in the area just below my chest and above my navel, slightly to the right (at least not on the left), but generally in the middle. Sometimes, this feeling is mor...
Dr. Cai Anshun Reply:
Hello: Conditions such as gastritis, gastric ulcers, gastroesophageal reflux disease (GERD), and dyspepsia are all possible. You can consult a gastroenterologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Abdominal Bloating: Causes and Solutions
Zinc Carnosine: A Potential Aid for Stomach Ulcers and GERD
Zinc carnosine and gastric ulcers? Hello Doctor, in July 2017, an endoscopy revealed a gastric ulcer along with gastroesophageal reflux disease (GERD) (no Helicobacter pylori). I took Naproxen for five months and stopped on December 15, 2017. On December 22, 2017, another endosco...
Dr. Cai Anshun Reply:
Hello: 1. It is not always necessary to add other medications or to take long-term maintenance medications. If symptoms persist despite medication, short-term use may be sufficient. 2. Additionally, please be mindful of your coffee or tea consumption, excessive stress, and irregu...[Read More] Zinc Carnosine: A Potential Aid for Stomach Ulcers and GERD
Understanding GERD: Insights on Endoscopy and Gastrointestinal Issues
Gastroesophageal reflux, gastroscopy, gastrointestinal issues? Hello Doctor: About a month ago, I occasionally experienced a feeling of heaviness in my stomach, chest tightness, and belching. I started treatment, but since there was no improvement, I underwent an upper gastrointe...
Dr. Chen Shidian Reply:
Hello, Miss. Please cooperate with the medication and dietary adjustments, and return for a follow-up appointment to monitor any changes. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding GERD: Insights on Endoscopy and Gastrointestinal Issues
Understanding Post-Meal Discomfort: Insights on GERD and Treatment
I always feel a bit uncomfortable right after eating? Hello Doctor: I would like to ask you about gastroesophageal reflux disease (GERD). Since before November 28 until recently, I have been experiencing discomfort in my stomach, so I took the medication prescribed by my doctor, ...
Dr. Cai Anshun Reply:
Hello: 1. Pay attention to the types of food you consume; avoid foods that cause noticeable discomfort as much as possible. 2. The health insurance treatment lasts for 4 months, but the duration of medication may be shortened if symptoms improve. 3. Gastroesophageal reflux diseas...[Read More] Understanding Post-Meal Discomfort: Insights on GERD and Treatment
Understanding Esophageal Issues: Causes and Solutions for Swallowing Difficulties
Esophageal issues? Hello Dr. Lin, I have been experiencing recurrent difficulties swallowing and pain while swallowing for a long time. I consulted a gastroenterologist who diagnosed me with excessive stomach acid and gastroesophageal reflux disease (GERD). I also saw an otolaryn...
Dr. Lin Minghui Reply:
Hello: If you have been experiencing long-term recurrent dysphagia, odynophagia, and have phlegm with blood streaks, with significant symptoms, in addition to paying attention to your diet, reducing alcohol consumption, smoking, and betel nut chewing, you should promptly seek out...[Read More] Understanding Esophageal Issues: Causes and Solutions for Swallowing Difficulties
Persistent Hiccups and Acid Reflux: Understanding Your Symptoms
I have been experiencing acid reflux for two months, resulting in the expulsion of stomach acid? I have been experiencing burping after every meal since around mid-November last year, and each burp often brings up stomach acid. I frequently feel nauseous, but I don't have a ...
Dr. Chen Shidian Reply:
Hello, sir. You may have gastroesophageal reflux disease (GERD). Please visit the gastroenterology clinic for an examination, including an endoscopy, and consider using strong acid-reducing medications for treatment. In the meantime, please avoid acidic, sweet, and caffeinated fo...[Read More] Persistent Hiccups and Acid Reflux: Understanding Your Symptoms
Understanding GERD Medications: What to Expect When Switching Doctors
Gastroesophageal reflux disease (GERD) medications I had my first gastroscopy at Taoyuan Hospital. Previously, at another facility, my condition was considered serious, and the doctor prescribed me with a medication called "Xiangwei Tong." I wonder if switching hospital...
Dr. Chen Shidian Reply:
Hello, sir. There are different brands of strong stomach medications, but their effects are similar, so please don't worry. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding GERD Medications: What to Expect When Switching Doctors
Does Acyclovir Cause Stomach Ulcers? Understanding the Risks and Symptoms
Acyclovir and gastric ulcers? Hi Doctor, 1. I previously contracted herpes simplex virus type II from my girlfriend and have experienced frequent outbreaks, approximately seven times a year. A doctor recommended that I take acyclovir 200 mg twice daily (one tablet after breakfa...
Dr. Chen Shidian Reply:
Hello, sir. There is no literature evidence to prove a correlation between the two. Please consider a biopsy during the treatment of your gastric ulcer to check for other factors if necessary. Changhua Hospital cares about your health. Chen Shidian.[Read More] Does Acyclovir Cause Stomach Ulcers? Understanding the Risks and Symptoms
Understanding Gastrointestinal Issues: Your Questions Answered on GERD and More
Gastrointestinal issues Hello, Doctor. I have been experiencing long-term discomfort in my stomach, including bloating and gastroesophageal reflux. I recently had an endoscopy, and there were no major issues, just mild inflammation. I would like to ask: 1. Can an endoscopy dete...
Dr. Cai Anshun Reply:
Hello: 1. A biopsy is necessary to determine the presence of Helicobacter pylori; biopsies are generally not performed if there are no ulcers. 2. Patients may feel that their condition is not serious and may stop medication on their own if they have no symptoms. If there are conc...[Read More] Understanding Gastrointestinal Issues: Your Questions Answered on GERD and More
Understanding GERD: Symptoms and When to Seek Further Treatment
Gastroesophageal reflux disease (GERD) and symptoms of stomach pain? Hello, Doctor. About four months ago, I underwent an upper gastrointestinal endoscopy, and I was diagnosed with gastroesophageal reflux disease (GERD). I received medication for a month but did not continue to r...
