Understanding Side Effects of PPI and Ai Wei Ni in GERD Treatment
The side effects of PPIs (Proton Pump Inhibitors) such as "Gastro-Comfort" (得喜胃通) and "Aiwai Reverse" (艾胃逆) may include: 1. Headache 2. Nausea 3. Diarrhea 4? Hello doctor, I was recently diagnosed with gastroesophageal reflux disease (GERD) at the hospital. T...
Dr. Cai Anshun Reply:
Hello: Some gastric medications can alter individual bowel habits. If the changes are severe, you may consult your physician for a medication adjustment. If they are mild, you can increase your fluid intake and consume more fruits and vegetables. Changhua Hospital cares about you...[Read More] Understanding Side Effects of PPI and Ai Wei Ni in GERD Treatment
Is 40mg of Medication Too Strong for Mild GERD?
Medication Consultation Hello: Yesterday I had an upper gastrointestinal endoscopy, and the doctor said I have mild gastroesophageal reflux disease (GERD). He prescribed a one-month supply of 40 mg of Pantoprazole enteric-coated tablets to be taken every morning. The medication&#...
Dr. Chen Shidian Reply:
A lower dosage can also be used. There are no specific issues with using the standard dosage.[Read More] Is 40mg of Medication Too Strong for Mild GERD?
Excessive Saliva Production: Is It Related to Gastroesophageal Reflux?
Excessive salivation? Hello, doctor. I asked a question last Friday and later started taking Omeprazole 30 mg before breakfast and dinner, and Pantoprazole 5 mg. I've been on this regimen for two days now, with one day left to complete. Since last Friday, I have noticed that...
Dr. Chen Shidian Reply:
You can observe and see if you can stop the medication.[Read More] Excessive Saliva Production: Is It Related to Gastroesophageal Reflux?
Understanding Gastrointestinal Issues: Are They Physical or Emotional?
Gastrointestinal issues? Hello Doctor, I have been feeling quite anxious lately, and my gastrointestinal issues have also worsened. I'm not sure if it's a true gastrointestinal problem or if it's related to my emotions. I often feel a lump in my throat and have dif...
Dr. Zhang Kebin Reply:
Hello, Ah Xiang: You are experiencing a sensation of something stuck in your throat, often having difficulty coughing up phlegm. You have taken medication, but you feel no appetite in the morning, with a warm sensation in your stomach, and you are also experiencing burping. Sympt...[Read More] Understanding Gastrointestinal Issues: Are They Physical or Emotional?
Understanding Acid Reflux: Symptoms, Treatment, and Dietary Tips
Gastroesophageal reflux disease (GERD) On Tuesday, during my visit to the ENT clinic due to some discomfort in my throat, I asked the doctor to check for any signs of inflammation. After examining me, the doctor inquired if I was experiencing pain, to which I replied no, but I fe...
Dr. Chen Shidian Reply:
You may take medication as directed by your physician. It is advisable to limit the intake of coffee, tea, sweet, and acidic foods. If necessary, you may return for follow-up treatment.[Read More] Understanding Acid Reflux: Symptoms, Treatment, and Dietary Tips
Understanding Throat Pain: Symptoms, Diagnosis, and Treatment Options
Throat issues Hello Doctor, I would like to consult you. I have been experiencing a sharp pain and a foreign body sensation from the left side of my tongue root down to the throat wall and deep into my throat. Swallowing food is painful, and these symptoms have persisted for six ...
Dr. Chen Shidian Reply:
It is recommended to discuss special cases with specialized physicians at medical centers.[Read More] Understanding Throat Pain: Symptoms, Diagnosis, and Treatment Options
Can Constipation Lead to Gastroesophageal Reflux Disease?
Can constipation cause gastroesophageal reflux? I want to identify the main cause of gastroesophageal reflux disease (GERD). I have undergone an endoscopy, and my lower esophageal sphincter was found to be intact. I have also consulted a psychiatrist. I would like to know if cons...
Dr. Chen Shidian Reply:
Not relevant.[Read More] Can Constipation Lead to Gastroesophageal Reflux Disease?
