Helicobacter pylori infection, Gastroenterology and Hepatology FAQ

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Understanding Stomach Ulcer Treatment: Duration and Medication Insights

Gastric ulcer medication Hello, I had an endoscopy last time and was diagnosed with a gastric ulcer. The doctor said I need to take the medication "Omeprazole" for four months. Do I really need to take the medication for four months to heal?


Dr. Lin Minghui Reply:
The treatment course for gastric ulcers varies depending on the underlying causes (such as the use of analgesics or Helicobacter pylori infection) and the size of the ulcer. Pharmacological treatment typically involves the use of proton pump inhibitors, which can improve symptoms...

[Read More] Understanding Stomach Ulcer Treatment: Duration and Medication Insights


Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates

Oral papilloma Recently, I experienced stomach pain, loss of appetite, and a foreign body sensation in my mouth. Despite taking medication, there was no improvement. I subsequently underwent an upper gastrointestinal endoscopy, which revealed a Helicobacter pylori infection that ...


Dr. Cai Jinji Reply:
Hello Ms. Wu: 1. The reason for the first time not being the same as the second time may require you to consult your physician for further confirmation. 2. HPV polyps may indicate an HPV infection; it is recommended to consult an infectious disease specialist. Director Cai Jin-ji...

[Read More] Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates


Understanding Stomach Ulcers: Severity, Symptoms, and Treatment Insights

Follow-up on gastric ulcers? Hello Dr. Luo: I have been experiencing severe stomach pain occasionally over the past few months, and my appetite has significantly decreased. A few days ago, I underwent an endoscopy, and the doctor, mixing Mandarin and Taiwanese, explained to my fa...


Dr. Luo Yining Reply:
Regarding your question, since I haven't seen the images from the endoscopy, I can only explain based on your description. If you still have doubts, you may consult the physician who performed the endoscopy. Firstly, normal gastric mucosa appears as a beautiful pink color un...

[Read More] Understanding Stomach Ulcers: Severity, Symptoms, and Treatment Insights


Understanding Stomach Polyps: Are They Always Benign?

The issue of gastric polyps? Hello Doctor: Last week, I underwent an upper gastrointestinal endoscopy, and the doctor mentioned that I have a polyp approximately 1 cm in size, which is benign and has been removed. Can you confirm that it is indeed benign? Is there a possibility t...


Dr. Lin Minghui Reply:
Most gastric polyps are benign. If they are too large, or if there are complications such as ulceration, bleeding, or obstruction, appropriate management is required. The physician has provided the necessary treatment. It is advised not to worry too much. Follow-up in the outpati...

[Read More] Understanding Stomach Polyps: Are They Always Benign?


Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care

Liver, gallbladder, and gastrointestinal tract? Hello Doctor: In January, I underwent an endoscopy due to stomach pain, discomfort, and bloating. The doctor diagnosed me with a mild gastric ulcer. After taking medication for two weeks, I returned for a follow-up and was found to ...


Dr. Hu Guozheng Reply:
Recommendation for follow-up evaluation.

[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care


Effective Cleaning Methods for Helicobacter Pylori on Surfaces

Some everyday issues? Hello, doctor. I would like to ask how to properly clean surfaces contaminated with Helicobacter pylori. Is it appropriate to use 75% alcohol spray? I found some information stating that alcohol can kill it, while others say it cannot, so I would like to kno...


Dr. Yang Zhichao Reply:
Hello, it is recommended that you wash your hands thoroughly before eating to reduce the risk of Helicobacter pylori infection. Alcohol cannot guarantee the elimination of many microorganisms. Thank you for your question.

[Read More] Effective Cleaning Methods for Helicobacter Pylori on Surfaces


Common Gastrointestinal Concerns: Medications, Diet, and H. Pylori

There are some questions? Hello Doctor, I would like to ask the following questions: 1. Can the medications Levofloxacin, Amoxicillin, Omeprazole, and Metronidazole be stored together in one container (jar)? 2. Does staying up late and having irregular meal times for breakfast ...


Dr. Chen Shidian Reply:
Co-storage is acceptable, but nowadays it is often subcontracted or easily distinguishable. Helicobacter pylori is transmitted orally and is not directly related to immunity. The hospital handwashing standard requires washing up to the wrists, while home practices are not as stri...

[Read More] Common Gastrointestinal Concerns: Medications, Diet, and H. Pylori


Managing GERD: When to Consider Endoscopy and Continued PPI Therapy

Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...


Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...

[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy


Is Rinsing with Water Enough to Prevent H. Pylori Infection?

Cleaning Issues Hello doctor, I apologize for bothering you again. I would like to ask if rinsing with plain water is sufficient to avoid Helicobacter pylori infection. For example, if my lips or hands come into contact with contaminated water, is rinsing with plain water enough,...


Dr. Chen Shidian Reply:
There are no strict requirements; anything is acceptable as long as it meets hygiene standards. The main point is to avoid consuming contaminated food.

[Read More] Is Rinsing with Water Enough to Prevent H. Pylori Infection?


Dietary Concerns: Risks of Helicobacter Pylori and Safe Food Choices

Dietary issues? Hello Doctor, 1. Is there a risk of Helicobacter pylori infection from consuming 1450ml of yogurt, 2000ml of Olido water, 1250ml of Assam milk tea, chocolate-flavored milk, and bananas? Can I eat these safely? 2. Can individuals with intestinal metaplasia cons...


Dr. Chen Shidian Reply:
There should be no infection risk/it is safe to eat. As long as the food is hygienic, it can be consumed, but minimize barbecuing.

