Understanding the Link Between GERD and Helicobacter Pylori Infection
Gastroesophageal reflux disease (GERD) and Helicobacter pylori? I have gastroesophageal reflux disease (GERD) and underwent an endoscopy. The doctor confirmed the presence of reflux and asked if I wanted to undergo eradication therapy for Helicobacter pylori. I would like to unde...
Dr. Cai Anshun Reply:
Hello: It is recommended to eradicate Helicobacter pylori if there is a gastric ulcer. However, if there is no gastric ulcer, eradication is not necessarily required, except in cases of anemia or a family history of gastric cancer. In my opinion, when treating gastroesophageal re...[Read More] Understanding the Link Between GERD and Helicobacter Pylori Infection
Long-Term GERD and the Impact of Helicobacter Pylori Infection
Long-term gastroesophageal reflux disease (GERD) followed by the detection of Helicobacter pylori? Hello, Doctor. I have been experiencing gastroesophageal reflux disease (GERD) for three years now. I previously consulted with an otolaryngologist and a pulmonologist, and finally ...
Dr. Chen Shidian Reply:
Symptoms may be related to reflux; medication can be taken to see if there is any improvement, and discontinuation of the medication can help determine if symptoms recur. Additionally, it is recommended to eradicate Helicobacter pylori. Whether this will increase reflux can be mo...[Read More] Long-Term GERD and the Impact of Helicobacter Pylori Infection
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension and an urge to burp that I can't relieve, so I take antacids. In the past, taking an antacid once would help with d...
Dr. Zhang Kebin Reply:
Hello Mr. CC: You reported that lately you often feel bloated after meals, experiencing a sensation of upper abdominal distension and the urge to burp. Taking gastric medication provides some relief, but the dosage needs to be increased. It is recommended that you discuss with yo...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension that makes me want to burp but I can't, so I take antacids. In the past, taking antacids once would help with diges...
Dr. Zhang Kebin Reply:
Dear Mr. CC: You report that you often feel bloated after meals, experiencing a sensation of upper abdominal distension and the urge to burp. Taking antacids provides some relief, but the dosage needs to be increased. It is advisable for you to discuss with your primary physici...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Gastrointestinal discomfort, with intermittent nausea and dry heaving? Hello Dr. Chang, I had two gastroscopies 1 to 2 years ago, during which Helicobacter pylori was detected. After treatment and medication, I underwent another gastroscopy to confirm that the treatment was succe...
Dr. Zhang Kebin Reply:
Dear Mr. Hsiang, Regarding your previous upper gastrointestinal endoscopy, the findings included: 1. Helicobacter pylori infection, 2. Bile reflux, 3. Relaxation of the lower esophageal sphincter, 4. Gastroesophageal reflux disease (GERD), and 5. Erythema of the gastric wall wit...[Read More] Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Gastrointestinal issues I would like to ask the doctor... Previously, I was diagnosed with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed medication, including antibiotics and a medication called rabeprazole, which is supposed to be tak...
Dr. Cai Anshun Reply:
Hello: It is correct that stomach medication should be taken before meals. As for why the doctor changed the timing, there may be a specific reason for it; you can ask him during your follow-up visit. If you have started feeling unwell again with nausea, dizziness, and loss of ap...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Duodenal ulcer Around mid-November, I underwent an upper gastrointestinal endoscopy at the hospital, which revealed a duodenal ulcer without Helicobacter pylori infection. I have been taking Dexilant for nearly a month now, but I am experiencing some issues, including bloating an...
Dr. Chen Shidian Reply:
PPIs may lead to an increase in small intestinal bacteria, resulting in diarrhea. Please discuss this further with your attending physician.[Read More] Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Gastrointestinal issues Hello, Doctor. I would like to ask a question. Previously, I had an uncomfortable stomach and went to the hospital for an endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), a bit of gastritis, and Helicobacter pylori infection. I was...
Dr. Zhang Kebin Reply:
Hello Ruru, 1. According to the consensus on Helicobacter pylori treatment in Taiwan, after completing antibiotic therapy, it is recommended to wait four weeks before testing for eradication using either a urea breath test (UBT) or a stool antigen test (SAT). Proton pump inhibi...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Helicobacter pylori Dear Doctor, I previously experienced discomfort in my stomach and underwent an endoscopy at the hospital. The doctor diagnosed me with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed antibiotics and a medication ca...
Dr. Cai Anshun Reply:
Hello: You can determine whether the eradication was successful through a carbon-13 breath test or a stool antigen test for Helicobacter pylori. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Understanding Low-Grade Glandular Dysplasia: Is It a Cancer Risk?
Dysplasia Hello Doctor, I underwent an endoscopy for the second time. The first time, it revealed a gastric ulcer and Helicobacter pylori infection. During the second endoscopy, the doctor mentioned that my gastric ulcer has healed about 90% with some scarring. A week later, the ...
Dr. Chen Shidian Reply:
Please discuss the implications of the pathology report and the corresponding strategies with the attending physician, and also adjust the medication based on the symptoms.[Read More] Understanding Low-Grade Glandular Dysplasia: Is It a Cancer Risk?
Managing Chronic Gastritis and Reflux: Symptoms and Solutions
Gastrointestinal issues After undergoing an upper gastrointestinal endoscopy, chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD) were diagnosed. Two days ago, I completed a triple therapy regimen. While taking the medication, I experience...
Dr. Cai Anshun Reply:
Hello: It may be a side effect of the medication, as some can cause diarrhea or increased bowel motility, leading to a feeling of nausea. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Managing Chronic Gastritis and Reflux: Symptoms and Solutions
Missing Two Pills: Should I Consult My Doctor About H. Pylori Treatment?