Understanding Bloating: Causes, Symptoms, and Treatment Options
Gastrointestinal bloating Doctor, I have a question. About a month ago, I went to the hospital and had an upper gastrointestinal endoscopy. My stool tested negative for occult blood, and I also had an ultrasound. The doctor diagnosed me with gastroesophageal reflux disease (GERD)...
Dr. Chen Shidian Reply:
It is likely a case of digestive abnormalities, which can be assisted with digestive aids and dietary adjustments. It is advisable to avoid high FODMAP foods (details can be found online; the term "FODMAP" stands for Fermentable Oligosaccharides, Disaccharides, Monosacc...[Read More] Understanding Bloating: Causes, Symptoms, and Treatment Options
Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Chronic gastritis The gastroscopy revealed the presence of Helicobacter pylori, chronic gastritis, and gastroesophageal reflux disease (GERD), with no ulcers present. I have completed a 14-day triple antibiotic regimen prescribed by the hospital. While the symptoms of chronic gas...
Dr. Chen Shidian Reply:
Treatment needs to be observed for a while before a determination can be made. Individuals should avoid foods that they find unsuitable, primarily sweet, spicy, irritating, or dairy products.[Read More] Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Understanding Persistent GERD: Causes, Treatment, and Weight Loss Concerns
Gastroesophageal reflux disease (GERD) Doctor, I have a question. Since June until now, I had an endoscopy in September, which showed gastroesophageal reflux disease (GERD), gastric erosion, and mild esophagitis. I have been taking medication prescribed by the hospital since mid-...
Dr. Chen Shidian Reply:
It is necessary to schedule an earlier follow-up appointment to discuss adjustments to medication or tests.[Read More] Understanding Persistent GERD: Causes, Treatment, and Weight Loss Concerns
Managing Nausea and GERD: Insights from Gastroenterology
Dry heaving, nausea, gastritis, GERD (Gastroesophageal Reflux Disease) Q: After lying down and getting up, I feel nauseous and need to eat or drink something to alleviate it. Examination: Gastritis (no Helicobacter pylori), excessive gastric acid after 8 hours of NPO, gastroesoph...
Dr. Chen Shidian Reply:
Medication can be discussed with the primary care physician (medications to be taken at bedtime? Some may require out-of-pocket expenses?) along with weight loss, increased physical activity, and dietary adjustments.[Read More] Managing Nausea and GERD: Insights from Gastroenterology
Understanding Appetite Loss: Is It Gastritis or a Cold?
Loss of appetite Recently, I've been experiencing a loss of appetite and have difficulty eating. I'm feeling bloated after just a small amount of food. Sometimes I feel hungry, but I just can't eat. I have a history of gastroesophageal reflux disease (GERD) and pep...
Dr. Zhang Kebin Reply:
Hello Mr. Xiao Ming: You reported a recent loss of appetite and difficulty eating. You are wondering if this is related to a gastric issue or a cold. You mentioned feeling bloated after eating only a small amount, and sometimes experiencing hunger pangs but still unable to eat. A...[Read More] Understanding Appetite Loss: Is It Gastritis or a Cold?
Managing Gastrointestinal Issues and Medication Consultation After Quitting Smoking
Consultation on Gastrointestinal Bloating and Medications Hello Dr. Chang, 1. After quitting smoking in early September, I have been experiencing withdrawal symptoms, including severe bloating. 2. On October 15, I underwent an upper gastrointestinal endoscopy and ultrasound. The...
Dr. Zhang Kebin Reply:
Dear Mr. PY, You have the following concerns: (1) Can these medications be taken simultaneously? (2) Are there any side effects that should be particularly noted? (3) Can gastroesophageal reflux disease (GERD) simultaneously trigger nasal congestion, throat discomfort, hoarsenes...[Read More] Managing Gastrointestinal Issues and Medication Consultation After Quitting Smoking
Understanding Left Chest Pain and Burping: Possible Causes and Next Steps
Left chest burping pain? Experiencing chest pain and a sensation of food being stuck or moving slowly through the esophagus after eating, with normal results from an electrocardiogram and blood tests. In June, an endoscopy diagnosed mild gastroesophageal reflux disease (GERD), an...