Dr. Chen Shidian Reply:
Hello, sir. You can return for a follow-up appointment, and we can adjust your medication based on your condition. There is no need to rush into another endoscopy. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding GERD: Symptoms and When to Seek Further Treatment
Understanding Throat Discomfort: GERD and Its Potential Risks
Feeling of a foreign body in the throat? Hello, Doctor. I have been experiencing gastroesophageal reflux for over five years and have not undergone any examinations. Recently, I am planning to see a doctor for an endoscopy, but I am worried because for the past week, I have felt ...
Dr. Chen Shidian Reply:
Hello, Miss. There's no need to worry. As long as the gastroscopy is clear, medication treatment will be sufficient. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Throat Discomfort: GERD and Its Potential Risks
Understanding Bloating and Burping: Insights from Gastrointestinal Issues
Belching and stomach discomfort? Hello doctor, I have been experiencing discomfort in my lower right abdomen since April of this year. A stool test showed a positive reaction for occult blood. I underwent a colonoscopy in June, and the doctor said everything was normal. However, ...
Dr. Cai Anshun Reply:
Hello: If the examination shows no specific issues, you should pay attention to the types of food you consume, avoiding beverages and foods that stimulate gastric acid secretion. Additionally, to prevent constipation and fecal impaction, which can alleviate adhesion symptoms, it ...[Read More] Understanding Bloating and Burping: Insights from Gastrointestinal Issues
How Often Should You Get an Endoscopy for Stomach Ulcers?
If there is a history of peptic ulcer disease, how often should an upper gastrointestinal endoscopy be scheduled? Hello Doctor: Last year, I frequently experienced symptoms of acid reflux and nausea, which led to dizziness. I went to a major hospital for an endoscopy, and the rep...
Dr. Cai Anshun Reply:
Hello: 1. If symptoms recur, you can return for a follow-up appointment, where the physician will assess whether another endoscopy or medication is necessary. An endoscopy can be performed again if symptoms are present. 2. It is likely caused by coffee consumption and is not sign...[Read More] How Often Should You Get an Endoscopy for Stomach Ulcers?
Painful Swallowing: Understanding Throat Discomfort and Its Causes
Pain when swallowing saliva? Hello, doctor. In recent days, I have noticed a sharp pain in my throat when swallowing saliva. It usually hurts the first time I swallow, but if I swallow continuously, the pain subsides. After a while, if I swallow again, it will hurt, but continuou...
Dr. Cai Anshun Reply:
Hello: Whether it is a throat issue or gastroesophageal reflux disease (GERD), both can cause similar symptoms. If it is difficult to differentiate between the two, you may consider undergoing another endoscopy soon. Changhua Hospital cares about your health. Dr. Cai An-shun.[Read More] Painful Swallowing: Understanding Throat Discomfort and Its Causes
Understanding Right Upper Abdominal Pain: Causes and Recommended Tests
Liver, gallbladder, and gastrointestinal issues? Hello, I have a mild stabbing sensation in my upper right abdomen. Sometimes, when I move, it feels like I've pulled a muscle, but repeating the same movement doesn't cause any sensation. There is no pain when I press on ...
Dr. Chen Qifeng Reply:
Gastroesophageal reflux disease (GERD) requires diagnosis through endoscopy.[Read More] Understanding Right Upper Abdominal Pain: Causes and Recommended Tests
Is Gastroesophageal Reflux Disease Hard to Treat? Understanding Your Symptoms
Gastroesophageal reflux disease (GERD) is difficult to treat? Hello, about six months ago, I started experiencing a sensation of something stuck in my throat, occasionally accompanied by a feeling of pressure. I first consulted an otolaryngologist, and during the endoscopy, it wa...
Dr. Chen Shidian Reply:
Hello, sir. As you mentioned, it is still caused by reflux. You may discuss with your attending physician to adjust your diet and lifestyle. Changhua Hospital cares about your health. Chen Shidian[Read More] Is Gastroesophageal Reflux Disease Hard to Treat? Understanding Your Symptoms
Understanding Level C GERD: Risks, Healing Time, and Medication Concerns
Gastroesophageal reflux disease (GERD) grade C? Hello Doctor: I am a patient with grade C gastroesophageal reflux disease (GERD). I would like to ask if, in addition to the fact that grade C has a higher degree of inflammation compared to grades A and B and requires a longer heal...
Dr. Cai Anshun Reply:
Hello: 1. Proton pump inhibitors can be used for treatment for one year. 2. Repeated reflux may cause esophageal mucosal lesions. 3. If lifestyle habits that contribute to reflux can be modified, improvement may be achieved without medication. Changhua Hospital cares about your h...[Read More] Understanding Level C GERD: Risks, Healing Time, and Medication Concerns
Understanding Upper Right Abdominal Discomfort: Causes and Solutions
I have an unusual sensation in my upper right abdomen? I have a severe insomnia problem and often find it difficult to sleep. Last Friday, I tossed and turned in bed until 11 AM without feeling sleepy. I initially planned to stay awake and just sat up in bed when I suddenly felt ...
Dr. Cai Anshun Reply:
Hello: The doctor has already performed an endoscopy and ultrasound for you. I believe all the suspected issues have been examined, and your symptoms have improved. You can safely continue your medication and monitor whether the symptoms fully resolve. Changhua Hospital cares abo...[Read More] Understanding Upper Right Abdominal Discomfort: Causes and Solutions