Understanding Bloating and Weight Changes: Gastrointestinal Health Insights
Bloating after eating and significant weight loss? Hello Dr. Chen: Following up on my previous question, my abdominal bloating has significantly improved over the past week. I can eat normally now, and my weight has stabilized at 72.5 kg without further decline. The gastroscopy s...
Dr. Chen Shidian Reply:
Hello, Sir: It is advisable to discuss with your outpatient physician and patiently cooperate with observation, follow-up, and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Weight Changes: Gastrointestinal Health Insights
Understanding Bloating and Weight Loss: Gastrointestinal Health Insights
: Bloating after eating and significant weight loss? Hello Doctor: Following up on my previous inquiry, I experience abdominal bloating after eating, and my weight has decreased by 6 kilograms over the month from early November to early December. An endoscopy showed mild gastriti...
Dr. Chen Shidian Reply:
Hello, sir: It is advisable to discuss with your outpatient physician and patiently cooperate with monitoring and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Weight Loss: Gastrointestinal Health Insights
Post-Meal Bloating and Discomfort: Seeking Solutions for Gastrointestinal Issues
Abdominal bloating and discomfort after meals? Hello, doctor. For the past month, I have been experiencing abdominal bloating and discomfort after every meal. I continuously burp after eating, which provides slight relief, but it takes a long time for the bloating to subside. Whe...
Dr. Chen Qifeng Reply:
Hello: It is not absolutely necessary to undergo an endoscopy; prioritizing medication adjustment is the main focus. Not all major hospitals lack thin endoscopes or transnasal endoscopes; for example, our hospital is equipped with one. Wishing you safety and health. Sincerely, Dr...[Read More] Post-Meal Bloating and Discomfort: Seeking Solutions for Gastrointestinal Issues
Do I Need Another Endoscopy After Gastric Mucosal Changes?
Gastrointestinal endoscopy 2 I had a previous gastroscopy that showed superficial gastric ulcers, and the biopsy results indicated intestinal metaplasia. The doctor asked if I had Helicobacter pylori, and the biopsy at that time showed no Helicobacter pylori infection. I have jus...
Dr. Chen Shidian Reply:
Hello, sir: You may want to discuss further with your gastroenterologist. Changhua Hospital cares about your health. Chen Shidian[Read More] Do I Need Another Endoscopy After Gastric Mucosal Changes?
Understanding Gastric Ulcers and Intestinal Differentiation: What You Need to Know
Gastrointestinal endoscopy In May, I underwent an upper gastrointestinal endoscopy, during which a small ulcer (approximately 0.5 cm) was found. The biopsy results indicated a superficial ulcer, but it was also noted that there were intestinal differentiated cells within the tiss...
Dr. Chen Shidian Reply:
Hello, sir: 1. First, confirm with the physician whether the biopsy showed the presence of Helicobacter pylori. If present, it is necessary to eradicate the bacteria to prevent the worsening of gastritis and intestinal metaplasia. 2. If there is severe intestinal metaplasia, then...[Read More] Understanding Gastric Ulcers and Intestinal Differentiation: What You Need to Know
Understanding Helicobacter Pylori Treatment and Insurance Coverage in Taiwan
Helicobacter pylori issues Hello Dr. Chen, I recently underwent an upper gastrointestinal endoscopy and was diagnosed with gastric and duodenal ulcers. The doctor advised me to have a blood test for H. pylori, and my result was 130. The doctor prescribed antibiotics (Amoxil 500...
Dr. Chen Shidian Reply:
Hello Mr. Huang: As far as I know, there is still no complete consensus on the duration of eradication therapy, which is determined by the physician (7 to 14 days). The National Health Insurance Administration has stipulated that the usage of the antibiotic for eradication (Klari...[Read More] Understanding Helicobacter Pylori Treatment and Insurance Coverage in Taiwan
Understanding Edema After Antacid Use: A Patient's Dilemma
Consultation: Unexplained edema after taking antacids? Hello Dr. Chen, 1. Around mid-May, my mother sought medical attention for stomach pain (no endoscopy was performed), and the doctor prescribed medication (I don't remember the name). After taking the medication for a f...