Dr. Chen Shidian Reply:
If there is no vomiting of food, further observation is recommended.[Read More] Understanding Left Chest Pain and Burping: Possible Causes and Next Steps
Managing GERD Treatment: Should You Stop Medication Due to Constipation?
If a patient diagnosed with gastroesophageal reflux disease (GERD) experiences severe constipation after starting medication, should the medication be discontinued? Hello Dr. Chen, I was diagnosed with grade 2 gastroesophageal reflux disease (GERD) this year after undergoing an e...
Dr. Chen Shidian Reply:
Discontinuing medication can lead to relapse, so it is advisable to reduce the dosage for better control. If constipation persists despite increasing water intake, consuming more fruits and vegetables, and increasing physical activity, it may be necessary to use laxatives or stoo...[Read More] Managing GERD Treatment: Should You Stop Medication Due to Constipation?
Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Frequent nighttime stomach pain accompanied by back pain? I often experience stomach pain accompanied by back pain at night, and the pain lasts for about 10 hours until the next day, making it impossible to sleep. After seeing a doctor and undergoing tests, no Helicobacter pylori...
Dr. Cai Anshun Reply:
Hello: In addition to medication, it is important to review and improve dietary habits and lifestyle factors that may contribute to gastroesophageal reflux disease (GERD). If the issue is not related to the stomach, we should also rule out problems with the liver, gallbladder, pa...[Read More] Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Do You Need Regular Endoscopies for GERD Recovery Monitoring?
Does gastroesophageal reflux disease (GERD) require regular follow-up? Hello Doctor: About two years ago, I underwent an upper endoscopy due to severe gastroesophageal reflux disease (GERD), and I was diagnosed with grade D reflux. After a long period of taking proton pump inhibi...
Dr. Cai Anshun Reply:
Hello: It is advisable to monitor with an endoscopy, especially since there was a previous diagnosis of gastroesophageal reflux disease (GERD) at the most severe grade. We can assess the current condition without symptoms and determine the level of improvement on the endoscopy sc...[Read More] Do You Need Regular Endoscopies for GERD Recovery Monitoring?
Understanding Dysphagia: When to Seek Further Gastroenterology Care
Dysphagia Hello, Doctor. I have been experiencing sudden difficulty swallowing for the past six months. I have seen specialists in otolaryngology, rehabilitation, and gastroenterology. The otolaryngology examinations showed no abnormalities, and the rehabilitation specialists ref...
Dr. Chen Shidian Reply:
You can go to a medical center to examine esophageal motility function/swallowing function.[Read More] Understanding Dysphagia: When to Seek Further Gastroenterology Care
Morning Nausea and Evening Discomfort: Understanding Gastrointestinal Issues
Poor appetite in the morning and discomfort in the stomach at night? Hello, doctor. Ever since I had a bout of gastroenteritis, my digestive system has been quite poor. I have been experiencing frequent burping and nausea, along with a feeling of bloating in my stomach. I visited...
Dr. Cai Anshun Reply:
Hello: For gastroesophageal reflux disease (GERD), it is essential to prioritize adjustments in dietary and lifestyle habits. If symptoms are more pronounced in the evening, it is advisable to have a light dinner (primarily consisting of bland and easily digestible foods) and to ...[Read More] Morning Nausea and Evening Discomfort: Understanding Gastrointestinal Issues
Understanding Acute Gastroenteritis: When to Seek Medical Attention
Diagnosed with acute gastroenteritis but later experiencing dizziness? I have a history of gastroesophageal reflux disease (GERD). After eating raw oysters, I experienced diarrhea five times the next day, along with stomach pain. I had a fever that gradually rose from over 37°C t...
Dr. Cai Anshun Reply:
Hello: You should continue to monitor for any fever and ensure adequate hydration and electrolyte intake (equal parts water and sports drinks). If symptoms persist, it is important to seek medical attention as soon as possible. Changhua Hospital cares about your health. Dr. Tsai ...[Read More] Understanding Acute Gastroenteritis: When to Seek Medical Attention