Understanding Abdominal Pain: Is It Stomach or Colon Issues?
I can't distinguish between the stomach and the colon? Hello doctor, I started experiencing pain in my upper left abdomen in early April this year. I visited a gastroenterology clinic five times and underwent an upper endoscopy. The doctor said everything was normal and ther...
Dr. Chen Shidian Reply:
Hello, sir. You can start by checking for occult blood in the stool; there's no need to worry too much. If the result is positive, then further examination of the colon will be necessary. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abdominal Pain: Is It Stomach or Colon Issues?
Managing Post-Meal Discomfort: Tips for Gastritis and Throat Irritation
After eating, experiencing heartburn and a feeling of nausea? Hello Doctor, after consuming canned granulated black sesame, I felt unwell the next day, experiencing a sensation of a foreign body in my throat and nausea, although I did not have any stomach pain at that time. I did...
Dr. Chen Shidian Reply:
Hello, sir. You should be able to resume your diet, avoiding irritating foods, and take your medications as prescribed. If you have no symptoms, you may reduce the dosage. Additionally, you may want to consult your physician about the possibility of Helicobacter pylori infection....[Read More] Managing Post-Meal Discomfort: Tips for Gastritis and Throat Irritation
Understanding Gastrointestinal Issues: Insights from a Gastroenterology Visit
Gastrointestinal issues Over the past three months, I have experienced gastrointestinal discomfort three times, with each episode becoming progressively worse. This time, I have persistent bloating and a complete lack of appetite. I consulted a gastroenterologist who initially pr...
Dr. Cai Anshun Reply:
Hello: If your condition improves to a level that you find acceptable after taking the medication, there is no need to undergo an endoscopy. If you can drink yogurt without any discomfort, you may continue to do so. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Gastrointestinal Issues: Insights from a Gastroenterology Visit
Understanding Duodenal Ulcer Recurrence: Symptoms and Treatment Insights
Duodenal ulcer recurrence!? Hello doctor, I previously fainted at home due to a duodenal ulcer, likely because of excessive bleeding. I was treated with Nexium (Esomeprazole) about two years ago, but I still felt unwell and underwent another endoscopy. It was discovered that I ha...
Dr. Cai Anshun Reply:
Hello: 1. If there is bleeding, you may pass black stools. 2. If you have any concerns, you can consult a gastroenterologist to see if another endoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Duodenal Ulcer Recurrence: Symptoms and Treatment Insights
Understanding Your Medication: Insights on Gastrointestinal Treatment
Medication Consultation Hello Doctor, Yesterday, I underwent an endoscopy which revealed some erosion in the stomach, gastroesophageal reflux, and Helicobacter pylori infection. The medications prescribed are: 1. Rich 30MG (Gastric Protection) - one tablet in the morning and on...
Dr. Lin Minghui Reply:
1. This prescription is for the standard triple therapy, but the standard dosage of Clarithromycin (Uricin) is 500 mg twice daily for a duration of 7 to 14 days, with most prescriptions currently written for 14 days. 2. Antibiotics are taken for two weeks, and proton pump inhibit...[Read More] Understanding Your Medication: Insights on Gastrointestinal Treatment
Understanding Right Chest Discomfort: GERD or Something Else?
There is a feeling of tightness or discomfort in the right chest? Hello Doctor: I have a question. Three months ago, I experienced persistent discomfort in my right chest along with stomach pain after meals. I was diagnosed with gastroesophageal reflux disease (GERD) and Helicoba...
Dr. Lin Minghui Reply:
Hello: Gastroesophageal reflux symptoms can recur, and it is important to pay attention to dietary habits. Avoid eating too quickly or too much, and limit the intake of irritating foods. Smoking and being overweight can also have an impact, so it is advisable to quit smoking and ...[Read More] Understanding Right Chest Discomfort: GERD or Something Else?
Understanding Helicobacter Pylori Treatment and Side Effects
I'm sorry, but I need more context or content to provide a translation. Please provide The patient, CHERRY, a 31-year-old female, underwent an upper gastrointestinal endoscopy on December 9, 2016. The doctor diagnosed her with mild gastritis, esophagitis, gastroesophageal re...
