Understanding Duodenal Ulcer Treatment and Managing Symptoms
Treatment of Duodenal Ulcer Hello Doctor, I recently underwent an upper gastrointestinal endoscopy due to discomfort in my stomach, and the doctor mentioned that I have a mild duodenal ulcer without Helicobacter pylori infection. I was prescribed Pantoprazole for two months. In t...
Dr. Li Yongming Reply:
Nexium (esomeprazole) belongs to the class of proton pump inhibitors and is currently the strongest antacid approved by the Taiwan Ministry of Health and Welfare. Commonly used proton pump inhibitors include Pantoloc (pantoprazole), Nexium (esomeprazole), Pariet (rabeprazole), an...[Read More] Understanding Duodenal Ulcer Treatment and Managing Symptoms
Understanding Duodenal Ulcers and H. Pylori: Seeking a Second Opinion
Ulcers and Helicobacter pylori? Hello: A couple of weeks ago, I had an upper gastrointestinal endoscopy, and the doctor told me that I have a duodenal ulcer. He prescribed two types of antibiotics, along with a medication for Helicobacter pylori and an antiemetic. On that day, th...
Dr. Chen Qifeng Reply:
Hello: Duodenal ulcer combined with Helicobacter pylori infection is clinically treated with a triple therapy (two antibiotics + ulcer medication), primarily aiming to eradicate Helicobacter pylori to reduce the risk of ulcer recurrence. If you wish to seek treatment at another h...[Read More] Understanding Duodenal Ulcers and H. Pylori: Seeking a Second Opinion
Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Waking up in the middle of the night with a sore throat? Hello Doctor: I have a gastric ulcer and underwent gastroscopy in January and May (with Helicobacter pylori infection). In January, I had to take antibiotics for a week (a total of ten pills per day) to treat the ulcer. Dur...
Dr. Chen Qifeng Reply:
Hello: In terms of gastroenterology, it is recommended to check liver function and assess for the recurrence of ulcers or the condition of gastroesophageal reflux. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Understanding Bloating: Key Questions About Gastrointestinal Health
Bloating issues? Hello Doctor: I have been experiencing frequent bloating in my stomach for the past month. Last week, I underwent an ultrasound and gastroscopy at a certain hospital. The doctor mentioned that there is a small protrusion in my stomach, but tests showed no cancer ...
Dr. Lin Minghui Reply:
Hello: 1. Intestinal metaplasia is associated with chronic inflammation and gastric mucosal atrophy, and it is related to a specific type of gastric cancer. Some cases are associated with Helicobacter pylori, but eradication does not always lead to resolution, indicating changes ...[Read More] Understanding Bloating: Key Questions About Gastrointestinal Health
Chronic Diarrhea: Understanding Causes and Effective Management Strategies
Frequent diarrhea? Hello, doctor. I have been suffering from diarrhea for many years. Previously, I experienced diarrhea about once a week. About a year ago, I underwent an upper gastrointestinal endoscopy, which diagnosed me with a gastric ulcer, and I was treated for Helicobact...
Dr. Chen Shidian Reply:
Dear Mr. Aban, 1. First, check for any abnormalities in your stool. 2. Reduce your intake of fatty foods and dairy products. 3. Use motility agents before meals. 4. Strong ulcer medications can occasionally have diarrhea as a side effect. Changhua Hospital cares about your...[Read More] Chronic Diarrhea: Understanding Causes and Effective Management Strategies
Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Stomach Hello, the doctor mentioned that I have an ulcer after my gastroscopy. I would like to ask if the cause of the ulcer could be due to irregular eating habits, or is it more likely due to stress? Thank you.
Dr. Lin Minghui Reply:
Hello: The causes of peptic ulcers are numerous, including: 1. The causes of peptic ulcers include Helicobacter pylori infection, excessive gastric acid, medication-induced damage to the gastric mucosa, bile reflux, smoking and alcohol consumption, stress, and the loss of protect...[Read More] Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Persistent Diarrhea and Abdominal Pain After H. Pylori Treatment: What to Know
Helicobacter pylori After using the triple therapy for Helicobacter pylori eradication for several days, you started experiencing loose stools, occurring two to three times a day, with urgency, and pain in the lower right abdomen. You stopped the medication after two weeks, and n...
