GERD, Gastroenterology and Hepatology FAQ - Page 4

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Understanding and Managing Symptoms of Gastroparesis and GERD

Gastric ptosis, gastric tightness, and abdominal bloating significantly affect daily life. How can these conditions be improved? Symptoms: The most troubling symptoms are 1. A feeling of gastric ptosis (a sense of heaviness in the abdomen). 2. A sensation of gastric sensitivity, ...


Dr. Chen Shidian Reply:
The preliminary diagnosis is likely related to reflux and abnormal (slow) peristalsis. A diet of small, frequent meals and medication management is recommended. Additionally, an abdominal ultrasound and Ca 19-9 test can be performed, and a CT or MRI can be done at the patient...

[Read More] Understanding and Managing Symptoms of Gastroparesis and GERD


Understanding Burping After Meals: When to Seek Medical Advice

Burping after meals or drinking water? I have been experiencing burping for a while now, even after eating a small amount. The burps come in quick succession, sometimes two or three in a row shortly after eating. Occasionally, even one or two hours after a meal, I will burp again...


Dr. Chen Shidian Reply:
Weight loss can help alleviate reflux and belching. Eating smaller, more frequent meals, engaging in post-meal activities to aid digestion, and minimizing talking during meals to reduce air swallowing can also be beneficial. If symptoms worsen, an upper endoscopy may be considere...

[Read More] Understanding Burping After Meals: When to Seek Medical Advice


Effective Medications for Managing Gastroesophageal Reflux Symptoms

Medications for Peptic Ulcer Disease Last June, I underwent an upper gastrointestinal endoscopy, and the results were normal, but there was slight enlargement of the cardia and mild gastroesophageal reflux. It was advised to change my dietary habits. However, in mid-January of th...


Dr. Cai Anshun Reply:
Hello: 1. Yes, it can alleviate the symptoms of gastroesophageal reflux disease (GERD); however, in addition to medication, dietary and emotional changes are also necessary. It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat ...

[Read More] Effective Medications for Managing Gastroesophageal Reflux Symptoms


Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues

Sudden frequent hiccups and shallow sleep? One evening in early September, I suddenly began experiencing frequent belching, which has continued every day since then. During that time, I did not make any significant changes to my diet, nor did I experience any stressful events, an...


Dr. Lin Minghui Reply:
Regarding the issues of belching and shallow sleep, gastroesophageal reflux disease (GERD) can be difficult to completely resolve. Seasonal changes and dietary modifications can sometimes trigger gastrointestinal disorders in individuals sensitive to gastric mucosa. It is recomme...

[Read More] Frequent Belching and Sleep Disturbances: Understanding Gastrointestinal Issues


Medication Consultation: Are There Conflicts with My Current Prescriptions?

Medication consultation Hello, doctor. I am currently taking medication for gastroesophageal reflux disease (GERD), including Pantoprazole before meals and Gastron after meals. Additionally, my cardiologist has prescribed a pink pill for heart rhythm, which I take after meals. Ar...


Dr. Chen Shidian Reply:
There should be no conflict.

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Managing Nighttime Acid Reflux: Tips for Better Sleep

Gastroesophageal reflux disease (GERD) Every night around three or four in the morning, I experience acid reflux that causes stomach pain and wakes me up, requiring me to sleep sitting up. This severely affects my sleep. During the day, I do not experience reflux, only indigestio...


Dr. Lin Minghui Reply:
Hello: Gastroesophageal reflux disease (GERD) severely affects sleep and quality of life. Although proton pump inhibitors have been used for treatment, there are still instances of nighttime reflux. In addition to medication, it is important to pay attention to dietary and lifest...

[Read More] Managing Nighttime Acid Reflux: Tips for Better Sleep


Morning Stomach Pain: Understanding Your First Meal Discomfort

Experiencing stomach pain after the first meal upon waking up? Hello, doctor. After I eat the first few bites of my first meal each day upon waking up, I experience strong contractions in my stomach, to the point where it causes me to bend over in pain. However, the duration of t...


Dr. Cai Anshun Reply:
Hello: If you have a habit of eating before bedtime, it is advisable to avoid it as much as possible. This could potentially lead to gastritis or gastroesophageal reflux disease (GERD), or it may simply indicate a more sensitive stomach. If symptoms persist, you may consider unde...

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Managing Gastritis and GERD: Tips for Relief After Meals

Gastritis with gastroesophageal reflux, postprandial discomfort and pain? Hello Doctor, I am a 22-year-old male. In the morning on an empty stomach, I experience stomach growling. After breakfast, lunch, and dinner, I have a feeling of heaviness and discomfort, especially after l...


Dr. Chen Shidian Reply:
It can be discussed with the attending physician that whey protein should be harmless.

[Read More] Managing Gastritis and GERD: Tips for Relief After Meals


Understanding Bowel Issues: Causes and Solutions for Young Adults

Bowel issues Hello Doctor, I have been having smooth bowel movements, almost like a banana shape. I have a bowel movement every day, usually after dinner and before taking a shower. I have undergone an upper endoscopy and was diagnosed with gastroesophageal reflux disease (GERD)....


Dr. Cai Jinji Reply:
Hello Mr. Gao: 1. I'm not sure what you mean by the "third level" of the gastroesophageal junction, so I cannot assess the severity. There are many causes of gastroesophageal reflux disease (GERD), and it is essential to identify the underlying cause in order to ...

