Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?
Numbness and a constricting sensation in the upper left abdomen? Hello, I have been experiencing a tingling sensation and a constricting feeling in my upper left abdomen recently. I consulted a doctor and underwent an abdominal ultrasound and an endoscopy. The abdominal ultrasoun...
Dr. Lin Minghui Reply:
Hello: A 33-year-old male presents with left upper abdominal pain, symptoms lasting for 2-3 weeks. Endoscopy reveals gastritis and gastroesophageal reflux disease (GERD). The pain may be attributed to gastritis. In addition to pharmacological treatment, it is advised to pay atten...[Read More] Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?
Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
Can Pantoprazole (PPI) be taken before bedtime? Hello, doctor. My family member is experiencing issues with gastroesophageal reflux disease (GERD), gastric ulcers, and duodenal ulcers. Currently, they take one Nexium (esomeprazole) 40mg before breakfast, but recently they have be...
Dr. Chen Shidian Reply:
Can be taken on an empty stomach before bedtime.[Read More] Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
Understanding the Impact of TCA Antidepressants on GERD Symptoms
Psychiatric medications / Gastroesophageal reflux disease (GERD) Hello, doctor. I have not had any issues with gastroesophageal reflux disease (GERD) until I started taking the antidepressant TCA, and now I've been experiencing symptoms for almost three weeks, including bloa...
Dr. Chen Shidian Reply:
It may be related to medication, aside from acid-reducing drugs, but it is also necessary to control sweets and coffee intake. It can also be combined with prokinetic agents like metoclopramide. The duration of medication will vary depending on individual circumstances.[Read More] Understanding the Impact of TCA Antidepressants on GERD Symptoms
Understanding Gastroesophageal Reflux: Symptoms and Care Tips
Gastroesophageal reflux disease (GERD) Hello, doctor. A few days ago, I visited a doctor due to abdominal pain and was diagnosed with gastroesophageal reflux disease (GERD). I have been taking medication for five days, and my symptoms are gradually improving. However, my appetite...
Dr. Chen Shidian Reply:
→ Reduce coffee, sweets, and spicy foods, and avoid prolonged sitting.[Read More] Understanding Gastroesophageal Reflux: Symptoms and Care Tips
Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Gastrointestinal issues and concerns related to autonomic nervous system imbalance? Hello doctor, I used to have a habit of eating late-night snacks and going to bed immediately after, which led to issues with chest tightness. At the time, I didn't know what the problem was....
Dr. Cai Anshun Reply:
Hello: Most cases of gastric cancer do not present symptoms and usually only show symptoms in the middle to late stages. If you are experiencing persistent discomfort in your stomach, it is advisable to first examine your diet and lifestyle: tea (black tea/green tea/milk tea), co...[Read More] Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Gastrointestinal endoscopy issues? Hello, last month I visited a clinic due to issues with hiccups and a sensation of something stuck in my throat. The doctor arranged for me to undergo an endoscopy, and the results showed only mild gastroesophageal reflux disease (GERD) with no ...
Dr. Chen Shidian Reply:
The clinic equipment should be fine. You can first adjust the medication and diet, and then return for a follow-up appointment.[Read More] Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Is It Drug-Induced Esophagitis? Understanding Your Symptoms
Is it a symptom of esophageal and gastroesophageal reflux disease (GERD)? Dear Dr. Lin, I am a regular office worker. I started experiencing cold symptoms on June 9 and have been seeing a doctor since then. The clinic diagnosed me with acute upper respiratory tract infection and...
Dr. Lin Minghui Reply:
Hello: Some medications, such as antibiotics and pain relievers, may cause drug-induced esophagitis and esophageal ulcers. To prevent drug-induced esophagitis, it is recommended to drink plenty of water when taking medications and to avoid lying down immediately afterward. For co...[Read More] Is It Drug-Induced Esophagitis? Understanding Your Symptoms
Understanding Pale Stools: What They Indicate About Your Health
Pale or nearly white stools? Hello Doctor: For the past two months, I have been experiencing discomfort in my abdomen, often feeling the urge to burp and a sensation of something being stuck in my chest and throat. My bowel movements have been irregular, sometimes constipated and...
Dr. Chen Shidian Reply:
It is likely not a biliary or pancreatic issue (which would be associated with jaundice or weight loss), so there is no need to worry excessively.[Read More] Understanding Pale Stools: What They Indicate About Your Health
Understanding Gastrointestinal Discomfort: GERD and Related Symptoms Explained
Gastrointestinal discomfort? Hello, doctor. Recently, I have been experiencing phlegm stuck in my throat for about two months (from early June until now), along with a sharp pain in my chest and throat. About two weeks ago, I visited an ENT specialist who diagnosed me with gastro...
Dr. Chen Shidian Reply:
You can start with stomach medication and reduce coffee and sweets to see how it goes; if necessary, an endoscopy can be added.[Read More] Understanding Gastrointestinal Discomfort: GERD and Related Symptoms Explained
Managing GERD: Timing and Effects of Your Medication Explained
Gastroesophageal reflux disease (GERD) Hello, Vice Dean Chen: I am Miss Song. I have gastroesophageal reflux disease (GERD) and have undergone an endoscopy at Changhua Christian Hospital Yunlin Branch, which showed normal results. However, Dr. Yang Jia-wei prescribed me Nexium (e...
