Understanding Gastroesophageal Reflux in Children: Symptoms and Treatment
Gastroesophageal reflux disease (GERD) Hello, I am an anxious mother. My 5-and-a-half-year-old daughter has been coughing and clearing her throat frequently. The pediatrician said there are no issues with her nose or trachea, and after a simple chest X-ray, the doctor suggested s...
Dr. Chen Qifeng Reply:
Hello: A chest X-ray cannot detect gastroesophageal reflux disease (GERD); the physician makes a judgment based on symptoms and preliminary examinations. Of course, a definitive diagnosis requires an endoscopy. However, due to the patient's young age, an endoscopy is usually...[Read More] Understanding Gastroesophageal Reflux in Children: Symptoms and Treatment
Why Am I Coughing Up Blood? Understanding GERD and Its Risks
Coughing up blood? Hello: I have symptoms of gastroesophageal reflux disease (GERD). I have seen both Western and traditional Chinese medicine. There was actually some improvement for a while, but last Wednesday during my lunch break, I felt something in my mouth, and when I spit...
Dr. Chen Qifeng Reply:
Hello: In cases of gastroesophageal reflux disease (GERD), significant bleeding is only likely in severe instances. Of course, oral bleeding must also be ruled out. If it is not from the oral cavity, an upper gastrointestinal endoscopy should be performed. Wishing you safety and ...[Read More] Why Am I Coughing Up Blood? Understanding GERD and Its Risks
Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Gastroesophageal reflux disease (GERD) I have symptoms of gastroesophageal reflux disease (GERD), and after undergoing an endoscopy, I was graded as A. However, the report indicated that I have a hiatal hernia, stating that my stomach has moved up slightly. I am currently experie...
Dr. Cai Anshun Reply:
Hello: Currently, the mainstream treatment for gastroesophageal reflux disease (GERD) involves medication and lifestyle modifications. Surgery is generally not recommended unless medication fails and causes significant disruption to daily life. The surgical approach can utilize l...[Read More] Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Pregnancy and Gallstones: Should You Remove Them Before Conceiving?
Pregnancy and Gallstones Hello Doctor: I would like to ask about gallstones. In December 2012, a health check revealed gallstones measuring approximately 2.5 cm (the report indicated multiple gallstones). At that time, the doctor advised to wait until I experience pain before con...
Dr. Chen Shidian Reply:
Hello Polar, 1. During pregnancy, if there is inflammation due to gallstones, it can indeed be difficult to manage. However, the incidence is not high, so surgery is not necessarily required at this stage. Just be cautious and avoid excessive intake of greasy foods. 2. Burpin...[Read More] Pregnancy and Gallstones: Should You Remove Them Before Conceiving?
Understanding Bloating and Burping After Meals: Causes and Solutions
Experiencing bloating and belching after eating? Hello Doctor: I have had a "special ability" in the eyes of others for a long time, which is the ability to control my burping and perform it for my friends anytime and anywhere. However, this is just an inappropriate jok...
Dr. Cai Anshun Reply:
Hello, you may have gastroesophageal reflux disease (GERD) or abnormal gastric motility. It is advisable to visit a gastroenterologist for treatment and to eat small, frequent meals while avoiding foods that may cause discomfort after eating. Additionally, you may consider underg...[Read More] Understanding Bloating and Burping After Meals: Causes and Solutions
Understanding Chronic Stomach Pain: Causes and Insights on Duodenal Scarring
I have been experiencing stomach pain for over three years, which occurs on an empty stomach? I have been experiencing stomach pain for over three years, which occurs on an empty stomach. Previously, I was taking medication from a clinic, and my condition improved somewhat. Howev...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, the likelihood of gastrointestinal diseases remains the highest. Conditions such as gastritis, gastroesophageal reflux disease (GERD), and peptic ulcers are generally associated with excessive gastric acid. In addition to pharmacological treatment, t...[Read More] Understanding Chronic Stomach Pain: Causes and Insights on Duodenal Scarring
Understanding Digestive Issues: When to Seek Medical Advice
Having dark brown stools for three consecutive days can indicate various conditions. It is important to monitor any additional symptoms and consult a healthcare professional for a proper evaluation? On October 1st, I had three consecutive days of very thin, dark stools. I also ex...