Dr. Chen Qifeng Reply:
Hello: There are many causes of edema, including diseases of the heart, liver, and kidneys, as well as circulatory issues. Medications can also be a contributing factor. Besides using Ranitidine or Pantoprazole, are there any other medications being used? If these medications are...[Read More] Understanding Edema After Antacid Use: A Patient's Dilemma
Understanding Helicobacter Pylori: Treatment Options and Insurance Coverage
Helicobacter pylori I am 37 years old and often experience chest tightness, but rarely have other gastrointestinal discomfort symptoms. After undergoing an endoscopy, it was found that I have bile reflux, and there are red spots on my stomach wall, resembling a map with patchy ar...
Dr. Chen Qifeng Reply:
Hello: According to the National Health Insurance regulations, eradication treatment for Helicobacter pylori is not covered if there are no ulcer conditions. As for other conditions with the presence of Helicobacter pylori, there are currently no absolute guidelines for treatment...[Read More] Understanding Helicobacter Pylori: Treatment Options and Insurance Coverage
Understanding Small Stomach Ulcers: Risks and Concerns After Endoscopy
After gastroscopy Hello, doctor. Last week, I underwent an upper gastrointestinal endoscopy, and the doctor mentioned that I have a small gastric ulcer (approximately 0.5 cm). A biopsy was taken, and a sample was collected for Helicobacter pylori culture, which came back negative...
Dr. Chen Qifeng Reply:
Hello: Generally, a biopsy is routinely performed for gastric ulcers, and it is expected to be benign; however, we still need to wait for the official pathology report. Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministr...[Read More] Understanding Small Stomach Ulcers: Risks and Concerns After Endoscopy
Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions
After undergoing an upper gastrointestinal endoscopy? Hello, doctor. I have a few questions: 1. After undergoing an upper endoscopy (nasal route), I noticed blood clots in my cough and phlegm. Is this normal? Should I seek medical attention again? 2. After the endoscopy, the ...
Dr. Chen Qifeng Reply:
Hello: 1. During the execution of an upper gastrointestinal endoscopy, there may be contact with the mucosa, causing slight damage and bleeding, as long as it is not continuous bleeding. 2. Gastritis is simply gastritis. 3. Helicobacter pylori may cause gastric wall inflammation,...[Read More] Post-Endoscopy Concerns: Coughing Blood and Gastritis Questions
Understanding Bile Reflux: Symptoms, Treatment, and Insurance Coverage
Bile reflux phenomenon I am 27 years old and often experience chest tightness, but I rarely have other gastrointestinal discomfort symptoms. After undergoing an endoscopy, I was found to have bile reflux and red spots on my stomach wall that resemble a map. Although Helicobacter ...
Dr. Chen Qifeng Reply:
Hello: According to the National Health Insurance regulations, treatment for peptic ulcers does not cover triple therapy. Currently, whether Helicobacter pylori needs to be eradicated is subject to some discrepancies in the guidelines, and the side effects of medications vary fro...[Read More] Understanding Bile Reflux: Symptoms, Treatment, and Insurance Coverage
Understanding Elevated CA72-4 Levels: Cancer Risks and Alternatives
The CA72-4 test index is elevated? Hello! After the health check-up, it was found that this index is elevated at 10, while the normal index is less than 5. I have read many reports stating that under normal circumstances, the index should not be elevated. An elevated index is oft...
Dr. Chen Qifeng Reply:
Hello: CA72-4 is a tumor marker with high sensitivity but low specificity, and it may also be elevated in cases of gastritis. Essentially, if you have undergone a gastroscopy and the results are normal, that is good. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gas...[Read More] Understanding Elevated CA72-4 Levels: Cancer Risks and Alternatives
Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Gastroesophageal reflux disease (GERD) I have symptoms of gastroesophageal reflux disease (GERD), and after undergoing an endoscopy, I was graded as A. However, the report indicated that I have a hiatal hernia, stating that my stomach has moved up slightly. I am currently experie...
Dr. Cai Anshun Reply:
Hello: Currently, the mainstream treatment for gastroesophageal reflux disease (GERD) involves medication and lifestyle modifications. Surgery is generally not recommended unless medication fails and causes significant disruption to daily life. The surgical approach can utilize l...[Read More] Understanding Hiatal Hernia and GERD: Do You Need Surgery?
Understanding Gastritis: Persistent Belching and Throat Discomfort
Gastritis with persistent belching? Hello, doctor! I underwent an endoscopy which revealed gastritis and tested for Helicobacter pylori (but no bacteria were found). I have been experiencing persistent belching and a sensation of something stuck in my throat, along with a slight ...