Dr. Chen Shidian Reply:
Nateglinide should be taken on an empty stomach, once a day, either in the morning or evening. Some patients may experience hunger; it may be helpful to try taking it before bedtime or when switching medications.[Read More] Managing GERD: Timing and Effects of Your Medication Explained
Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Rapid heartbeat, dizziness, and hiccups? Hello, I have had gastrointestinal issues since childhood, and I often burp after eating. Last week, I started experiencing dizziness, and this week I noticed an increased heart rate (90 when lying down and over 100 when standing). I also ...
Dr. Lin Minghui Reply:
Hello, after eating and drinking, frequent burping, dizziness, and rapid heartbeat are observed. It is advised not to overeat or drink too quickly. It is recommended to check for any issues related to the esophagus, gastrointestinal tract, liver, gallbladder, and pancreas. Wishin...[Read More] Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Understanding GERD: Symptoms, Dietary Tips, and Concerns
Gastroesophageal reflux disease (GERD), abdominal bloating? Hello, doctor. At the end of last month and the beginning of this month, I experienced two episodes of acid reflux and suspect I might have gastroesophageal reflux disease (GERD). As a result, I have reduced my food inta...
Dr. Zhang Kebin Reply:
Hello Mr. Felix, You inquired about experiencing two episodes of acid reflux from the end of last month to the beginning of this month, and you suspect you may have gastroesophageal reflux disease (GERD). You have reduced your food intake and avoided spicy and fried foods. Howev...[Read More] Understanding GERD: Symptoms, Dietary Tips, and Concerns
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort Hello Dr. Tsai, recently I have been feeling bloated in the area above my navel and below my sternum every morning, with a slight feeling of nausea. There is mild tenderness when I press on that area, and my appetite has not been great. After each meal...
Dr. Cai Anshun Reply:
Hello: The symptoms seem to be indicative of gastroesophageal reflux disease (GERD). Avoid late-night snacks and refrain from consuming irritant foods such as tea (black/green/milk tea), coffee, fried foods, spicy foods, sweets, and chocolate. Exercise can help normalize gastroin...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Throat Discomfort After Endoscopy: Should I Seek Medical Attention?
I have had an endoscopy before, and while there was improvement, I feel like my throat has been injured? I have noticed that my throat may be injured because I initially had slight stuttering, which has now progressed to frequent pauses and stuttering, along with a sensation of s...
Dr. Chen Shidian Reply:
You can first use reflux medications, and if symptoms persist, you should consult an otolaryngologist for further evaluation.[Read More] Throat Discomfort After Endoscopy: Should I Seek Medical Attention?
Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
If the effectiveness of PPI medications for acid reflux is poor, what should be done? My symptoms include a burning and uncomfortable sensation in the upper abdomen (possibly in the duodenum or stomach), which is most severe when I am fasting. Interestingly, the symptoms are less...
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 should be considered. Avoid late-night snacks, do not lie down after eating, refrain f...[Read More] Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Irritable bowel syndrome Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to eso...
Dr. Chen Shidian Reply:
It is still mild, and lifestyle and dietary adjustments are recommended, along with short-term medication treatment if necessary.[Read More] Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Understanding GERD: Chest Pain, Heart Issues, and Muscle Spasms Explained
Several Questions About Gastroesophageal Reflux Disease (GERD) Dear Dr. Chen, I have been experiencing gastroesophageal reflux issues for some time. Recently, I have had several symptoms as follows: 1. Noticeable chest tightness and chest pain 2. Occasional premature heartbeats ...
Dr. Chen Shidian Reply:
Gastroesophageal reflux can cause symptoms such as chest pain in a small number of sensitive patients, but it should not lead to premature contractions. However, undergoing an endoscopy or taking (out-of-pocket) strong antacids may help improve the condition.[Read More] Understanding GERD: Chest Pain, Heart Issues, and Muscle Spasms Explained
Is Your Throat Burning? Signs of Possible Acid Reflux Explained
Inquire whether it is a symptom of gastroesophageal reflux disease (GERD)? Hello, doctor. In the past two days, I have frequently felt the need to clear my throat, and the phlegm is colorless. I also often experience belching, especially after meals, and I frequently feel like th...
Dr. Zhang Kebin Reply:
Dear Ms. CC, You reported that recently you have been experiencing phlegm, frequent burping, and a sensation of phlegm that cannot be cleared from your chest after meals, along with a burning sensation in your throat. You inquired whether this could be a symptom of gastroesophag...[Read More] Is Your Throat Burning? Signs of Possible Acid Reflux Explained
Understanding Abdominal Pain: Causes and Treatment Options
Abdominal pain Hello! A few days ago, I experienced upper abdominal pain at night, which was severe enough to cause back pain. The upper abdominal pain has persisted for 4 days, and it only subsides when I take pain medication. Today, I have had diarrhea three times, and I don&#x...
Dr. Chen Shidian Reply:
Medical evaluation is needed to rule out biliary and pancreatic diseases.[Read More] Understanding Abdominal Pain: Causes and Treatment Options
Understanding GERD: Symptoms, Treatment, and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello, doctor. Last week, I experienced discomfort and pain in my stomach, so I visited a clinic where I was diagnosed with gastroesophageal reflux disease (GERD). At that time, I indeed felt bloated, had a slight sore throat, and a sour tas...
Dr. Cai Anshun Reply:
Hello: 1. Based on your symptoms, it is indeed likely that you have gastroesophageal reflux disease (GERD). However, abdominal pain (gastric pain) may also warrant attention for possible concurrent gastritis or peptic ulcer disease, although the treatment medications are genera...[Read More] Understanding GERD: Symptoms, Treatment, and When to Seek Help