Understanding Your Endoscopy Report: GERD, Polyps, and Gastritis Concerns
Hello, doctor. I have questions regarding the gastroscopy report? Hello Doctor, I underwent an upper gastrointestinal endoscopy at a nearby clinic on the evening of June 16 due to recent symptoms resembling indigestion. After examination, the clinic physician recommended the endo...
Dr. Chen Shidian Reply:
Hello, sir. It is not stomach cancer, so please rest assured and cooperate with the medication and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Your Endoscopy Report: GERD, Polyps, and Gastritis Concerns
Feeling of Throat Tightness and Slow Digestion: Possible Causes
Sensation of a foreign body in the throat. Feeling of indigestion? Hello Doctor, I am 19 years old and I have recently been experiencing a sensation of a foreign body in my throat. I visited an otolaryngologist who performed an endoscopic examination and found no issues. However,...
Dr. Cai Anshun Reply:
Hello: If there are no issues found by the otolaryngologist, you may consider visiting a gastroenterologist to check if gastroesophageal reflux disease (GERD) is the cause. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Feeling of Throat Tightness and Slow Digestion: Possible Causes
Understanding GERD and Delayed Gastric Emptying: Symptoms and Solutions
Gastroesophageal reflux and digestive motility issues? Hello Doctor: After eating every day, I often experience belching and start to feel a bitter taste in my mouth 2-3 hours later. My gastroscopy showed no ulcers or tumors, and there is no Helicobacter pylori, but I do have gas...
Dr. Lin Minghui Reply:
1) General gastroscopy or upper gastrointestinal imaging can determine whether the cardia is relaxed, if there is a hiatal hernia, whether there is esophageal dilation affecting the pylorus, if there are any ulcers, and if there is deformation of the duodenal bulb that impacts ga...[Read More] Understanding GERD and Delayed Gastric Emptying: Symptoms and Solutions
Understanding Gastrointestinal Issues: Persistent Hardness and Discomfort Explained
Gastroenterology and Hepatology I have a hard lump in my stomach that hasn't gone away, and I go to the bathroom every day. After eating, I immediately need to use the restroom, and it’s painful and uncomfortable. Initially, I went to Taipei Medical University Hospital, wher...
Dr. Chen Qifeng Reply:
If the lump is located in the upper abdomen near the sternum, it may be the xiphoid process cartilage.[Read More] Understanding Gastrointestinal Issues: Persistent Hardness and Discomfort Explained
Understanding Gastrointestinal Issues: From GERD to Polyps and IBS
Gastroenterology and Hepatology I have been experiencing symptoms of gastroesophageal reflux disease (GERD) for a long time, but in early April, I had severe gastrointestinal discomfort with alternating diarrhea and constipation. The diarrhea consisted of loose stools that felt u...
Dr. Lin Minghui Reply:
There are many causes of abdominal pain and bloating. Discomfort may occur after undergoing endoscopic examinations due to the introduction of air for inspection. However, after completing gastroscopy and colonoscopy, one can feel more reassured as there are no major diseases det...[Read More] Understanding Gastrointestinal Issues: From GERD to Polyps and IBS
Understanding the Sensation of a Foreign Body in the Throat
Sensation of a foreign body in the throat? You may be experiencing symptoms related to a condition known as globus sensation, which is the feeling of having a lump in the throat. This can be accompanied by difficulty swallowing (dysphagia), discomfort, and may also lead to sympto...
Dr. Cai Anshun Reply:
Hello: It could be a throat issue or possibly related to gastroesophageal reflux disease (GERD). It is advisable to avoid foods that may trigger acid reflux. If there is no improvement, you may consider consulting a gastroenterologist and an otolaryngologist. Changhua Hospital ca...[Read More] Understanding the Sensation of a Foreign Body in the Throat
Understanding Abdominal Pain: When to Seek Medical Advice
Gastrointestinal issues Hello, I have been experiencing a dull pain in the upper left part of my abdomen, near the ribs. Sometimes it occurs in the upper right or in the middle, but for the past couple of days, it has mainly been concentrated in the upper left area. The pain is n...
