Understanding Gastroscopy Reports: Biopsy Necessity and Follow-Up Care
Gastrointestinal Endoscopy Report Hello doctor, today I underwent an upper gastrointestinal endoscopy. Due to anesthesia, I was taken in afterward and shown that I have mild gastric ulcers and duodenal ulcers. The doctor mentioned that a biopsy was performed. Is it standard pract...
Dr. Cai Anshun Reply:
Hello: 1. A biopsy is performed only if there is an ulcer, if there are suspicions of mucosal issues, or if there are polyps. 2. Eating ulcers will not eradicate Helicobacter pylori; a triple therapy regimen is required to eliminate H. pylori. After successful eradication, if the...[Read More] Understanding Gastroscopy Reports: Biopsy Necessity and Follow-Up Care
Understanding Stomach Ulcers: Treatment and Follow-Up Care
Recently, I have been troubled by a gastric ulcer? Hello, doctor. I often experience stomach pain. In early April, I visited a large hospital and consulted a gastroenterologist. The doctor performed an endoscopy, and the results showed that I have a gastric ulcer, but there is no...
Dr. Cai Anshun Reply:
Hello, generally speaking, if a patient has symptomatic gastric ulcers and the initial endoscopy is not severe, the symptoms usually resolve on their own, and there is no need for follow-up endoscopy unless the symptoms persist, there are specific lesions, or if the pathology res...[Read More] Understanding Stomach Ulcers: Treatment and Follow-Up Care
Understanding Digestive Issues: Insights on Abdominal Pain and Bowel Changes
Bowel issues Hello Dr. Chen: I am 19 years old. In January of this year, I experienced occasional bloating and discomfort in my upper left abdomen, and after undergoing an endoscopy, I was diagnosed with mild gastric and duodenal ulcers, with no Helicobacter pylori detected in my...
Dr. Chen Shidian Reply:
Hello, sir. It is likely just an abnormality in gastrointestinal motility. If you are feeling very uncomfortable, you may take medication and consider a stool occult blood test. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Digestive Issues: Insights on Abdominal Pain and Bowel Changes
Understanding Pain-Free Gastroscopy and Carbon-13 Testing
Painless gastroscopy and carbon-13? Dr. Tsai, Jun-An underwent a "painless gastroscopy" examination this morning. After waking up, he was informed that "there are no gastric ulcers," and the report indicated "gastroesophageal reflux and esophagitis."...
Dr. Cai Anshun Reply:
Hello: What you underwent was likely not the C13 test (which costs about 1100 NT), but rather the Urease Test (CLO test). During the endoscopy, gastric mucosal biopsies are taken and placed in a test plate to observe color changes, transitioning from yellow to Congo red. The reac...[Read More] Understanding Pain-Free Gastroscopy and Carbon-13 Testing
Zinc Carnosine: A Potential Aid for Stomach Ulcers and GERD
Zinc carnosine and gastric ulcers? Hello Doctor, in July 2017, an endoscopy revealed a gastric ulcer along with gastroesophageal reflux disease (GERD) (no Helicobacter pylori). I took Naproxen for five months and stopped on December 15, 2017. On December 22, 2017, another endosco...
Dr. Cai Anshun Reply:
Hello: 1. It is not always necessary to add other medications or to take long-term maintenance medications. If symptoms persist despite medication, short-term use may be sufficient. 2. Additionally, please be mindful of your coffee or tea consumption, excessive stress, and irregu...[Read More] Zinc Carnosine: A Potential Aid for Stomach Ulcers and GERD
Understanding Duodenal Ulcers: Symptoms, Treatment, and Recovery Time
Duodenal ulcer Hello Doctor: Recently, I underwent an upper gastrointestinal endoscopy and tested for Helicobacter pylori, which revealed symptoms of duodenal ulcer and gastritis (the Helicobacter pylori test was negative). However, I have been taking medication for nearly two mo...
Dr. Cai Anshun Reply:
Hello: If medications are taken on time, it is important to pay attention to diet and lifestyle habits. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Recovery Time
Should I Transfer to a Major Hospital for My Stomach Ulcer Concerns?
Do I need to transfer to a larger hospital for a gastric ulcer? Hello Doctor, I have a history of duodenal ulcers and took medication for six months. For six to seven years, I have not experienced any ulcer flare-ups, but I often have bloating and stomach pain. Starting from Janu...
