Persistent Stomach Discomfort and Nausea: When to Seek Further Evaluation?
Abdominal discomfort... slight swelling in the upper right quadrant... frequent nausea and urge to vomit? Hello, doctor. I've been experiencing discomfort in my stomach for a long time. I had an endoscopy a year and a half ago, which showed some minor lesions in my stomach. ...
Dr. Lin Minghui Reply:
Hello: Abdominal pain, nausea, and a desire to vomit, especially with nighttime pain, may indicate duodenal or gastrointestinal disorders, including gastroesophageal reflux disease (GERD), inflammation, ulcers, or even malignancies. If symptoms persist, it is advisable to seek me...[Read More] Persistent Stomach Discomfort and Nausea: When to Seek Further Evaluation?
Understanding Left Lower Abdominal Pain and Digestive Discomfort
Occasional sharp pain in the lower left abdomen, muscle soreness in the buttocks, and abdominal bloating? You may want to consult a gastroenterologist for your symptoms, as they can evaluate issues related to the gastrointestinal tract, including potential acid reflux. Additional...
Dr. Li Zhengqi Reply:
Hello Frances, 1. Left lower abdominal pain may be associated with issues in the gastrointestinal or urinary tract. In females, it may also involve gynecological organs such as the ovaries and uterus. Additionally, soft tissue structures (including muscles, fascia, ligaments, an...[Read More] Understanding Left Lower Abdominal Pain and Digestive Discomfort
Understanding Recurrence of Stomach Ulcers: Symptoms and Concerns
Is gastric ulcer recurrence possible? I had been taking medication for gastroesophageal reflux disease (GERD) combined with gastric bleeding during February and March. After taking the medication until May, my condition improved. However, by the end of July, I frequently experien...
Dr. Chen Shidian Reply:
Hello, user: Your symptoms do not resemble a recurrence of ulcers; they are more indicative of discomfort caused by autonomic nervous system dysregulation. It is recommended that you consult a cardiologist, and you may also consider a referral to a psychosomatic specialist. Addit...[Read More] Understanding Recurrence of Stomach Ulcers: Symptoms and Concerns
Managing GERD and Stomach Ulcers: Seeking Expert Advice
Gastroesophageal reflux disease (GERD), gastric ulcer? Hello Dr. Yuan: I frequently experience burning pain in my chest, hunger-like pain in my abdomen, and aching in my back. Sometimes, I also have a dull pain in my bones. These symptoms often occur at night, causing me to wake ...
Dr. Yuan Hongdao Reply:
Hello, for pain caused by gastroesophageal reflux or gastric mucosal erosion, there should be significant improvement after using medications like Tegamet or Nexium. If there is no improvement, it may be necessary to consider other underlying issues. It is recommended to perform ...[Read More] Managing GERD and Stomach Ulcers: Seeking Expert Advice
Understanding Stomach Pain: Causes and When to Seek Help
Stomach pain? Doctor, I would like to ask you! If I have stomach pain that radiates to the area next to my heart, what could be the cause? Moreover, the pain has lasted for several days! What does this indicate? Thank you!
Dr. Yuan Hongdao Reply:
Hello, the most common conditions may include gastric ulcers, duodenal ulcers, gastroesophageal reflux disease (GERD), gallstones, heart or lung diseases, pancreatitis, or musculoskeletal issues. If the pain is severe, please seek medical attention promptly for evaluation by a ph...[Read More] Understanding Stomach Pain: Causes and When to Seek Help
Can GERD Cause Nerve Pain in Hands and Chest?
Can gastroesophageal reflux disease (GERD) cause nerve pain in the hands and chest? I have been suffering from gastroesophageal reflux disease (GERD) for about 20 to 30 years, and I always thought it was just a stomach issue, relying solely on antacids without any effect. Recentl...
Dr. Lin Minghui Reply:
Hello, the typical symptom of gastroesophageal reflux disease (GERD) is a burning chest pain located just below the sternum. Atypical symptoms may include pain that does not correlate with the location of the lesions, as well as cough, sore throat, and asthma; however, complaints...[Read More] Can GERD Cause Nerve Pain in Hands and Chest?
Is Esophageal Reflux Related to Chest Inflammation and Pain?
Gastroesophageal reflux disease (GERD) I had an upper gastrointestinal endoscopy two years ago, and the doctor diagnosed me with gastroesophageal reflux disease (GERD). This year, due to chest pain and lower back pain, I underwent a bone scan (the type with isotopes) and was foun...