Dr. Chen Qifeng Reply:
Hello: 1. Based on the symptoms, there is a high possibility of gastroenteritis; additionally, due to the accompanying respiratory symptoms, it is likely a gastrointestinal type of cold. 2. Gastroesophageal reflux often accompanies gastritis or peptic ulcers, which can also lead ...[Read More] Understanding Digestive Issues: When to Seek Medical Advice
Understanding Continuous Belching: What It Means for Your Digestive Health
Continuous isolation If you have been experiencing continuous hiccups for three days without any sensation of bloating in the stomach, it could be a sign of an underlying issue. Persistent hiccups can sometimes be caused by irritation of the diaphragm, gastroesophageal reflux dis...
Dr. Chen Qifeng Reply:
Hello: Excessive belching is associated with gastric and duodenal diseases, primarily caused by poor gastric emptying and bloating. It is recommended to consider medication treatment or an upper gastrointestinal endoscopy. Wishing you good health. Dr. Chi-Feng Chen, Taoyuan Hospi...[Read More] Understanding Continuous Belching: What It Means for Your Digestive Health
Understanding Gastrointestinal Distress and Breathing Issues: A Patient's Journey
Abdominal bloating and difficulty breathing? Hello, doctor: I have read many articles, but it seems that no one has the same experience as I do. Recently, I have seen many doctors, but my symptoms have not improved. I have been working night shifts for over two years, and one day...
Dr. Lin Minghui Reply:
1. The typical symptoms of gastroesophageal reflux disease (GERD) include heartburn and acid regurgitation. Atypical symptoms may include chest pain, a sensation of a lump in the throat, and asthma. 2. It is recommended to relax and not be overly anxious, while paying attention t...[Read More] Understanding Gastrointestinal Distress and Breathing Issues: A Patient's Journey
Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Is esophageal ulcer prone to developing esophageal cancer? Hello Doctor: Last May, I was diagnosed with a gastric ulcer and Helicobacter pylori during an endoscopy. After two months of treatment, I underwent another endoscopy, and the doctor said the ulcer had healed and the bact...
Dr. Chen Shidian Reply:
Hello Ms. Nini: It is likely a new lesion, mostly caused by gastric acid or external irritants. A biopsy can rule out cancer, but the chances are very low (especially since you do not smoke or drink). If you are concerned, a follow-up endoscopy in 1 to 2 months would be sufficien...[Read More] Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Combining Gan An Neng and Hui Li Tuo for GERD: Safety and Efficacy Concerns
The issue of taking medications for gastroesophageal reflux disease (GERD) such as Gan An Neng and Huilituo? Hello, doctor. I am currently taking Dexamethasone and Metformin. Recently, I have also been taking medication for gastroesophageal reflux disease (GERD) for the past year...
Dr. Cai Anshun Reply:
Hello: (1) You only need to follow the instructions and take the medications separately before and after meals. This will not reduce their effectiveness. (2) Dexamethasone and Esomeprazole should not be discontinued arbitrarily according to clinical guidelines. Gastroesophageal r...[Read More] Combining Gan An Neng and Hui Li Tuo for GERD: Safety and Efficacy Concerns
Understanding Left Upper Abdominal Pain: Causes and Next Steps
Left upper abdominal distension and pain? For nearly two months, I have been experiencing a bloating and dull pain in the area of my stomach (I'm not sure if it's the stomach), specifically about one to two centimeters below the xiphoid process, near the lower edge of t...
Dr. Chen Qifeng Reply:
Hello: It is recommended to undergo an abdominal ultrasound examination to check for any abnormalities in the gallbladder, liver, pancreas, and other organs. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Left Upper Abdominal Pain: Causes and Next Steps
Can Acid Reflux Lead to Sudden Cardiac Arrest? Understanding the Risks
Can gastroesophageal reflux disease (GERD) lead to sudden death? Hello Doctor: A friend experienced sudden death while sleeping due to gastroesophageal reflux disease (GERD), and I find this very puzzling. I would like to inquire about the possible causes and likelihood of sudden...