Dr. Chen Qifeng Reply:
Hello, first-line triple therapy often contains clarithromycin, and it may have gastrointestinal side effects such as nausea, vomiting, and diarrhea. Generally, these symptoms improve after discontinuation of the medication. If symptoms persist, it is recommended to follow up at ...[Read More] Persistent Diarrhea and Abdominal Pain After H. Pylori Treatment: What to Know
Exploring the Link Between Helicobacter Pylori and Constipation
Helicobacter pylori and constipation? Is there a relationship between constipation and Helicobacter pylori? If I successfully treat Helicobacter pylori, will my constipation issue also be resolved? (I have been experiencing chronic constipation, and my friend suggested that there...
Dr. Chen Shidian Reply:
Hello: Currently, Helicobacter pylori is primarily associated with gastrointestinal symptoms such as gastric discomfort or the development of gastric or duodenal ulcers. In the younger population, abdominal constipation is often caused by poor gastrointestinal motility or inadequ...[Read More] Exploring the Link Between Helicobacter Pylori and Constipation
Understanding Your Stomach Issues: Should You Test for H. Pylori?
excuse me? Hello, Doctor. I do not have any bad habits such as smoking, drinking alcohol, or chewing betel nut (and neither do my family members). Since February of this year, I have been experiencing discomfort in my stomach. I consulted both a family doctor and a traditional Ch...
Dr. Chen Shidian Reply:
Hello, sir: Currently, ultrasound is not appropriate for assessing the stomach, and your gastric symptoms do indeed require an endoscopy. If you have a fear of endoscopy, you may choose a hospital that offers sedation for the procedure. Changhua Hospital cares about your health.[Read More] Understanding Your Stomach Issues: Should You Test for H. Pylori?
Managing Helicobacter Pylori: Treatment, Symptoms, and Health Concerns
Helicobacter pylori Hello, last year I underwent a gastric biopsy for Helicobacter pylori at a major hospital, and I took antibiotics and eradication medications for three months. I also had a breath test for Helicobacter pylori, and it showed that I no longer had the bacteria. H...
Dr. Chen Shidian Reply:
Hello, ma'am: Blood tests for Helicobacter pylori check for antibodies. If you have previously been infected with Helicobacter pylori, the antibodies may still be present in your blood even after the infection has been eradicated, resulting in a positive reaction. If you are...[Read More] Managing Helicobacter Pylori: Treatment, Symptoms, and Health Concerns
Post-Ulcer Diet: What to Avoid After Treatment for Stomach Ulcers
Diet After Ulcer Healing Hello doctor, due to long-term stomach discomfort, I recently underwent an endoscopy, and the results showed that I have an ulcer and Helicobacter pylori infection. I am currently undergoing antibiotic treatment. I would like to know if I will be prone to...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the success rate of Helicobacter pylori treatment is around 80%. If the treatment is successful, there is a very low chance of reinfection or recurrence. However, although the recurrence of ulcers is primarily associated with Helicobacter pylori, it is ...[Read More] Post-Ulcer Diet: What to Avoid After Treatment for Stomach Ulcers
Long-Term Gastrointestinal Issues: Seeking Solutions for Constipation and Bloating
Gastrointestinal condition has not improved for several years? Hello Doctor: I have had three previous episodes of gastric ulcers and also have a Helicobacter pylori issue (I have completed a 14-day course of medication). However, my biggest problem now is constipation and gastro...
Dr. Chen Shidian Reply:
Hello, Miss: It is recommended to work with your physician to manage your diet and lifestyle, as well as to take medication to adjust gastrointestinal motility. Changhua Hospital cares about your health. Chen Shidian[Read More] Long-Term Gastrointestinal Issues: Seeking Solutions for Constipation and Bloating
Best Methods to Test for H. Pylori After Incomplete Treatment
Please inquire again about the methods for detecting Helicobacter pylori in the stomach? Dr. Chen, I apologize for asking again about the previous question, but I still don't quite understand. I once had a blood test that revealed the presence of Helicobacter pylori, and I u...
Dr. Chen Shidian Reply:
Hello, sir: The 13C test can determine if there are bacteria "now." A blood test indicates if there were bacteria "previously," so it cannot be used for tracking (it may still be positive). Changhua Hospital cares about your health. Chen Shidian[Read More] Best Methods to Test for H. Pylori After Incomplete Treatment
Understanding Helicobacter Pylori Testing: Breath vs. Blood Methods
What are the methods for measuring Helicobacter pylori in the stomach? 1. The blood test for Helicobacter pylori can indicate the presence of the bacteria, but it is not definitive for confirming its absence. False negatives can occur, especially if the infection has been treated...