Dr. Cai Anshun Reply:
Hello: You can return to the original hospital for a consultation to check for any other associated issues. If necessary, you may also request a referral from the original hospital and attach the reports to avoid duplicate examinations. Changhua Hospital cares about your health. ...[Read More] Should I Transfer to a Major Hospital for My Stomach Ulcer Concerns?
Understanding Gastrointestinal Issues: Your Questions Answered on GERD and More
Gastrointestinal issues Hello, Doctor. I have been experiencing long-term discomfort in my stomach, including bloating and gastroesophageal reflux. I recently had an endoscopy, and there were no major issues, just mild inflammation. I would like to ask: 1. Can an endoscopy dete...
Dr. Cai Anshun Reply:
Hello: 1. A biopsy is necessary to determine the presence of Helicobacter pylori; biopsies are generally not performed if there are no ulcers. 2. Patients may feel that their condition is not serious and may stop medication on their own if they have no symptoms. If there are conc...[Read More] Understanding Gastrointestinal Issues: Your Questions Answered on GERD and More
How Often Should You Get an Endoscopy for Stomach Ulcers?
If there is a history of peptic ulcer disease, how often should an upper gastrointestinal endoscopy be scheduled? Hello Doctor: Last year, I frequently experienced symptoms of acid reflux and nausea, which led to dizziness. I went to a major hospital for an endoscopy, and the rep...
Dr. Cai Anshun Reply:
Hello: 1. If symptoms recur, you can return for a follow-up appointment, where the physician will assess whether another endoscopy or medication is necessary. An endoscopy can be performed again if symptoms are present. 2. It is likely caused by coffee consumption and is not sign...[Read More] How Often Should You Get an Endoscopy for Stomach Ulcers?
Managing Bloating: Do You Need Annual Endoscopies for Relief?
Bloating issues Hello, doctor. Last year, I underwent an endoscopy due to gastroesophageal reflux and bloating. The doctor mentioned that there was only inflammation, and I was found to have Helicobacter pylori, which has been treated. However, I still experience intermittent blo...
Dr. Cai Anshun Reply:
Hello: 1. Whether an endoscopy is necessary depends on the clinical symptoms. 2. We can review and investigate the possible causes, such as diet, constipation, etc. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Managing Bloating: Do You Need Annual Endoscopies for Relief?
Should You Get an Endoscopy After a Negative H. Pylori Breath Test?
Regarding the breath test for Helicobacter pylori? Hello Doctor: I have been feeling nauseous and uncomfortable every night for about a month, and I have experienced vomiting 5-6 times during the hours of 10 PM to midnight. I am not pregnant, so I suspect there may be an issue wi...
Dr. Cai Anshun Reply:
Hello: Not all gastrointestinal symptoms are caused by Helicobacter pylori. If symptoms persist, it is recommended to consult a gastroenterologist for an evaluation of the necessity of undergoing an endoscopy. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Should You Get an Endoscopy After a Negative H. Pylori Breath Test?
Understanding Bloating and Gas: Insights on PPI and H. Pylori
More than three months of hiccup issues? Q1: Sometimes I experience belching, flatulence, and stomach rumbling, along with bloating and discomfort. Is this related to Helicobacter pylori? [I have undergone gastroscopy and ultrasound, and the findings indicate only excessive gastr...
Dr. Chen Shidian Reply:
Hello, sir. 1. Flatulence is not related to Helicobacter pylori, but gastric distension and pain may be associated (gastritis). 2. Proton pump inhibitors (PPIs) can be taken consistently for one to two months before considering discontinuation if symptoms improve. 3. Antibiot...[Read More] Understanding Bloating and Gas: Insights on PPI and H. Pylori
Can Stress Cause Stomach Ulcers? Understanding the Connection and Risks
Stress as a source leading to gastric ulcers? Hello, I have a few questions: Question 1: The patient is approximately 39 years old. Can stress cause gastric ulcers? Can stress experienced over the course of a month or so lead to the development of a gastric ulcer? The patient h...
Dr. Lin Minghui Reply:
Hello, stress can increase gastric acid secretion, leading to a higher incidence of ulcers. The formation of gastric ulcers is related to the excessive secretion of gastric acid and pepsin, as well as a decreased resistance of the gastric mucosa, and is influenced by many factors...[Read More] Can Stress Cause Stomach Ulcers? Understanding the Connection and Risks
Could Duodenal Ulcers Be the Cause of My Persistent Stomach Acid?