Dr. Lin Minghui Reply:
Hello: Common causes of sudden cardiac death include: 1. Cardiac issues such as arrhythmias, myocardial ischemia, and myocardial infarction; 2. Respiratory problems, such as asthma attacks, sleep apnea, and airway obstruction; 3. Endocrine issues like hypoglycemia. Wishing you go...[Read More] Can Acid Reflux Lead to Sudden Cardiac Arrest? Understanding the Risks
Understanding Stomach Discomfort and Throat Issues: Causes and Solutions
Bloating in the stomach and a strange sensation in the throat? Hello Doctor: Since around October of last year, I have been experiencing bloating due to excessive lemon water consumption and anxiety. In late October, I underwent an endoscopy, and the doctor informed me that I had...
Dr. Cai Anshun Reply:
Hello: 1. If your sore throat is caused by gastroesophageal reflux disease (GERD), it is indeed necessary to first address the issue of excessive stomach acid. 2. Medications can help alleviate symptoms when they are most pronounced, but in the long term, it is advisable to avoid...[Read More] Understanding Stomach Discomfort and Throat Issues: Causes and Solutions
Understanding the Link Between GERD and Heart Palpitations
Gastroesophageal reflux can cause arrhythmias? Hello, Doctor: Last year, I first experienced these symptoms and underwent examinations at the cardiology department, including an echocardiogram, X-ray, and 24-hour heart rate monitoring, all of which showed normal cardiac function....
Dr. Chen Qifeng Reply:
Hello: Large studies have shown a relationship between symptoms such as angina, myocardial infarction, arrhythmias, and gastroesophageal reflux disease (GERD). If we can prevent or alleviate episodes of GERD, it may also reduce symptoms such as chest pain, chest tightness, and pa...[Read More] Understanding the Link Between GERD and Heart Palpitations
Long-Term Omeprazole Use: Risks of Tolerance and Alternatives Explained
Will long-term use of omeprazole lead to drug resistance? I have been taking omeprazole for nearly 8 months. Since I was 28 years old, after healing from an ulcer, I have been experiencing gastritis and excessive stomach acid until now. I had regular follow-ups in Taiwan, and the...
Dr. Chen Qifeng Reply:
Hello: Medications for gastroesophageal reflux disease (GERD) such as Lansoprazole, Esomeprazole, and Omeprazole can be used at a dosage of two tablets per day when symptoms are particularly severe. Of course, all medications have potential side effects, but these drugs generally...[Read More] Long-Term Omeprazole Use: Risks of Tolerance and Alternatives Explained
Understanding Stomach Gurgling: Causes, Concerns, and Remedies
Borborygmi in the stomach? Hello Dr. Tsai, in the past half month, I have noticed that when I lie flat in bed, my stomach makes gurgling sounds. I visited a gastroenterologist, who asked me some questions and then explained that these sounds are due to gastrointestinal motility. ...
Dr. Cai Anshun Reply:
Hello: (1) As your physician has informed you, the sounds you are hearing are due to intestinal peristalsis. If there are no discomfort symptoms, there is no need for medication. The elements that contribute to borborygmi include intestinal gas, moisture, and rapid peristalsis. I...[Read More] Understanding Stomach Gurgling: Causes, Concerns, and Remedies
Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Gastroesophageal reflux is very bothersome? Honestly, over the past six months, I've felt quite hopeless about this condition. I'm only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last year, I underwent an...
Dr. Lin Minghui Reply:
Hello: 1. Gastroesophageal reflux disease (GERD) may not always correlate between endoscopic findings and clinical symptoms; for instance, endoscopic grading may be A or B while symptoms are severe, and some may have endoscopic grades C or D but exhibit mild symptoms. 2. GERD...[Read More] Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Understanding GERD: Treatment Challenges and Patient Concerns
Issues in the treatment of gastroesophageal reflux disease (GERD) To be honest, I have felt quite hopeless about this condition over the past six months. I am only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last ye...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is a condition that is prone to recurrence, especially in individuals with a hiatal hernia. In addition to pharmacological treatment, the following lifestyle and dietary recommendations are suggested: minimize smoking and alcohol cons...[Read More] Understanding GERD: Treatment Challenges and Patient Concerns
Understanding Stomach Discomfort: Causes and Solutions for Bloating and Pain
Stomach discomfort? Hiccups, gastric acid. For the past month, I started experiencing intermittent abdominal pain today.
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it could be gastroesophageal reflux disease (GERD), gastritis, or peptic ulcer disease. It is recommended to undergo further examination with an upper gastrointestinal endoscopy. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department o...[Read More] Understanding Stomach Discomfort: Causes and Solutions for Bloating and Pain