Dr. Chen Qifeng Reply:
You can wait until the completion of the Helicobacter pylori eradication treatment before monitoring any subsequent symptoms.[Read More] Understanding Helicobacter Pylori Treatment and Side Effects
Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects
Helicobacter pylori I had an upper gastrointestinal endoscopy on Monday because I experienced stomach pain when hungry. After eating something, the pain subsided. The doctor mentioned that I have mild gastritis, esophagitis, gastroesophageal reflux disease (GERD), and Helicobacte...
Dr. Chen Qifeng Reply:
Generally, the eradication of Helicobacter pylori is often achieved through a triple therapy regimen (which includes one proton pump inhibitor and two antibiotics). While taking these medications, side effects such as diarrhea, nausea, and vomiting may occur. If the symptoms are ...[Read More] Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects
Understanding Helicobacter Pylori: Symptoms, Causes, and Treatment Options
Helicobacter pylori Last week, I consulted a gastroenterologist who diagnosed me with gastritis, esophagitis, gastroesophageal reflux disease (GERD), and Helicobacter pylori infection. Can these conditions cause shoulder and arm pain? Additionally, my persistent feeling of hunger...
Dr. Chen Shidian Reply:
Hello, Miss. Helicobacter pylori is unlikely to be related to shoulder and neck pain. If gastrointestinal symptoms do not improve, we can consider adjusting your medication and diet. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Helicobacter Pylori: Symptoms, Causes, and Treatment Options
Understanding Symptoms of Acid Reflux and H. Pylori Infection
Gastroesophageal reflux and Helicobacter pylori? Recently, I have been experiencing frequent diarrhea, with my stools often appearing dark green and cement-like. Occasionally, I feel a rumbling sensation in my stomach. My weight and appetite are normal, but I do experience abdomi...
Dr. Cai Anshun Reply:
Hello: It is recommended to undergo an upper gastrointestinal endoscopy to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Symptoms of Acid Reflux and H. Pylori Infection
Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Abdominal distension, followed by tachycardia and then vomiting? Hello Doctor, since last week I have been experiencing bloating and rapid heartbeat after meals, which leads to vomiting. After vomiting, I feel normal again. Two years ago, I had an endoscopy that showed mild infla...
Dr. Chen Qifeng Reply:
Helicobacter pylori infection itself is asymptomatic; however, it can lead to conditions such as gastritis, gastric ulcers, or duodenal ulcers, which do present symptoms. Recently, it appears to be a recurrence of gastritis, so a mild and non-irritating diet is recommended.[Read More] Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Should You Schedule a Follow-Up Appointment for Stomach Issues?
Do I need to schedule a follow-up appointment with the doctor? Hello Doctor, last week I went to the hospital for an upper gastrointestinal endoscopy and a barium X-ray. This week, after reviewing the report, the doctor said I have stage II gastroesophageal reflux disease, gastri...
Dr. Cai Anshun Reply:
Hello: The lymph nodes in the groin are not significantly related to Helicobacter pylori. If there is a wound on the foot, you can consult an infectious disease specialist. If there is no wound, it is recommended to see a hematologist to determine the cause of the lymphadenopathy...[Read More] Should You Schedule a Follow-Up Appointment for Stomach Issues?
Understanding Gastrointestinal Issues: Symptoms, Diet, and Treatment Options
Gastrointestinal issues Dr. Chen: I would like to ask if having symptoms such as gastric mucosal erosion, gastroesophageal reflux disease (GERD), and Helicobacter pylori infection really causes significant discomfort in the stomach? What dietary recommendations do you have for so...
Dr. Chen Shidian Reply:
Hello, Miss. You need to use a strong acid reducer for treatment, please visit the gastroenterology outpatient clinic. In general, it is advisable to avoid excessive consumption of acidic, sweet, spicy, hard foods, coffee, and tea. Changhua Hospital cares about your health. Chen ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Diet, and Treatment Options
Understanding Helicobacter Pylori and Duodenal Ulcer Treatment Options
Treatment of Helicobacter pylori and Duodenal Ulcers Hello, last week I underwent an upper gastrointestinal endoscopy, and the results showed several areas of gastric erosion, chronic duodenal ulcer with deformity of the bulb, and a positive reaction for Helicobacter pylori. The ...