Dr. Lin Minghui Reply:
Reply: Hello, 1. An increased uptake on a bone scan indicates that there is an issue with that particular bone. Differential diagnoses include osteomyelitis, tumors, and it should not be related to gastroesophageal reflux disease (GERD). 2. The phenomenon of acid reflux can a...[Read More] Is Esophageal Reflux Related to Chest Inflammation and Pain?
Managing Acid Reflux: Insights on Medication and Dietary Adjustments
Gastroesophageal reflux disease (GERD) Dr. Chen: Last August, I experienced excessive stomach acid around 3 or 4 PM after lunch. After consulting a gastroenterologist, I was diagnosed with gastroesophageal reflux disease (GERD) and gastrointestinal spasms. There have been some ch...
Dr. Chen Zhiping Reply:
Hello, for the treatment of gastroesophageal reflux disease (GERD), if the symptoms are more severe, it is necessary to use stronger acid-suppressing medications. Once the symptoms improve, the dosage or type of medication can be gradually reduced, or it can be changed to as-need...[Read More] Managing Acid Reflux: Insights on Medication and Dietary Adjustments
Surgery vs. Medication: What’s Best for Your Gastroesophageal Reflux?
Should I choose surgery or continue taking medication? Hello, Doctor Chen. I am from Hong Kong and I have been experiencing gastroesophageal reflux disease (GERD) for over a year. Initially, I was taking Losec for my stomach issues. I underwent two endoscopies at the hospital; du...
Dr. Chen Zhiping Reply:
Hello, currently the treatment for GERD (Gastroesophageal Reflux Disease) primarily involves medication, such as the Nexium you are currently taking. If symptoms are severe and recurrent, endoscopic treatment may be considered, such as suturing the junction between the stomach an...[Read More] Surgery vs. Medication: What’s Best for Your Gastroesophageal Reflux?
Do You Really Need Special Medication Before a Gastroscopy?
Two weeks prior to the gastroscopy, it is necessary to take special medications? I have visited three hospitals and clinics and have been diagnosed with gastroesophageal reflux disease (GERD). However, after taking medication for two weeks, I have not seen any improvement. The na...
Dr. Chen Zhiping Reply:
Hello, I have not heard of the requirement to take expensive medication for two weeks before undergoing an endoscopy. In some cases, patients may hesitate or be reluctant to have the procedure, but if the physician believes the symptoms are typical and suspects gastroesophageal r...[Read More] Do You Really Need Special Medication Before a Gastroscopy?
Can Long-Term Acid Reflux Cause Esophageal Tumors? Understanding Your Diagnosis
Chronic gastroesophageal reflux disease (GERD) can lead to the development of esophageal tumors? Hello, I previously underwent an endoscopy at another hospital, where it was found that in addition to a mild gastric ulcer, there was also a tumor in my esophagus (approximately one-...
Dr. Yuan Hongdao Reply:
Hello, esophageal tumors may be congenital, caused by viral infections, result from chronic inflammation (such as gastroesophageal reflux disease), or related to individual predispositions. Generally, an upper endoscopy can provide a preliminary assessment of whether the tumor is...[Read More] Can Long-Term Acid Reflux Cause Esophageal Tumors? Understanding Your Diagnosis
Managing Long-Term Medication for Gastroesophageal Reflux: Key Considerations
Medication-related issues Dear Dr. Chen, I am currently experiencing gastroesophageal reflux (GERD), which occurs about 1 to 2 hours after meals, resulting in acid reflux. I am taking the following medications: (1) Domperidone (to promote gastrointestinal motility), (2) Famotidi...
Dr. Chen Zhiping Reply:
Hello, (1) The intake of magnesium oxide (Mgo) does not cause hypermagnesemia in individuals with normal kidney function. (2) Cabagin-u (however, this ingredient is not commonly used in clinical practice, and its efficacy is still debated) may serve as an adjunctive treatment, bu...[Read More] Managing Long-Term Medication for Gastroesophageal Reflux: Key Considerations
Effective Treatments and Dietary Tips for Excess Stomach Acid
Excess stomach acid If I have excessive stomach acid, how should I treat my frequent stomach pain? The doctor said I have excessive stomach acid, and I would like to know the methods for a complete cure. What should I avoid eating, and what foods are better for me? Thank you.
Dr. Chen Zhiping Reply:
Hello, I recommend that you undergo an upper gastrointestinal endoscopy to check for peptic ulcers or gastroesophageal reflux disease (GERD). If these conditions are diagnosed, taking medication for a period of time can lead to improvement. However, stomach pain often arises from...[Read More] Effective Treatments and Dietary Tips for Excess Stomach Acid
Long-Term Use of Stomach Medications: Risks and Dietary Tips
Regarding medication usage issues? Hello Doctor: I have been experiencing stomach pain for about three years. During this time, I have been taking medication for peptic ulcers (for about two years): Zantac 150mg (taking two pills a day when there is slight pain—morning and evenin...