Dr. Chen Shidian Reply:
Hello, sir: 1. Blood tests can only determine if there has been an infection in the past, so blood tests after antibacterial treatment may not be accurate. 2. The breath test indicates whether there is an active infection, making it suitable for testing both before and after trea...[Read More] Understanding Helicobacter Pylori Testing: Breath vs. Blood Methods
Understanding Stomach Symptoms: Managing GERD and Medication Options
Regarding gastrointestinal symptoms? Hello Dr. Chen, I apologize for bothering you again. I am currently on medication for gastroesophageal reflux disease and have been tested negative for Helicobacter pylori. I have been taking Nexium for 10 days now, and every day after lunch...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the efficacy of Nexium is stronger than that of Pantoloc. Some patients indeed require Nexium twice a day (although health insurance only covers it once a day). Regarding your symptoms, it is possible that you may have gastritis. It is advisable not to ...[Read More] Understanding Stomach Symptoms: Managing GERD and Medication Options
Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been experiencing gastroesophageal reflux for almost 4 months now. I have undergone various tests including gastroscopy, X-rays, blood tests, and ultrasound. The gastroscopy report indicated that there is erosion in my s...
Dr. Chen Qifeng Reply:
Hello, 1. Nexium is currently one of the most potent acid-suppressing medications available, but individual "dosage requirements" may vary. Some GERD patients may need to take it twice a day to adequately relieve their symptoms (however, health insurance does not cove...[Read More] Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Should I Resume Medication for My Acid Reflux Symptoms?
Should I continue taking medication for gastroesophageal reflux disease (GERD)? I previously experienced symptoms of gastroesophageal reflux disease (GERD) and underwent an endoscopy, during which my doctor prescribed medication. The doctor advised that I should take the medicati...
Dr. Chen Qifeng Reply:
Hello, you are experiencing typical recurrent gastroesophageal reflux disease (GERD), which is a condition that is prone to recurrence. It is not directly related to Helicobacter pylori. Wishing you good health, Dr. Chen Qi-Feng, Taoyuan Hospital, Department of Health.[Read More] Should I Resume Medication for My Acid Reflux Symptoms?
Addressing Duodenal Ulcer Treatment Challenges: A Patient's Journey
Duodenal ulcer treatment issues? Hello Doctor, I went to the hospital in early March due to stomach pain and unexpectedly found out I have a duodenal ulcer after undergoing an endoscopy. After a month of treatment with Tegoprazan, I experienced persistent anxiety, palpitations, i...
Dr. Chen Qifeng Reply:
Hello, 1. At least 90% of cases of duodenal ulcers are associated with Helicobacter pylori, which is why some physicians may initiate triple therapy without testing for the bacteria. Simply taking amoxicillin is not sufficient; if the medication is inappropriate, other antibiot...[Read More] Addressing Duodenal Ulcer Treatment Challenges: A Patient's Journey
Can IGY Be Used to Treat Stomach Ulcers and H. Pylori Infections?
What are the therapeutic effects of IGY? Can IGY be used to treat gastric ulcers and Helicobacter pylori (as indicated by the endoscopy performed by the doctor)? It seems that the stomach issues have recurred...
Dr. You Ligang Reply:
Hello, IGY is a treatment method using immune antibodies targeting Helicobacter pylori, but due to the lack of large-scale evidence, its effectiveness is unclear. Currently, there are triple and quadruple therapies for eradicating Helicobacter pylori, which have empirical support...[Read More] Can IGY Be Used to Treat Stomach Ulcers and H. Pylori Infections?
Understanding Bad Breath: Is It Linked to Gastrointestinal Issues?
Could you please advise if the bad breath issue is caused by gastrointestinal problems? Hello, Doctor: I have been struggling with chronic bad breath for many years. The unpleasant odor in my mouth seems to be emanating from within my body. Even after I clean my mouth, the bad br...
Dr. Chen Shidian Reply:
Hello, Miss: Please first have your dental health and periodontal disease confirmed by a dentist, and then consider a self-funded bacterial test (blood test). If the result is positive, you may consider self-funded antimicrobial treatment. Changhua Hospital cares about your healt...[Read More] Understanding Bad Breath: Is It Linked to Gastrointestinal Issues?