Dr. Cai Anshun Reply:
Hello: (1) Treatment can begin at the start or after medication; however, it is not advisable to treat during acute bleeding. (2) The treatment duration is 3-4 months. Please consult a physician to confirm whether medication is necessary. (3) There will be no drug interactions. Y...[Read More] Understanding Helicobacter Pylori and Duodenal Ulcer Treatment Options
Diagnosing Helicobacter Pylori: Endoscopy vs Molecular Testing
Helicobacter pylori If there is a suspicion of Helicobacter pylori infection, after sampling via gastroscopy, what methods are typically used for diagnosis? Is it through histological examination or molecular diagnostics? Is it necessary to go to a large hospital to perform molec...
Dr. Cai Anshun Reply:
Hello: Gastric biopsy can be performed for (1) urease test and (2) histological examination. These methods are sufficient for diagnosis without the need for molecular diagnostics. Changhua Hospital cares about your health. Dr. Cai Anshun.[Read More] Diagnosing Helicobacter Pylori: Endoscopy vs Molecular Testing
Understanding Nighttime Discomfort: GERD and H. Pylori Connection
Gastroesophageal reflux disease (GERD) Doctor: I would like to ask why I always feel particularly uncomfortable in my stomach at bedtime. It feels like my chest is tight and my stomach is filled with gas, and I really want to expel all the air. I also have a bitter taste in my mo...
Dr. Chen Shidian Reply:
Hello, Miss. You may be experiencing dysmotility, and it would be advisable to discuss medication adjustments with your physician. Additionally, consider eating smaller, more frequent meals. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Nighttime Discomfort: GERD and H. Pylori Connection
Understanding GERD and Bloating: Symptoms, Causes, and Dietary Tips
Gastroesophageal reflux and bloating? Dr. Chen, I would like to ask about my recent gastroscopy. The doctor said I have gastroesophageal reflux disease (GERD), multiple areas of mild erosion in my stomach, and Helicobacter pylori infection. Does this count as a type of gastric ul...
Dr. Chen Shidian Reply:
Hello, Miss. You are likely experiencing superficial ulcers (skin abrasions), and medication should help improve your condition. If you continue to feel discomfort, please discuss adjusting your medication (timing) with your physician. In terms of diet, try to avoid acidic, sweet...[Read More] Understanding GERD and Bloating: Symptoms, Causes, and Dietary Tips
Understanding Duodenal Ulcers: Concerns About H. Pylori and Treatment Options
Duodenal ulcer Hello Dr. Tsai, After undergoing an upper gastrointestinal endoscopy, the physician indicated that I have a mild duodenal ulcer, with several small lesions approximately 0.05 cm in size. There is no Helicobacter pylori infection. The doctor prescribed me Nizatidin...
Dr. Cai Anshun Reply:
Hello: It is recommended to stop the medication for at least one week before undergoing the carbon-13 test. There are many factors that can cause duodenal ulcers, and it is less common to assess severity based on the presence of Helicobacter pylori. Changhua Hospital cares about ...[Read More] Understanding Duodenal Ulcers: Concerns About H. Pylori and Treatment Options
Comparing Accuracy: Serum vs. Carbon-13 UBT for H. Pylori Testing
Helicobacter pylori Which test has higher accuracy, the serum Helicobacter pylori test or the urea breath test (UBT)? I previously had a positive result for the serum Helicobacter pylori test during a health check. If I want to confirm whether there is an infection, which test sh...
Dr. Cai Anshun Reply:
Hello: The Helicobacter pylori carbon-13 urea breath test (UBT): A positive result indicates that there is currently an active Helicobacter pylori infection. The serological test for Helicobacter pylori: A positive result only indicates a past infection, and it does not confirm w...[Read More] Comparing Accuracy: Serum vs. Carbon-13 UBT for H. Pylori Testing
Understanding Gastrointestinal Discomfort: Causes and Next Steps
Gastrointestinal discomfort Hello Dr. Tsai, I would like to consult you regarding my gastrointestinal discomfort that has persisted for the past two months. It initially started with watery diarrhea, but at that time, I also had a cold, so I am unsure if the two are related. Aft...
Dr. Cai Anshun Reply:
Hello: Essentially, whether or not to undergo an upper gastrointestinal endoscopy should be determined by the clinical judgment of the physician. Helicobacter pylori infection does not equate to gastric pain, and not all Helicobacter pylori infections will lead to gastric ulcers ...[Read More] Understanding Gastrointestinal Discomfort: Causes and Next Steps