If you are missing two pills of the medication for Helicobacter pylori, should you see a doctor again? Hello, last week I had an endoscopy that revealed a mild ulcer and the presence of Helicobacter pylori. My doctor prescribed medication for the Helicobacter pylori infection, wh...
Dr. Chen Shidian Reply:
It is advisable to cooperate with the implementation of the triple therapy as much as possible. However, generally speaking, reducing the intake of stomach medications for two days should not significantly affect the success rate of eradication.[Read More] Missing Two Pills: Should I Consult My Doctor About H. Pylori Treatment?
Understanding Gastritis: When to Seek Further Evaluation
Gastritis issues? Hello Dr. Chen: Since June, I have been experiencing nausea and abdominal bloating. In mid-June, my doctor performed an endoscopy and diagnosed me with mild gastritis and Helicobacter pylori infection. I was prescribed a two-week course of antibiotics to eradica...
Dr. Cai Jinji Reply:
Hello Zack: Nausea and abdominal pain can have many causes, and it is recommended that you discuss this further with your physician. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Gastritis: When to Seek Further Evaluation
Understanding Bloating and Heartbeat Sensations After Meals
Diaphragmatic distension and gastrointestinal bloating? Hello, doctor! I have severe diaphragm spasms and often experience stomach pain (severe bloating that I am unsure if it will have any effects). A gastroscopy showed that I have chronic gastritis and Helicobacter pylori! Addi...
Dr. Lin Minghui Reply:
Hi: It is important to pay attention to any signs of autonomic nervous system dysfunction. You have chronic gastritis and Helicobacter pylori infection. It is recommended to be mindful of your dietary habits, try to relax, avoid eating too quickly, do not overeat, and refrain fro...[Read More] Understanding Bloating and Heartbeat Sensations After Meals
Understanding the Connection Between Stomach Discomfort and Emotions
Stomach discomfort? Hello! 1. Can stomach discomfort be influenced by emotions? Recently, after taking allergy medication, I started experiencing stomach pain and a feeling of heaviness, and sometimes I also have a burning sensation of acid reflux. However, I've noticed that...
Dr. Lin Minghui Reply:
Hello: Emotions can affect gastrointestinal motility and gastric acid secretion. When experiencing stomach pain on an empty stomach, eating may alleviate the discomfort, possibly due to increased gastric acid secretion. Gastric cancer is associated with genetics, diet, environmen...[Read More] Understanding the Connection Between Stomach Discomfort and Emotions
Understanding Positive Serum Tests for Stomach Cancer: What You Need to Know
Serum testing for gastric cancer? A positive serum test for gastric cancer on your health check report does not necessarily mean that you have gastric cancer. There are various reasons for a positive result, including the possibility of atrophic gastritis, which can be indicated ...
Dr. Chen Shidian Reply:
The diagnostic value of serum tests for stomach cancer is not very high, but it is still recommended to perform an endoscopy to confirm the current condition.[Read More] Understanding Positive Serum Tests for Stomach Cancer: What You Need to Know
Understanding Nausea and Bloating: When to Seek Further Gastrointestinal Evaluation
Nausea and abdominal bloating? Hello Dr. Chen: Since June, I have been experiencing nausea and abdominal bloating. In mid-June, my doctor performed an endoscopy and diagnosed me with mild gastritis and Helicobacter pylori infection. I was prescribed a two-week course of antibioti...
Dr. Chen Shidian Reply:
There is no need for further endoscopic examination, but a follow-up appointment for treatment is still advisable.[Read More] Understanding Nausea and Bloating: When to Seek Further Gastrointestinal Evaluation
Understanding Duodenal Ulcers and Persistent Bloating: Causes and Solutions
Duodenal ulcer, gastric distension? Hello, doctor. I had an upper gastrointestinal endoscopy in early May, which revealed a duodenal ulcer, but there was no Helicobacter pylori infection. After taking medication for over two months, I felt some improvement; however, it later deve...
Dr. Cai Anshun Reply:
Hello: Please pay attention to the quantity and types of food you consume (avoid irritating foods). Additionally, if you are experiencing irregular bowel movements, it may also have an impact. Some bloating may not be due to undigested food; rapid intestinal motility can also cau...[Read More] Understanding Duodenal Ulcers and Persistent Bloating: Causes and Solutions
Understanding Abdominal Pain and Bright Red Blood in Stool
Abdominal discomfort and bloody stools? I have a history of gastric ulcers and Helicobacter pylori infection, as well as internal hemorrhoids. Recently, I've experienced two consecutive weeks of bloody stools, which are bright red in color, along with abdominal discomfort an...
Dr. Cai Jinji Reply:
Hello Ms. Yue: It is recommended that you seek an evaluation and examination from a colorectal specialist as soon as possible to determine whether you have hemorrhoids or other issues. Nantou Hospital cares about you.[Read More] Understanding Abdominal Pain and Bright Red Blood in Stool
Understanding Abdominal Discomfort: Is It IBS or Something More Serious?
Abdominal bloating and feeling a hard mass on the left side of the abdomen? Hello, doctor! I previously visited the hospital due to a feeling of pressure in my stomach. I underwent two gastroscopies and one colonoscopy. The first examination revealed gastroesophageal reflux disea...
Dr. Lin Minghui Reply:
Hello, the gastrointestinal system is interconnected. Frequent bowel movements that provide relief afterward may indicate intestinal dryness syndrome. Both gastroscopy and colonoscopy have been performed, and currently, there is no evidence of gastric cancer; however, treatment f...[Read More] Understanding Abdominal Discomfort: Is It IBS or Something More Serious?