Dr. Chen Shidian Reply:
Hello, Xiao Fan. You are likely experiencing functional gastrointestinal disorder, which can be easily influenced by involuntary underlying emotions. Therefore, low-dose sedatives are often used to help regulate your mood, reduce the sensation of foreign body presence, and can be...[Read More] Understanding Gastritis: Persistent Belching and Throat Discomfort
Understanding Multiple Stomach Ulcers and Ongoing Symptoms: A Patient's Concern
Multiple gastric ulcers and gastric bleeding? I would like to ask the doctor, since I was diagnosed with multiple gastric ulcers (about three locations) and gastric bleeding during an endoscopy on October 3rd, the doctor prescribed Pantoprazole. However, my stomach has been persi...
Dr. Cai Anshun Reply:
Hello: If there is still a burning sensation in the stomach, it indicates that gastric acid is still damaging the gastric wall, which may be due to excessive gastric acid or an unresolved gastric ulcer. Gastric ulcers require medication for a period of time before the damaged gas...[Read More] Understanding Multiple Stomach Ulcers and Ongoing Symptoms: A Patient's Concern
Understanding Helicobacter Pylori: Symptoms, Treatment, and Follow-Up Care
Helicobacter pylori Hello, Dr. Tsai: My husband underwent an upper gastrointestinal endoscopy last week, and the doctor informed us that there is some erosion in his stomach lining. A biopsy revealed an infection with Helicobacter pylori. The doctor mentioned that a one-week cour...
Dr. Cai Anshun Reply:
Hello: (1) A slight abrasion in the stomach likely refers to a superficial ulcer or erosion. (2) Helicobacter pylori can indeed cause gastric ulcers, but not all gastric ulcers are attributed to H. pylori; other factors include analgesics, emotional stress, etc. (3) H. pylori is ...[Read More] Understanding Helicobacter Pylori: Symptoms, Treatment, and Follow-Up Care
Understanding the Necessity of Gastroscopy in Gastrointestinal Health
The necessity of gastroscopy? Doctor, thank you for your previous response. I would like to ask about the gastroscopy. The reason for undergoing a gastroscopy is that it is more convenient and allows for immediate treatment, but if I don't have the procedure, can I just take...
Dr. Lin Minghui Reply:
Hello: An upper gastrointestinal endoscopy is performed to check for lesions, cancer, inflammation, ulcers, or gastroesophageal reflux disease in the esophagus, stomach, and duodenum. The duration of medication treatment varies, and sometimes testing for Helicobacter pylori is co...[Read More] Understanding the Necessity of Gastroscopy in Gastrointestinal Health
Do Multiple Gastric Polyps Require Surgical Removal?
Is it necessary to remove multiple hyperplastic gastric polyps? Hello Dr. Lin, I recently had an endoscopy that revealed multiple small polyps, but my doctor only performed a biopsy. Is there a need to consult another doctor for surgical removal?
Dr. Lin Minghui Reply:
Hello: Whether gastric polyps need to be completely removed depends on the histological type, size, and location. Hyperplastic polyps are generally recommended for removal if they are larger than 2 cm, if they have a stalk, or if there has been a history of bleeding. Hyperplastic...[Read More] Do Multiple Gastric Polyps Require Surgical Removal?
Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Is esophageal ulcer prone to developing esophageal cancer? Hello Doctor: Last May, I was diagnosed with a gastric ulcer and Helicobacter pylori during an endoscopy. After two months of treatment, I underwent another endoscopy, and the doctor said the ulcer had healed and the bact...
Dr. Chen Shidian Reply:
Hello Ms. Nini: It is likely a new lesion, mostly caused by gastric acid or external irritants. A biopsy can rule out cancer, but the chances are very low (especially since you do not smoke or drink). If you are concerned, a follow-up endoscopy in 1 to 2 months would be sufficien...[Read More] Are Esophageal Ulcers a Risk Factor for Esophageal Cancer?
Understanding Stomach Discomfort and Throat Issues: Causes and Solutions
Bloating in the stomach and a strange sensation in the throat? Hello Doctor: Since around October of last year, I have been experiencing bloating due to excessive lemon water consumption and anxiety. In late October, I underwent an endoscopy, and the doctor informed me that I had...
Dr. Cai Anshun Reply:
Hello: 1. If your sore throat is caused by gastroesophageal reflux disease (GERD), it is indeed necessary to first address the issue of excessive stomach acid. 2. Medications can help alleviate symptoms when they are most pronounced, but in the long term, it is advisable to avoid...[Read More] Understanding Stomach Discomfort and Throat Issues: Causes and Solutions