Dr. Cai Anshun Reply:
Hello: 1. The type of examination should be determined by a clinical physician. If there are no abnormalities in the stool test, dietary adjustments should be made. If there is no improvement, a consultation with a gastroenterologist is necessary. 2. It is recommended to return f...[Read More] Understanding Abdominal Pain: When to Seek Medical Advice
Frequent Gas and Burping: Understanding Digestive Issues After GERD
Frequent flatulence and belching? At the end of January, I underwent an endoscopy which revealed symptoms of gastroesophageal reflux disease (GERD) and gastritis. I have been taking antacids for three months. However, I still experience frequent belching after meals. Since the en...
Dr. Chen Shidian Reply:
Hello, sir. A fecal occult blood test can be performed to determine if further examination is necessary. Generally, it is often just an abnormality in gastrointestinal motility, which can be managed with medication (+/- probiotics). Changhua Hospital cares about your health. Chen...[Read More] Frequent Gas and Burping: Understanding Digestive Issues After GERD
Do I Need Another Endoscopy for My Ongoing Stomach Issues?
Do I need to undergo another gastroscopy? Hello doctor, I had an upper gastrointestinal endoscopy in early January which revealed gastritis and gastroesophageal reflux disease (GERD). My condition has improved significantly with medication, but recently I have been experiencing o...
Dr. Cai Anshun Reply:
Hello: It is important to pay attention to diet and emotional adjustments. Check-ups and medication are not the best solutions unless symptoms persist and worsen. In that case, you may consult a gastroenterologist for further evaluation. Changhua Hospital cares about your health....[Read More] Do I Need Another Endoscopy for My Ongoing Stomach Issues?
Managing Diet with GERD: How Often Can You Indulge?
Dietary Issues Related to Gastroesophageal Reflux Disease (GERD) Hello, doctor. I have been living on plain rice, noodles, and boiled meat for the past three months due to gastroesophageal reflux disease (GERD). How often can I eat cake and drinks? I don't want to eat only p...
Dr. Cai Anshun Reply:
Hello: It is recommended to limit exposure (not completely avoid) to items such as tea leaves, coffee, soda, chocolate, sweets, glutinous rice products, high-fat/high-protein foods, and spicy foods. Be mindful of foods that make you feel uncomfortable. Maintaining a balanced diet...[Read More] Managing Diet with GERD: How Often Can You Indulge?
Understanding the Heat Sensation in Your Stomach: Causes and Solutions
A warm sensation in the stomach? Hello, doctor. I previously underwent an upper gastrointestinal endoscopy, and the results showed mild gastritis and gastroesophageal reflux disease (GERD). Following the doctor's instructions, I completed a course of medication, and I feel t...
Dr. Cai Anshun Reply:
Hello: It may be a newly developed issue, so it's important to review your diet and emotional state to see if they are contributing to increased gastric acid production. If there is no improvement, you may need to consult a gastroenterologist again. Changhua Hospital cares a...[Read More] Understanding the Heat Sensation in Your Stomach: Causes and Solutions
Managing Long-Term Acid Reflux: Surgical Options and Doctor Recommendations
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been suffering from gastroesophageal reflux disease (GERD) for 8 to 9 years and take medication daily. Currently, I am taking Nexium, but I still experience sourness and bad taste in my mouth throughout the day. Sometime...
Dr. Cai Anshun Reply:
Hello: It is recommended to improve your condition through diet (tea/coffee/tobacco/alcohol/spicy foods/sweets/overeating/eating at irregular times, etc.), body composition (avoiding being overweight or underweight), emotional stress, and sleep posture. If there is still no impro...[Read More] Managing Long-Term Acid Reflux: Surgical Options and Doctor Recommendations
Could Your GERD Symptoms Indicate a Gastrinoma? Understanding the Connection
Gastroesophageal reflux may be caused by a gastrinoma? Hello, Dr. Tsai. I have been experiencing symptoms of gastroesophageal reflux disease (GERD) for about three years. I have undergone three endoscopies performed by different physicians, all of whom diagnosed me with Grade A G...
Dr. Cai Anshun Reply:
Hello: The incidence of gastrinomas is quite low in terms of probability. The symptoms typically present as persistent, multiple, atypical location peptic ulcers, peptic ulcers accompanied by diarrhea, abnormally thickened gastric mucosal folds, and thickened duodenal and jejunal...[Read More] Could Your GERD Symptoms Indicate a Gastrinoma? Understanding the Connection
Understanding Prolonged Stomach Discomfort: Causes and Solutions
I've been experiencing stomach discomfort for quite a while? Hello, doctor. I'm sorry to bother you. Last time, I mentioned that I've been experiencing stomach discomfort for over three weeks, and I've also noticed significant weight loss. Now, it's been ...