[Read More] Dietary Concerns: Risks of Helicobacter Pylori and Safe Food Choices


Increased Bowel Movements: Understanding Symptoms and Concerns

Increased frequency of bowel movements? I have noticed an increase in my bowel movements over the past month. Typically, I have a large bowel movement in the morning, followed by two or three more throughout the day. Each time, the stool is about 8 centimeters in diameter, and I ...


Dr. Chen Shidian Reply:
It may be due to abnormal peristalsis or increased intestinal sensitivity. It is advisable to relax and eat slowly, and if necessary, take medication to control the symptoms.

[Read More] Increased Bowel Movements: Understanding Symptoms and Concerns


Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact

Gastroesophageal reflux disease (GERD) or gastritis? I have experienced occasional indigestion in the past, but recently, over the last two to three months, I have been frequently suffering from indigestion. I feel uncomfortable almost every time after meals, and I have been burp...


Dr. Chen Shidian Reply:
Obesity is often associated with gastroesophageal reflux disease (GERD), so weight loss combined with reduced food intake is recommended. Avoid sitting still for long periods after meals, engage in weekly exercise, and refrain from consuming acidic, sweet, caffeinated beverages, ...

[Read More] Understanding Digestive Issues: GERD vs. Gastritis and Weight Impact


Can Gastritis and Other Digestive Issues Cause Weight Loss?

Weight Issues Related to Gastritis I am 175 cm tall and my weight has dropped from 76 kg to 70 kg over the past month. I have been experiencing pain in my upper left abdomen. Previously, I underwent an endoscopy and was diagnosed with acute and chronic gastritis, Helicobacter pyl...


Dr. Cai Anshun Reply:
Hello, if gastritis has led to a decreased appetite, it can certainly result in weight loss. Additionally, it is important to monitor the condition of nearby organs, such as the gallbladder and colon. If there is no improvement, it is advisable to consult a gastroenterologist. Ch...

[Read More] Can Gastritis and Other Digestive Issues Cause Weight Loss?


Managing Menopause Symptoms: Gastrointestinal Issues and Solutions

Menopausal issues of my mother? My mother (52 years old) was confirmed to have menopausal symptoms by a gynecologist last year. Over the past few months, she has frequently visited the hospital due to lower back pain. Despite undergoing various tests, including a self-paid abdomi...


Dr. Chen Shidian Reply:
Determining whether gastrointestinal dysfunction is related to menopause varies from person to person. Gastroenterology outpatient symptoms and dietary treatments may be necessary, and further evaluation by obstetrics and gynecology for menopausal hormone replacement therapy may ...

[Read More] Managing Menopause Symptoms: Gastrointestinal Issues and Solutions


Understanding Gastrointestinal Issues: Causes and Necessary Tests

Gastrointestinal issues In the past month, I have been experiencing dizziness almost every day, with a slightly elevated body temperature, usually between 37.4-38 degrees Celsius when measured in the ear. My weight has dropped from 75 kg to 70 kg, and my bowel movements are somet...


Dr. Hu Guozheng Reply:
Hello! You can come to the outpatient clinic for an evaluation. Thank you.

[Read More] Understanding Gastrointestinal Issues: Causes and Necessary Tests


Understanding Gastrointestinal Issues: Symptoms and Possible Causes

Gastrointestinal issues In the past month, I have been experiencing dizziness almost every day, a slightly elevated body temperature (ear temperature between 37.3 and 38 degrees Celsius), a weight loss of about 5 kilograms, frequent diarrhea, and a decreased appetite. Previous en...


Dr. Chen Shidian Reply:
You can visit the gastroenterology outpatient clinic for further examination to determine if there is colitis.

[Read More] Understanding Gastrointestinal Issues: Symptoms and Possible Causes


Understanding Stomach Cancer: Causes, Symptoms, and Prevention Tips

Stomach cancer issues? Hello, Doctor: 1. What are the possible causes (risk factors), common age of onset, and symptoms of gastric cancer? 2. Is it true that blood type A and Helicobacter pylori infection are associated with a higher risk of gastric cancer? Reports indicate th...


Dr. Chen Shidian Reply:
Asymptomatic individuals can pay for a health check to test for Helicobacter pylori. Those with symptoms should seek medical attention and may undergo tests covered by health insurance as needed. It is advisable to limit the consumption of barbecued foods, smoking, and alcohol.

[Read More] Understanding Stomach Cancer: Causes, Symptoms, and Prevention Tips


Understanding Duodenal Ulcers: Accuracy of H. Pylori Testing After Medication

Duodenal ulcer issues? I previously had some stomach issues and took medication prescribed by a clinic for a while, which helped alleviate the symptoms. The medications included those for treating peptic ulcers, gastric ulcers, and duodenal ulcers, such as Esomeprazole 20 mg, Pan...


Dr. Chen Shidian Reply:
Testing should still be primarily prepared, and other methods (stool test/blood test/breath test) should only be used if necessary.

[Read More] Understanding Duodenal Ulcers: Accuracy of H. Pylori Testing After Medication


Understanding Upper GI Endoscopy Results: Key Findings and Recommendations

Upper gastrointestinal endoscopy results? [First Endoscopy Findings]: (Esophagus): Mucosal break at the esophagogastric junction less than 5mm. (Stomach): CLO test was performed. Hyperemic mucosal changes at the antrum, shallow gastric ulcer at the antrum, s/p. (Duodenum): Narrow...


Dr. Chen Shidian Reply:
The grading of gastroesophageal reflux disease (GERD) can be somewhat subjective and may vary between physicians. The principle of treatment is to control symptoms with proton pump inhibitors (PPIs) such as Nexium. If there is no Helicobacter pylori infection, antibiotics are not...

[Read More] Understanding Upper GI Endoscopy Results: Key Findings and Recommendations


Understanding Chronic Abdominal Pain: Possible Causes and Next Steps

Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...


Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.

[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps


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