[Read More] Understanding Bowel Issues: Causes and Solutions for Young Adults


Persistent Stomach Pain and Bloating: When Medications Fail

Stomach pain and bloating that do not improve with medication? Hello, doctor. I've been experiencing gastrointestinal bloating and stomach pain for two months. I underwent an endoscopy, and the doctor diagnosed me with gastric erosion and gastroesophageal reflux disease (GER...


Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate can have an impact. Avoid late-night snacks, eat until satisfied without lying down, r...

[Read More] Persistent Stomach Pain and Bloating: When Medications Fail


Understanding Gallbladder Polyps and GERD: Symptoms and Management

Gallbladder polyps / Gastroesophageal reflux disease (GERD) Hello Doctor, I have been experiencing long-term gastroesophageal reflux issues, and in the past few weeks, I have started to feel bloated and have stomach acid discomfort. I returned for a follow-up appointment, and alt...


Dr. Lin Minghui Reply:
Regarding gallbladder polyps, a size of 0.37 cm (3.7 mm) is considered a small polyp, and it is recommended to monitor the size and characteristics of the polyp. Polyps larger than 1 cm have a higher risk of malignancy. Small polyps less than 0.5 cm are unlikely to cause symptoms...

[Read More] Understanding Gallbladder Polyps and GERD: Symptoms and Management


Understanding Intermittent Stomach Pulsations: Causes and When to Seek Help

Intermittent gastric contractions Four days ago, I started experiencing intermittent pulsations in my stomach. On the first day, it occurred after dinner and felt similar to the frequency and duration of burping, about every ten to twenty seconds. The next morning, it was gone, b...


Dr. Chen Shidian Reply:
You can consult a gastroenterologist to confirm the condition, whether there is abnormal motility or heightened sensitivity.

[Read More] Understanding Intermittent Stomach Pulsations: Causes and When to Seek Help


Understanding Abdominal Bloating: Symptoms, Causes, and Solutions

Abdominal bloating Doctor, this issue has been bothering me for a long time. I have repeatedly visited the outpatient clinic many times. In August of last year, I had my first gastroscopy, and the doctor said I had Helicobacter pylori and gastritis. He prescribed medication for t...


Dr. Chen Shidian Reply:
You can discuss with the gastroenterologist whether the imaging diagnosis is consistent with a hiatal hernia. Additionally, the dosage of gastric medication can be adjusted based on symptoms or may be temporarily discontinued. It is also recommended to take a walk after meals and...

[Read More] Understanding Abdominal Bloating: Symptoms, Causes, and Solutions


How to Differentiate Between GERD and LPR: Symptoms and Treatments

Gastroesophageal reflux or laryngopharyngeal reflux? Hello Doctor, I recently had an upper gastrointestinal endoscopy, and the results showed that my gastroesophageal junction is slightly open with inflammation graded between A and B. I am currently taking Panzolec, which only su...


Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux can cause different symptoms such as epigastric pain, a burning sensation in the chest, and a feeling of a foreign body in the throat, depending on the height of the reflux and individual sensitivity. The treatment methods are generally the same; ho...

[Read More] How to Differentiate Between GERD and LPR: Symptoms and Treatments


Managing GERD and Esophageal Pain: Effective Treatments and Tips

Gastroesophageal reflux and esophageal issues? Currently, I am experiencing gastroesophageal reflux and esophageal pain. Is it appropriate to take Pantoprazole (every morning) and Alginic Acid (after each meal)? Thank you. I feel a scraping sensation in my esophagus; will using a...


Dr. Chen Shidian Reply:
If symptoms persist despite medication, an endoscopy may be performed to determine the cause.

[Read More] Managing GERD and Esophageal Pain: Effective Treatments and Tips


Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress

Weight loss over the past year? Hello, doctor. I am a 32-year-old male, 172 cm tall and weighing 56 kg. Since November 2021, I have been experiencing belching and bloating after meals. I have consulted both Western and Traditional Chinese medicine, and they suggested possible gas...


Dr. Chen Shidian Reply:
Please discuss with the attending physician about increasing caloric intake and whether to consult or refer to other specialties for assistance in diagnosis and treatment.

[Read More] Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress


Understanding Appetite Loss: Causes and Solutions for Gastrointestinal Issues

Loss of appetite About a month ago, I started experiencing a poor appetite. Later, after seeing a doctor, I was diagnosed with mild gastroesophageal reflux disease (GERD) and bloating. After taking medication for a month, my appetite still hasn't improved. Initially, I lost ...


Dr. Chen Shidian Reply:
If symptoms continue to worsen or if there is weight loss, a follow-up appointment should be made to investigate the cause. It is also advisable to adjust daily routines, manage stress, and increase physical activity or exercise.

[Read More] Understanding Appetite Loss: Causes and Solutions for Gastrointestinal Issues


Managing Bloating and Acid Reflux: Tips for Digestive Health

Bloating, gastroesophageal reflux disease (GERD) About a month ago, I started experiencing a loss of appetite, and I felt a sensation of something stuck in my throat before and after eating, along with a slight sour taste and a feeling of nausea. Later, the doctor diagnosed me wi...


Dr. Chen Shidian Reply:
Follow-up visits can help understand any medication-related issues and make necessary adjustments.

[Read More] Managing Bloating and Acid Reflux: Tips for Digestive Health


Understanding Yellow and Black Stool: GERD and Potential Concerns

Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...


Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.

[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns


Understanding Yellow Stool with Black Spots: GERD and Potential Concerns

Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...


Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.

[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns


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