How Often Should You Get an Endoscopy for GERD? Expert Insights
Gastrointestinal endoscopy for gastroesophageal reflux disease (GERD)? How often should a doctor perform an upper gastrointestinal endoscopy? My last examination showed mild gastroesophageal reflux (Grade A). I would like to know if scheduling another endoscopy in 2 to 3 years is...
Dr. Chen Shidian Reply:
If there are no symptoms, there is no consensus on the need for further testing. Confirming the absence of Helicobacter pylori is sufficient; if concerned, a gastroscopy can be done every five years (out-of-pocket).[Read More] How Often Should You Get an Endoscopy for GERD? Expert Insights
Understanding GERD: When Medication Stops Working and Next Steps
Gastroesophageal reflux disease (GERD) I would like to ask the doctor about gastroesophageal reflux disease (GERD). I previously underwent an endoscopy, which confirmed that I have esophageal reflux with noticeable damage to the esophagus. The doctor prescribed Nexium (esomeprazo...
Dr. Chen Shidian Reply:
The validity of the gastroscope is four months. Symptom management still requires lifestyle adjustments, and prokinetic agents may be added if necessary.[Read More] Understanding GERD: When Medication Stops Working and Next Steps
Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...
Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Abdominal bloating? Hello Dr. Lin, I apologize for bothering you. I would like to ask about a feeling of tightness and bloating in my stomach that I've been experiencing for the past few months. Sometimes, I feel a bloating sensation in the area just a little to the left of ...
Dr. Lin Minghui Reply:
The sensation of a skipped heartbeat in the chest, along with tightness, may commonly be attributed to causes such as indigestion, gastroenteritis, gastroesophageal reflux disease (GERD), peptic ulcers, irritable bowel syndrome (IBS), and liver, gallbladder, or pancreatic disease...[Read More] Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Gastroesophageal reflux disease (GERD) and superficial gastritis? Dear Vice President Chen, I underwent an upper gastrointestinal endoscopy at the hospital on July 31, 2023, and the results are as follows: Examination time: Start time: 10:32:06 End time: 10:36:13 Clinica...
Dr. Chen Shidian Reply:
Medication can be reduced or discontinued; this can be discussed with the attending physician without conflict.[Read More] Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Gastroesophageal reflux with blood-tinged saliva? Hello, doctor. I have been experiencing gastroesophageal reflux disease (GERD) for a long time. I underwent an upper endoscopy last November, which showed mild grade A reflux. I have been on medication for treatment, but I still e...
Dr. Hu Guozheng Reply:
It is recommended to seek medical attention for evaluation. Thank you.[Read More] Blood-Streaked Saliva: Is It a Sign of GERD Complications?
Can Pain Relief Medications Worsen Acid Reflux Symptoms?
Can pain relief medications potentially exacerbate gastroesophageal reflux disease (GERD)? Due to a diagnosis of mild gastroesophageal reflux disease (GERD) and a previous duodenal ulcer, I am currently taking gastrointestinal medications including Pantoprazole and Domperidone. A...
Dr. Hu Guozheng Reply:
If there are concerns about potential drug interactions, it is advisable to consult a pharmacist or the prescribing physician. The medication bag should contain relevant contact information. Thank you.[Read More] Can Pain Relief Medications Worsen Acid Reflux Symptoms?
Understanding GERD and Ulcers: Treatment Challenges and Insights
Gastroesophageal reflux and ulcers? Earlier this year, I was diagnosed with gastric ulcers, duodenal ulcers, and gastroesophageal reflux disease (GERD). Before seeing the doctor, I had taken painkillers, so the first test for Helicobacter pylori was not conducted. It was only dur...
Dr. Chen Shidian Reply:
There should only be a dysfunction of gastrointestinal motility, unrelated to bacteria. Depending on the symptoms, it may be necessary to adjust the medication duration and discuss it further with the attending physician.[Read More] Understanding GERD and Ulcers: Treatment Challenges and Insights
Can Gastritis and GERD Cause Fatigue? Recovery Time Explained
Gastrointestinal issues and fatigue? Doctor, I have undergone an endoscopy and was diagnosed with mild gastroesophageal reflux disease (GERD) and gastritis. Can gastritis cause fatigue and weakness in the body? Additionally, how long does it typically take to recover from gastrit...
Dr. Chen Shidian Reply:
The effects of reflux medications can be seen within a few days, but stopping the medication may lead to a relapse. However, it is not related to fatigue.[Read More] Can Gastritis and GERD Cause Fatigue? Recovery Time Explained
Managing Gastrointestinal Issues: Tips for Constipation Relief After PPI Use
Gastrointestinal and bowel-related issues? Hello doctor, I would like to ask about my condition. I was diagnosed with grade C gastroesophageal reflux disease (GERD) and a gastric ulcer over a year ago after undergoing an endoscopy. I have been taking a proton pump inhibitor (PPI)...
Dr. Lin Minghui Reply:
Due to severe gastroesophageal reflux disease (GERD) and gastric ulcers, the patient has been taking proton pump inhibitors (PPIs) for a year and a half. The use of PPIs may lead to looser stools. The patient often experiences constipation. It is recommended that, in addition to ...[Read More] Managing Gastrointestinal Issues: Tips for Constipation Relief After PPI Use
Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Please advise on the active treatment options for Barrett's esophagus? Dear Dr. Chen, I am a 41-year-old male, 174 cm tall and weighing 90 kg. My past medical history includes peptic ulcer disease and irritable bowel syndrome. Currently, I have moderate fatty liver disease,...
Dr. Chen Shidian Reply:
It is recommended to start medication and follow up with an endoscopy in one year, and then consider endoscopic treatment if necessary. In Taiwan, this is not commonly practiced; patients must go to a medical center for a complete preoperative evaluation, and decisions will be ma...[Read More] Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Gastroesophageal reflux disease (GERD) I experience some pain in my esophagus when eating, but it has improved somewhat. I also have some stomach pain, primarily located around the right side of my chest, so I suspect it might be related to my stomach. Sometimes, when I drink hot...
Dr. Hu Guozheng Reply:
Based on your description, a medical evaluation has been conducted. Please follow the treatment as prescribed. If you have any questions or continue to experience discomfort, it is recommended to return for a consultation with your original physician. Thank you.[Read More] Understanding Esophageal Pain: GERD or Esophagitis Symptoms Explained
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Gastroesophageal reflux disease (GERD) Hello Doctor, I suddenly experienced severe stomach pain and chest pain one day in mid-May, so I went to see a doctor during my lunch break. At that time, I was feeling very uncomfortable, and I had previously often experienced chest pain, h...
Dr. Hu Guozheng Reply:
If symptoms do not improve with medication, please return for a follow-up appointment to discuss with the original prescribing physician. Thank you.[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Managing Chronic Gastritis and GERD: Tips for Relief and Recovery
Chronic gastritis with gastroesophageal reflux disease (GERD)? I have been suffering from gastritis and acid reflux since last October, and my current condition includes indigestion. I feel full after eating just a little, and I experience reflux when I eat. When I'm hungry,...
Dr. Lin Minghui Reply:
Gastroesophageal reflux disease (GERD) can cause symptoms such as feeling full after eating only a small amount, stomach pain when hungry, and increased gastric acid after meals. It can also lead to feelings of anxiety and depression. For conditions related to excess gastric acid...[Read More] Managing Chronic Gastritis and GERD: Tips for Relief and Recovery
Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact
Gastroesophageal reflux disease (GERD) or gastritis? I have experienced occasional indigestion in the past, but recently, over the last two to three months, I have been frequently suffering from indigestion. I feel uncomfortable almost every time after meals, and I have been burp...
Dr. Chen Shidian Reply:
Obesity is often associated with gastroesophageal reflux disease (GERD), so weight loss combined with reduced food intake is recommended. Avoid sitting still for long periods after meals, engage in weekly exercise, and refrain from consuming acidic, sweet, caffeinated beverages, ...[Read More] Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact
Managing GERD and Duodenal Ulcers: Symptoms, Medications, and Dietary Tips
Gastroesophageal reflux disease (GERD), duodenal ulcer? I initially had some discomfort in my abdomen, so I underwent an endoscopy. The doctor diagnosed me with mild gastroesophageal reflux disease (GERD) and a duodenal ulcer, with no issues related to Helicobacter pylori. The do...
Dr. Chen Shidian Reply:
You can take the medication first and then decide whether to return for a follow-up based on your response before increasing the dosage. Additionally, if you don't have medication, it's advisable to return for a prescription. Be mindful to avoid foods that are hard on t...[Read More] Managing GERD and Duodenal Ulcers: Symptoms, Medications, and Dietary Tips
Understanding Symptoms of Stomach Ulcers and GERD: What to Do Next
Symptoms related to gastric ulcers and gastroesophageal reflux disease (GERD)? Hello Doctor: I have a symptom where my chest becomes increasingly uncomfortable when I am fasting; it feels tight, and I experience excessive stomach acid. If I don't eat quickly, I feel very unc...
Dr. Yang Zhichao Reply:
You can come to the outpatient clinic for a detailed assessment, followed by the necessary examinations and treatment.[Read More] Understanding Symptoms of Stomach Ulcers and GERD: What to Do Next
Understanding Helicobacter Pylori Treatment: Is Your Medication Too Heavy?
Helicobacter pylori I have been experiencing stomach discomfort for over a month. I went to the hospital for an endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD), gastric ulcer, and chronic gastritis. The examination revealed the presence of Helic...
Dr. Hu Guozheng Reply:
Hello, each individual's condition is different, so it is advisable to discuss with the original treating physician or prescribing doctor. Thank you.[Read More] Understanding Helicobacter Pylori Treatment: Is Your Medication Too Heavy?
Managing Bile Reflux: Lifestyle Changes and Dietary Tips for Relief
Stomach pain, diagnosed as bile reflux? Hello, Doctor. I have been experiencing stomach pain for a week, and my condition has not improved after visiting the clinic. Last Wednesday, I underwent an endoscopy at the hospital, which revealed bile reflux. The attending physician pres...
Dr. Chen Shidian Reply:
Bile reflux into the stomach is not necessarily harmful and is related to individual constitution. A normal diet, regular exercise, and medication management are usually sufficient.[Read More] Managing Bile Reflux: Lifestyle Changes and Dietary Tips for Relief
Managing Persistent GERD and Tongue Numbness: Seeking Solutions
Gastroesophageal reflux has been recurring for over six months. I have been taking medication to manage it, but it hasn't improved. Recently, I have experienced numbness in my tongue. What should I do? In the second half of 2022, I experienced a burning sensation in my throa...
Dr. Hu Guozheng Reply:
Hello! It is advisable to discuss this with your attending physician. Thank you.[Read More] Managing Persistent GERD and Tongue Numbness: Seeking Solutions