Dr. Chen Zhiping Reply:
Hello, I would like to know if you have undergone an upper gastrointestinal endoscopy and if you have been diagnosed with peptic ulcers or gastroesophageal reflux disease (GERD). Generally, ulcers do not persist for such a long time; however, severe esophagitis caused by acid ref...[Read More] Long-Term Use of Stomach Medications: Risks and Dietary Tips
Understanding Excess Stomach Acid: Causes and Treatment Options
Excess stomach acid (Gastroesophageal reflux disease?) Dr. Chen: Hello, I have been experiencing excessive gastric acid and heartburn after meals since mid-August 2004. Currently, I am taking (1) Domperidone, (2) Famotidine, and (3) MGO (all before each meal), but I have not been...
Dr. Chen Zhiping Reply:
Response: Hello, 1. I have not heard that these two medications affect the contraction of the lower esophageal sphincter, leading to gastroesophageal reflux. 2. There is indeed a difference; gastric acid secretion increases after meals, and it also tends to increase during sle...[Read More] Understanding Excess Stomach Acid: Causes and Treatment Options
Why Do I Feel Nauseous While Brushing My Teeth? Possible Causes Explained
I feel like vomiting when I brush my teeth! Hello, doctor. I feel like vomiting when I brush my teeth, but I don't actually vomit. However, I do expel some liquid that seems like stomach acid. I'm not entirely sure if it's stomach acid, but it resembles the liquid ...
Dr. Chen Zhiping Reply:
Hello, if you only feel nauseous when brushing your teeth, it may simply be due to heightened sensitivity of the throat nerves, resulting in a stronger reaction. However, if you frequently experience nausea, vomiting, or acid reflux, it could indicate indigestion or gastroesophag...[Read More] Why Do I Feel Nauseous While Brushing My Teeth? Possible Causes Explained
Understanding Post-Meal Discomfort: When to Seek Gastroenterology Help
Gastrointestinal discomfort after eating..? Hello Doctor: Recently, I have been experiencing some gastrointestinal issues. After meals, regardless of the amount I eat, I often feel a sensation of food getting stuck in my throat, along with nausea and the urge to vomit, but I am u...
Dr. Chen Zhiping Reply:
Hello, you may be experiencing symptoms of dyspepsia or gastroesophageal reflux disease (GERD). It is advisable to schedule an appointment with a gastroenterologist for an evaluation to determine if you need an endoscopy or gastrointestinal imaging. Alternatively, you might consi...[Read More] Understanding Post-Meal Discomfort: When to Seek Gastroenterology Help
Understanding Esophageal Dysfunction: Causes and Solutions for Bloating and Pain
Esophageal incompetence? I have been troubled by bloating for a long time, experiencing stomach pain that has not improved. After eating, the food I just swallowed sometimes comes back up, and occasionally, a substance resembling stomach acid also comes up. My abdomen is constant...
Dr. Su Baojia Reply:
Your symptoms are very similar to gastroesophageal reflux disease (GERD). You can manage this condition by changing your lifestyle, avoiding foods that irritate the stomach, such as coffee, tea, and fried foods, while also relieving stress. It is advisable to avoid medications li...[Read More] Understanding Esophageal Dysfunction: Causes and Solutions for Bloating and Pain
Understanding Epigastric Burning: Causes and Solutions
There is a slight burning sensation in the epigastric region, causing discomfort? Hello, I would like to ask, I have been experiencing a burning sensation in my epigastric area and a feeling of acid reflux for the past month or two. It feels uncomfortable, but it gets a bit bette...
Dr. Chen Zhiping Reply:
Hello, the burning sensation in your chest may be a manifestation of gastroesophageal reflux disease (GERD), which could be related to your previous eating habits. Inducing vomiting may have caused relaxation of the lower esophageal sphincter or mucosal damage. I recommend that y...[Read More] Understanding Epigastric Burning: Causes and Solutions
Understanding Bloating: Causes and Solutions for Digestive Discomfort
Bloating Recently, after having lunch, I often lie down to rest at the office and frequently feel air coming from my stomach, leading to persistent belching that makes it difficult to relax. I'm not sure if this is due to recent sleep deprivation or dietary habits. Additiona...
Dr. Su Baojia Reply:
Your symptoms resemble gastritis, and you should also consider the possibility of gastroesophageal reflux disease (GERD). Additionally, having two bowel movements a day, especially if they are small in volume, may indicate a condition related to gastroenteritis.[Read More] Understanding Bloating: Causes and Solutions for Digestive Discomfort