Dr. Cai Anshun Reply:
Hello: 1. It is important to maintain a balanced diet, including dairy, eggs, fish, meat, beans, and fiber. There is no need to specifically avoid meat. Food should be chewed thoroughly before swallowing, and it is not necessary to only eat congee; sometimes, consuming congee can...[Read More] Understanding Prolonged Stomach Discomfort: Causes and Solutions
Understanding Nocturnal Abdominal Pain: Causes and Concerns
Frequent abdominal pain during the night or early morning? Hello Doctor: In the past three months, I have experienced abdominal pain 6 to 7 times. The pain is located in the upper abdomen, specifically in the triangular area inside the rib cage on the left side (near the stomach)...
Dr. Cai Anshun Reply:
Hello: If you experience pain in the left side of the epigastric area, especially when lying down to rest, it may be worth considering the possibility of gastroesophageal reflux disease (GERD). Be mindful to avoid irritating foods and beverages (such as tea and coffee), do not li...[Read More] Understanding Nocturnal Abdominal Pain: Causes and Concerns
Understanding Upper Abdominal Pain: Helicobacter Pylori and Beyond
Upper abdominal pain Helicobacter pylori Hello Doctor, I have been experiencing stomach pain and discomfort in the upper right abdomen, so I went to the hospital for treatment. Two days ago, based on the doctor's recommendation, I underwent an upper endoscopy. It showed mild...
Dr. Cai Anshun Reply:
Hello: If you have gastroesophageal reflux disease (GERD) or inflammation of the stomach and duodenum, it is recommended to continue medication for a period of time. A one-week treatment may not be sufficient, and you may need to continue taking gastric medications until symptoms...[Read More] Understanding Upper Abdominal Pain: Helicobacter Pylori and Beyond
Understanding Healing Gastric Ulcers: Do They Require Biopsy?
Gastric ulcer biopsy issues? Hello, doctor. Last month, I underwent an upper gastrointestinal endoscopy, which revealed gastroesophageal reflux disease (GERD) and gastritis. Additionally, there was a gastric ulcer, but the doctor mentioned that it is already healing. Only a Helic...
Dr. Cai Anshun Reply:
Hello: For ongoing acute ulcers or ulcers that do not heal for a long time, a biopsy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Healing Gastric Ulcers: Do They Require Biopsy?
Understanding Swallowing Difficulties: A Guide for Gastrointestinal Issues
A sensation of difficulty swallowing from the Adam's apple to the chin? Hello Doctor: I am a person who gets easily anxious, and whenever I feel nervous, I often experience stomach pain. Later, I learned that this was due to autonomic nervous system dysfunction. After taking...
Dr. Cai Anshun Reply:
Hello: If your doctor suspects that you have gastroesophageal reflux disease (GERD) and there is no improvement after medication, an endoscopy is recommended. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Swallowing Difficulties: A Guide for Gastrointestinal Issues
Understanding Gastrointestinal Issues: Insights from a Gastroenterology Visit
Gastrointestinal issues Over the past three months, I have experienced gastrointestinal discomfort three times, with each episode becoming progressively worse. This time, I have persistent bloating and a complete lack of appetite. I consulted a gastroenterologist who initially pr...
Dr. Cai Anshun Reply:
Hello: If your condition improves to a level that you find acceptable after taking the medication, there is no need to undergo an endoscopy. If you can drink yogurt without any discomfort, you may continue to do so. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Gastrointestinal Issues: Insights from a Gastroenterology Visit
Understanding PPI Use for GERD: When to Continue or Reassess Treatment
Regarding the issue of discontinuing the use of proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD)? Hello, Doctor. I underwent an endoscopy at the Taipei Hospital of the Ministry of Health and Welfare around December 30, 2016. Following that, I regularly too...
Dr. Cai Anshun Reply:
Hello: Essentially, PPIs (proton pump inhibitors) suppress gastric acid secretion and should not be used long-term, as they may affect digestion, bacterial balance, and calcium absorption. For gastroesophageal reflux disease (GERD), it is recommended to improve lifestyle and diet...[Read More] Understanding PPI Use for GERD: When to Continue or Reassess Treatment