Understanding Duodenal Ulcers and H. Pylori: Managing Symptoms and Treatment
Duodenal ulcer Helicobacter pylori Hello Doctor, I have been experiencing stomach pain for quite some time. I previously went to the hospital for an endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD), multiple areas of gastric inflammation, and sev...
Dr. Chen Shidian Reply:
Hello, the antibiotics may have some side effects, and it is important to endure them and take the full course as prescribed to reduce the failure rate. If necessary, you may return for a follow-up appointment to consult with the prescribing physician about possibly changing the ...[Read More] Understanding Duodenal Ulcers and H. Pylori: Managing Symptoms and Treatment
Understanding Duodenal Ulcers: When to Consult a Gastroenterologist
Duodenal ulcer On May 2nd, I was taken to the emergency department of a major hospital due to abdominal pain, where I was diagnosed with acute peritonitis and a gastrointestinal perforation (approximately the size of a fingertip). I underwent surgery performed by a general surgeo...
Dr. Cai Anshun Reply:
Hello: It is recommended to visit a gastroenterologist after two weeks of taking Nexium to continue the prescription. Additionally, after the wound stabilizes, approximately 3 to 4 months into the medication, a follow-up endoscopy should be performed. If ulcers are still present,...[Read More] Understanding Duodenal Ulcers: When to Consult a Gastroenterologist
Can Helicobacter Pylori Cause Stomach Discomfort Without Inflammation or Ulcers?
The gastroscopy showed no inflammation or ulcers in the stomach, but there is mild gastroesophageal reflux. However, Helicobacter pylori was detected? Hello, doctor. For the past two weeks, I have been experiencing discomfort in my stomach, including dull pain, bloating, and indi...
Dr. Chen Qifeng Reply:
Helicobacter pylori can naturally exist in a normal, healthy stomach, so it is not necessarily associated with gastritis or ulcers. Based on the symptoms, it may simply be indigestion. Of course, if eradication therapy is administered, it may also help improve the symptoms.[Read More] Can Helicobacter Pylori Cause Stomach Discomfort Without Inflammation or Ulcers?
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 and Treatment Options
Gastrointestinal issues Dr. Chen: I previously underwent an endoscopy and was told that I have gastroesophageal reflux, Helicobacter pylori, and multiple gastric erosions. Does this count as a gastric ulcer? I've been taking the medication prescribed by my doctor for over a ...
Dr. Chen Shidian Reply:
Hello, Miss. You are likely experiencing a mild gastric ulcer (erosion) along with gastrointestinal motility disorders. Dietary adjustments can be made, and you should collaborate with your physician for medication treatment. Changhua Hospital cares about your health. Chen Shidia...[Read More] Understanding Gastrointestinal Issues: Symptoms and Treatment Options
Managing Gastric Ulcers: Medication, Symptoms, and Dietary Tips
Medication issues for gastric ulcers? Hello, I currently weigh about 93 kg and am 177 cm tall. Let me describe the history of my symptoms. Five years ago, I had gastroesophageal reflux disease (GERD), which improved after about four months of treatment. Previously, I had a habit ...
Dr. Cai Anshun Reply:
Hello: (1) If you have concerns, it is advisable to return for a follow-up consultation rather than self-medicate. (2) Certain cases of gastroesophageal reflux disease (GERD) can cause discomfort in the chest area; however, this discomfort typically follows the central line, whic...[Read More] Managing Gastric Ulcers: Medication, Symptoms, and Dietary Tips
Understanding Stomach Issues: Insights on GERD and Ulcers
Gastric issues? I previously experienced persistent bloating in my stomach, and after taking medication without improvement, I went to the hospital for an endoscopy. The results showed that the upper esophageal sphincter had some abrasions due to gastroesophageal reflux, and the ...
Dr. Chen Shidian Reply:
Hello, sir. The chances of misinterpretation during the gastroscopy are low, so you can feel assured and follow the dietary and medication guidelines for management. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Stomach Issues: Insights on GERD and Ulcers
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
Should You Eradicate H. Pylori? Understanding Risks and Benefits
Should Helicobacter pylori be eradicated? I would like to ask the doctor about my stomach issues. I've been experiencing occasional bloating and acid reflux, and I've been feeling quite anxious lately. I underwent an endoscopy, which showed no ulcers, but I was diagnose...
Dr. Cai Anshun Reply:
Hello: Without ulcers, health insurance does not cover treatment for Helicobacter pylori. The prevalence is greater than 50%. If there are no indications, eradication is not necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Should You Eradicate H. Pylori? Understanding Risks and Benefits
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 Distress: Insights into IBS and Family Health History
Gastrointestinal discomfort Hello doctors, I am a recent graduate (29 years old this year!). Before I present my issue, I would like to mention that there is a family history of colorectal cancer (my grandmother passed away from it). I have informed other doctors about this, and ...
Dr. Cai Anshun Reply:
Hello: It is not possible to definitively determine whether it is irritable bowel syndrome or cancer. If your only concern is the suspicion of colorectal cancer, and after evaluation by a physician there are no indications for a colonoscopy, you may consider undergoing a screenin...[Read More] Understanding Gastrointestinal Distress: Insights into IBS and Family Health History
Understanding Duodenal Ulcers: Symptoms and Management Insights
Duodenal ulcer Hello doctor, I recently underwent an upper gastrointestinal endoscopy and was diagnosed with a duodenal ulcer, with no Helicobacter pylori present. I am currently taking a proton pump inhibitor (PPI), but sometimes I feel a dull discomfort above the xiphoid proces...
Dr. Cai Anshun Reply:
Hello: It could also be a case of indigestion or gastroesophageal reflux disease (GERD). Additionally, if there is fecal impaction, it may lead to excessive gas in the intestines. Please pay attention to your diet; even after taking medication, you should be cautious in your food...[Read More] Understanding Duodenal Ulcers: Symptoms and Management Insights
Understanding Mild Gastritis: Symptoms, Diagnosis, and Treatment
Mild gastritis Hello doctor, I have been feeling nauseous after meals lately, and I get full quickly even after eating a small amount. I also experience frequent burping, especially when I wake up. I went to the hospital for an endoscopy, and there were no signs of Helicobacter p...
Dr. Cai Anshun Reply:
Hello: The main ingredient of Gastric Comfort is Ranitidine, which is a medication that inhibits gastric acid secretion and can be used to treat gastritis or gastric ulcers. Additionally, you should be aware of any symptoms of dyspepsia or constipation, and inform your primary ph...[Read More] Understanding Mild Gastritis: Symptoms, Diagnosis, and Treatment
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
Understanding Bloating and Belching: Causes and Treatment Options
Belching and bloating? Hello, doctor. I have recently experienced bowel sounds and sometimes a rush of gas that rises to my throat, causing an itchy sensation in my trachea and a cough reflex. I also occasionally feel the urge to cough after drinking water or eating. I have seen ...
Dr. Cai Anshun Reply:
Hello: (1) Gastroesophageal reflux can cause stomach acid to flow back into the throat, which may lead to laryngitis or bronchitis in a small number of individuals, resulting in cough or a sensation of a foreign body in the throat. In such cases, a consultation with a gastroenter...[Read More] Understanding Bloating and Belching: Causes and Treatment Options