Understanding GERD: Symptoms, Diagnosis, and Treatment Options
Gastroesophageal reflux disease (GERD) Hello, doctor. I previously experienced occasional shortness of breath, and after consulting with a pulmonologist, I was referred to an otolaryngologist, and finally to a gastroenterologist, who diagnosed me with gastroesophageal reflux dise...
Dr. Chen Qifeng Reply:
Hello, gastroesophageal reflux disease (GERD) can present with some atypical symptoms such as chest pain, shortness of breath, and insomnia. In about half of the patients, endoscopic examinations may appear normal. This condition is diagnosed based on symptoms. It can sometimes l...[Read More] Understanding GERD: Symptoms, Diagnosis, and Treatment Options
Understanding GERD Treatment: Are Gesure Gran and Nidolium Safe?
excuse me? The doctor's explanation regarding gastroesophageal reflux disease (GERD) differs from what previous doctors and books have stated. The doctor from a well-established hospital in Madou prescribed Gesure Gran (Gastric Granules) and Nidolium (Nausea Tablets). Are th...
Dr. Chen Shidian Reply:
Hello, Miss: Generally, treatment involves the use of medications that reduce or neutralize stomach acid and increase gastrointestinal motility, along with a diet low in sweetness and acidity. Changhua Hospital is concerned about your health. Chen Shidian[Read More] Understanding GERD Treatment: Are Gesure Gran and Nidolium Safe?
Understanding Acid Reflux: Symptoms, Snoring, and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello! My father has been experiencing symptoms that suggest gastroesophageal reflux disease (GERD) and has been snoring for some time. During sleep, he suddenly chokes and has difficulty breathing, and at times his face turns pale and his l...
Dr. Lin Minghui Reply:
Hello, 1. Snoring is sometimes associated with obstructive sleep apnea syndrome. It is recommended to consult an otolaryngologist for snoring issues. Snoring can sometimes be improved by weight loss and changing sleeping positions, while in some cases, it may require reconstruc...[Read More] Understanding Acid Reflux: Symptoms, Snoring, and When to Seek Help
Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment
Multiple ulcers of the stomach and duodenum? Hello doctor, I recently visited my usual clinic due to discomfort in my throat. This same symptom has occurred two to three times over the past 1 to 2 years. The doctor suggested I undergo an endoscopy because he suspected gastroesoph...
Dr. Chen Shidian Reply:
Hello, sir: Generally speaking, the symptoms and examination results described should not indicate a serious illness. The effectiveness of medication treatment should be satisfactory. Ulcers do not always cause pain (about 1 in 5 cases), and as long as you complete the medication...[Read More] Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment
Long-Term Use of Acid Suppressants: Risks and Concerns for Gastric Health
Medications that suppress gastric acid? Dear Dr. Chen, I previously underwent an endoscopy that revealed symptoms of gastric ulcers and gastroesophageal reflux disease (GERD). I have been taking proton pump inhibitors (PPIs) such as Pantoprazole or Nexium for a long time. Will l...
Dr. Chen Qifeng Reply:
Long-term use of medications to suppress gastric acid can have varying effects on individuals. Some people may even require double the dosage of proton pump inhibitors (PPIs) to effectively achieve acid suppression. As for the long-term consequences of gastric acid suppression, i...[Read More] Long-Term Use of Acid Suppressants: Risks and Concerns for Gastric Health
Understanding Stomach Discomfort from Cold Medications After GERD Treatment
Taking cold medicine may cause gastrointestinal discomfort and pain? Hello Dr. Chen: I previously had gastroesophageal reflux disease and a gastric ulcer, and after taking medication (Pantoprazole) for four months, I stopped because I felt much better. However, recently I've...
Dr. Chen Qifeng Reply:
Hello, if cold medications contain NSAIDs (non-steroidal anti-inflammatory drugs), they can easily irritate the stomach in individuals with a history of ulcers, potentially leading to ulcer recurrence or even bleeding. Therefore, it is advisable to avoid using NSAIDs when experie...[Read More] Understanding Stomach Discomfort from Cold Medications After GERD Treatment
Understanding Chronic Abdominal Pain and Bloating: Possible Causes and Solutions
Abdominal pain, bowel movements, and belching? I experience abdominal pain every day, with flatulence and belching about 10 times an hour, accompanied by significant discomfort. The sounds are loud and foul-smelling, making it difficult for me to sleep well. I also suffer from co...
Dr. Chen Shidian Reply:
Hello, Miss: Flatulence is the result of gas production during the digestion of food (or swallowing too much air). You can adjust your diet and use digestive aids. Belching is often due to abnormal gastric motility, which can be managed with medication and by eating smaller, more...[Read More] Understanding Chronic Abdominal Pain and Bloating: Possible Causes and Solutions
Managing Esophageal Reflux: Treatment Options and Duration Explained
Gastroesophageal reflux disease (GERD) Hello Doctor: Regarding esophagitis (endoscopy revealed redness and swelling at the lower esophageal sphincter due to damage from gastric acid reflux) and a small gastric ulcer, the doctor has prescribed a PPI (Nexium) and recommended a four...
Dr. Chen Qifeng Reply:
Hello, the treatment duration for gastroesophageal reflux disease (GERD) depends on the severity of the condition. According to health insurance regulations, patients classified as A or B can use proton pump inhibitors (PPIs) for four months, while those classified as C or D can ...[Read More] Managing Esophageal Reflux: Treatment Options and Duration Explained
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Gastroesophageal reflux disease (GERD) About a month ago, I started feeling a sensation of fluid in my throat and esophagus when lying down (could this be considered acid reflux or excessive stomach acid?). After two weeks, I experienced a feeling of a foreign body and pressure i...
Dr. Chen Shidian Reply:
Hello Mr. QQ: In cases of mild gastroesophageal reflux, an endoscopy may not reveal any damage to the esophagus. However, there may be changes in the throat (but this can vary based on the subjective judgment of different physicians). If you still suspect that stomach acid is the...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Treatment Options
Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Regarding swallowing disorders? Hello Doctor: My mother has been experiencing discomfort in her throat, with a sensation of something being stuck, since she had a cold in April or May of the year before last. Subsequently, she has also been experiencing hiccups, and she feels the...
Dr. Chen Qifeng Reply:
Hello, if there is a sensation of something stuck in the throat or a growth, it can usually be seen with an upper gastrointestinal endoscopy. This is often a symptom of gastroesophageal reflux disease (GERD), which is commonly associated with excessive stomach acid. If treated pr...[Read More] Understanding Swallowing Disorders: Causes and Next Steps for Treatment
Understanding Persistent Soft Stools: Causes and When to Seek Help
Consistently passing soft stools? Hello, doctor. I have been experiencing soft stools for over a month now. I have seen a doctor and taken medication, but the condition remains the same. I do not have any abdominal pain, my diet is normal, and I have bowel movements 1 to 2 times ...
Dr. Chen Shidian Reply:
Dear Ms. Donna: Surgery can affect gastric motility and digestion, and Omelon may also have some impact on the balance of intestinal flora, which can lead to softer stools. You may want to discuss with your physician about adjusting your medication and dietary habits. Changhua ...[Read More] Understanding Persistent Soft Stools: Causes and When to Seek Help
Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Gastroesophageal reflux disease (GERD) Hello Doctor: I was previously diagnosed with gastroesophageal reflux disease (GERD) and have been on proton pump inhibitors (PPIs) for four months. During this time, I have experienced mild abdominal bloating and pain as side effects, along...
Dr. Chen Qifeng Reply:
Hello, for third-degree or fourth-degree gastroesophageal reflux disease (GERD), medication treatment is covered for one year, while for first-degree and second-degree, it is covered for four months. Regarding the side effects of medication, they can vary from person to person; s...[Read More] Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Understanding Gastroscopy: Duration, Risks, and Overcoming Anxiety
Gastroscopy Hello Doctor, I would like to ask how long a normal gastroscopy takes. I am quite afraid that the endoscope entering my throat will cause a strong foreign body sensation that makes me want to vomit. Is there a risk of gastric perforation with a painless gastroscopy? H...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the duration of an upper gastrointestinal endoscopy is about 3 to 5 minutes. A painless endoscopy does not increase the risk of gastric perforation; it only requires the administration of anesthetic. Based on the symptoms, gastroesophageal reflux diseas...[Read More] Understanding Gastroscopy: Duration, Risks, and Overcoming Anxiety
Managing Heartburn and Digestive Issues: A Guide for Obese Patients
What should I do if I have burning sensations in my stomach and esophagus? Hello, doctor. I am a person with severe obesity, and due to irregular eating habits, I tend to binge eat. About one to two hours after eating, I feel a sensation of something stuck in my throat, and my st...
Dr. Chen Qifeng Reply:
Hello, severe obesity is indeed a risk factor for gastroesophageal reflux disease (GERD). Additionally, you have delayed gastric emptying and a positive serum test for Helicobacter pylori. Therefore, undergoing an upper gastrointestinal endoscopy is necessary. You may call your r...[Read More] Managing Heartburn and Digestive Issues: A Guide for Obese Patients
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Treatment Options
Irritable Bowel Syndrome (IBS) Hello, I would like to ask the doctor about my recent symptoms. I have been experiencing nausea, and even a small amount of any food makes me feel like vomiting. I also have a sensation of a foreign body in my throat. Could this be irritable bowel s...
Dr. Chen Qifeng Reply:
Based on the symptoms, gastroesophageal reflux disease (GERD) is the most likely issue. If over-the-counter antacids are ineffective, it is recommended to undergo an upper endoscopy to assess the severity of the reflux and provide appropriate and effective medication. The cost of...[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Chest Tightness and Nausea: Is It Related to GERD?
Chest tightness and nausea? Hello, I would like to ask about a persistent feeling of tightness in my chest, accompanied by frequent burping. If I have just eaten, I often feel nauseous, and sometimes I even vomit a little, even if I haven't eaten too much—just a small amount...
Dr. Chen Shidian Reply:
Hello Mr. B: Abnormal peristalsis can lead to such issues. You can start by adjusting your diet and lifestyle, and then add medication for control. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Chest Tightness and Nausea: Is It Related to GERD?
Managing Gastroesophageal Reflux: Insights on Treatment and Lifestyle Changes
Gastrointestinal dysfunction? Dear Dr. Dera, 1. Would taking food-grade digestive enzyme powder be helpful for symptoms of gastroesophageal reflux disease (GERD)? Additionally, would drinking homemade fruit and vegetable juices improve these symptoms? 2. After examination, it w...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: It is recommended that you discuss the details with your physician. Generally, reflux is difficult to cure, but dietary management and maintenance medications can be used long-term with minimal side effects. Changhua Hospital cares about your health. Sincerely, C...[Read More] Managing Gastroesophageal Reflux: Insights on Treatment and Lifestyle Changes
Understanding Persistent Abdominal Pain: Insights on Ulcers and Stress Factors
Mild pain in the abdominal area and epigastrium? Dear Doctor, I have been experiencing mild pain in my abdomen and epigastric area for the past six months. Two gastroscopies have revealed the presence of a gastric ulcer and gastroesophageal reflux disease (GERD). The physicians ...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: PPIs can treat gastric ulcers and reflux, but there may be a recurrence after discontinuation (which is different from the definition of ineffectiveness during treatment). A CT scan is used to examine organs other than the stomach, so the objectives are different...[Read More] Understanding Persistent Abdominal Pain: Insights on Ulcers and Stress Factors
Dietary Recommendations for Managing GERD and Stomach Ulcers
Diet for Gastroesophageal Reflux Disease (GERD) Hello, Doctor: I apologize for asking you another question. Regarding peptic ulcers and gastroesophageal reflux disease (GERD), some physicians suggest that if there is hunger between meals, one can eat some saltine crackers, and re...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: Foods can neutralize stomach acid. You may also consider keeping antacids on hand for occasional use between meals. Changhua Hospital cares about your health. Chen Shidian[Read More] Dietary Recommendations for Managing GERD and Stomach Ulcers
Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Gastroesophageal reflux disease (GERD) Since February of last year, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). After undergoing an endoscopy in April, I began taking medication, which I have continued to this day. In December of last year, I had ...
Dr. You Ligang Reply:
Hello, the factors contributing to acid reflux involve the backflow of gastric acid or stomach contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, a burning sensation in the chest, and a feeling of a foreign body in the throat. If there are n...[Read More] Understanding the Connection Between Acid Reflux and Post-Nasal Drip