Could a duodenal ulcer be the main cause of my long-term discomfort from excessive stomach acidity? Hello Doctor, I have been experiencing a very sour sensation in my stomach every night around 11 PM for the past two months, which continues until midnight. Eventually, it worsened...
Dr. Chen Shidian Reply:
Hello, your symptoms may also be associated with gastroesophageal reflux disease (GERD). Taking strong antacids can simultaneously treat both GERD and gastric ulcers as well as duodenal ulcers. Therefore, please be patient and cooperate with your physician regarding the medicatio...[Read More] Could Duodenal Ulcers Be the Cause of My Persistent Stomach Acid?
Understanding Gastrointestinal Issues: Causes and Solutions for Nausea
Gastrointestinal issues Hello, doctor. I would like to ask about gastrointestinal issues. Last July, I underwent an endoscopy due to frequent abdominal pain, which revealed gastroesophageal reflux disease (GERD). I took pantoprazole for two months, and my condition improved. Howe...
Dr. Cai Anshun Reply:
Hello: If you have already undergone an endoscopy, you can continue to monitor your bowel movements and observe if there are any irregularities in your diet. It may be worthwhile to reassess these factors. Perhaps changing your lifestyle habits could lead to improvements. Changhu...[Read More] Understanding Gastrointestinal Issues: Causes and Solutions for Nausea
Managing Antibiotic Treatment for Helicobacter Pylori Infections
Antibiotics for the treatment of Helicobacter pylori? Hello Doctor, I have a troubling question to ask. The hospital prescribed me a 7-day course of medication: Amoxicillin 500 mg (2 capsules twice a day for 7 days), Clarithromycin 500 mg (1 capsule twice a day for 7 days), and L...
Dr. Chen Shidian Reply:
Hello, sir. Whether you eat or not has already reduced the success rate. You may consider returning for an earlier consultation with your physician to discuss remedial options (such as purchasing medication out-of-pocket to complete the 7-day course). Changhua Hospital cares abou...[Read More] Managing Antibiotic Treatment for Helicobacter Pylori Infections
Understanding Superficial Gastritis: Symptoms, Diagnosis, and Management
Superficial gastritis Hello Doctor: For the past two years, I have been experiencing discomfort in my stomach, including frequent bloating, gastric pain, inflammation, and a lack of hunger or satiety. Sometimes the inflammation causes severe discomfort, including cramping and col...
Dr. Chen Shidian Reply:
Hello, the gastroenterologist at the hospital generally assists in issuing long-term prescriptions, while the clinic physician may vary by individual. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Superficial Gastritis: Symptoms, Diagnosis, and Management
Understanding Duodenal Ulcers: Treatment and Follow-Up Care
Duodenal ulcer Hello Doctor: I visited Cathay General Hospital on August 2nd due to black stools. A subsequent gastroscopy revealed a duodenal ulcer, and the pathology report indicated the presence of Helicobacter pylori. I have been on a triple therapy regimen for 14 days. Durin...
Dr. Chen Shidian Reply:
Hello, after general sterilization, it is recommended to wait one month after stopping the strong gastric medication before conducting the examination to ensure the accuracy of the results. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Duodenal Ulcers: Treatment and Follow-Up Care
Understanding H. Pylori Treatment and Proton Pump Inhibitors
Helicobacter pylori Hello Dr. Chen, in February of this year, I underwent an endoscopy due to stomach pain, which revealed the presence of Helicobacter pylori and redness at the gastroesophageal junction. The doctor prescribed a one-week course of antibiotics to eradicate the Hel...
Dr. Chen Shidian Reply:
Hello, you can consider purchasing a proton pump inhibitor to see if it improves your symptoms. If you need to take it long-term, it is advisable to return to the clinic to discuss it with your physician. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding H. Pylori Treatment and Proton Pump Inhibitors
Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects
Helicobacter pylori I previously underwent an upper gastrointestinal endoscopy, which revealed the presence of Helicobacter pylori, gastritis, and a duodenal ulcer. I have now started medication treatment. Before the endoscopy, I was only taking general antacids, but since starti...
Dr. Cai Anshun Reply:
Hello: Please confirm if there are any medications that promote gastrointestinal motility. If so, you may consider stopping them temporarily and discuss with your physician during your follow-up visit. If there is still no improvement, it is advisable to consult a neurologist to ...[Read More] Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects