Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Upper gastrointestinal endoscopy results? [First Endoscopy Findings]: (Esophagus): Mucosal break at the esophagogastric junction less than 5mm. (Stomach): CLO test was performed. Hyperemic mucosal changes at the antrum, shallow gastric ulcer at the antrum, s/p. (Duodenum): Narrow...
Dr. Chen Shidian Reply:
The grading of gastroesophageal reflux disease (GERD) can be somewhat subjective and may vary between physicians. The principle of treatment is to control symptoms with proton pump inhibitors (PPIs) such as Nexium. If there is no Helicobacter pylori infection, antibiotics are not...[Read More] Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Understanding and Managing Symptoms of Gastroparesis and GERD
Gastric ptosis, gastric tightness, and abdominal bloating significantly affect daily life. How can these conditions be improved? Symptoms: The most troubling symptoms are 1. A feeling of gastric ptosis (a sense of heaviness in the abdomen). 2. A sensation of gastric sensitivity, ...
Dr. Chen Shidian Reply:
The preliminary diagnosis is likely related to reflux and abnormal (slow) peristalsis. A diet of small, frequent meals and medication management is recommended. Additionally, an abdominal ultrasound and Ca 19-9 test can be performed, and a CT or MRI can be done at the patient...[Read More] Understanding and Managing Symptoms of Gastroparesis and GERD
Understanding Stomach Ulcers: Persistent Pain and Treatment Concerns
Diagnosed with a gastric ulcer on December 6th? On December 6th, I was diagnosed with a gastric ulcer in the emergency department. I have been experiencing pain in my lower back and thighs, and I have trouble sleeping at night. I underwent a CT scan and an endoscopy, but no abnor...
Dr. Lin Minghui Reply:
The pharmacological treatment for gastric ulcers may require 8 to 12 weeks, and it is important to understand the underlying causes of gastric ulcers. Chronic stress, irregular eating habits, Helicobacter pylori infection, alcohol consumption, smoking, and the use of analgesics c...[Read More] Understanding Stomach Ulcers: Persistent Pain and Treatment Concerns
Understanding Side Effects of Eitui Pills for Stomach Ulcers
Taking Yikui tablets for body nourishment? Hello Dr. Chen, I underwent an upper gastrointestinal endoscopy on Monday, and the doctor diagnosed me with a gastric ulcer and a duodenal ulcer caused by Helicobacter pylori. On Wednesday, the doctor prescribed me a three-month supply ...
Dr. Chen Shidian Reply:
Any medication can potentially cause an allergic reaction, but it is not yet proven that this specific drug is the cause. It may be advisable to take an antihistamine and try the medication again, or to switch to a different drug altogether.[Read More] Understanding Side Effects of Eitui Pills for Stomach Ulcers
Persistent Stomach Pain and Bloating: When Medications Fail
Stomach pain and bloating that do not improve with medication? Hello, doctor. I've been experiencing gastrointestinal bloating and stomach pain for two months. I underwent an endoscopy, and the doctor diagnosed me with gastric erosion and gastroesophageal reflux disease (GER...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate can have an impact. Avoid late-night snacks, eat until satisfied without lying down, r...[Read More] Persistent Stomach Pain and Bloating: When Medications Fail
Understanding Black Residues in Stool: When to Worry?
Bowel issues Hello, I ate chrysanthemum greens the day before yesterday. Could that cause black residue in my stool? My stool is normally yellow, thick, and long, but there is a black strip and a flat black piece embedded in it. I had a colonoscopy and gastroscopy in March and Ap...
Dr. Chen Shidian Reply:
It is normal for the color of digested vegetables to appear darker; there is no need to worry about it.[Read More] Understanding Black Residues in Stool: When to Worry?
Understanding Abdominal Bloating: Symptoms, Causes, and Solutions
Abdominal bloating Doctor, this issue has been bothering me for a long time. I have repeatedly visited the outpatient clinic many times. In August of last year, I had my first gastroscopy, and the doctor said I had Helicobacter pylori and gastritis. He prescribed medication for t...
Dr. Chen Shidian Reply:
You can discuss with the gastroenterologist whether the imaging diagnosis is consistent with a hiatal hernia. Additionally, the dosage of gastric medication can be adjusted based on symptoms or may be temporarily discontinued. It is also recommended to take a walk after meals and...[Read More] Understanding Abdominal Bloating: Symptoms, Causes, and Solutions
Managing Helicobacter Pylori Treatment: Diet and Medication Concerns
Helicobacter pylori medications and diet? 1. Currently, you are being treated for Helicobacter pylori, and you are experiencing a bitter taste in your mouth as a side effect of the medication. Is it acceptable to consume sugar (hawthorn cake) three hours after taking the medicati...
Dr. Cai Anshun Reply:
Hello: 1. Yes. 2. After rolling it, once the alcohol evaporates, it should be fine. 3. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Managing Helicobacter Pylori Treatment: Diet and Medication Concerns
Understanding Persistent Abdominal Pain: Causes and Next Steps
Abdominal discomfort lasting for three to four months? Hello doctor, I usually experience abdominal pain that lasts no longer than 3 to 6 seconds, similar to a sudden punch. However, the location varies; sometimes it's between my stomach and chest, sometimes in the left uppe...
Dr. Chen Shidian Reply:
It is likely not a gastrointestinal issue. It is recommended to adopt a healthy diet for weight loss, avoid intense exercise during pain, and warm up before exercising to prevent strains.[Read More] Understanding Persistent Abdominal Pain: Causes and Next Steps
Understanding Abdominal Pain: When to Seek Further Gastrointestinal Evaluation
Abdominal tenderness and distension? For the past two weeks, I have been experiencing a bloating and pain sensation above my navel. Sometimes the discomfort is more on the left side, sometimes on the right, but mostly it is directly above. Initially, I had some mild diarrhea, but...
Dr. Cai Anshun Reply:
Hello: Based on your description, it sounds like you may be experiencing discomfort due to acute gastroenteritis. It is advisable to start with a light diet and avoid overeating. If there is no improvement, we can consider an endoscopy. Changhua Hospital cares about your health. ...[Read More] Understanding Abdominal Pain: When to Seek Further Gastrointestinal Evaluation
Chronic Hiccups: Unraveling the Mystery of Persistent Gastrointestinal Issues
Persistent hiccups that cannot be cured? Hello, I would like to inquire about a concern regarding my girlfriend. It started about three years ago when she began experiencing increasing symptoms such as bloating, burping, dry heaving, vomiting, sudden vision changes, weakness in h...
Dr. Lin Minghui Reply:
Endless hiccups, dry heaving, and vomiting... Additionally, due to continuous hiccups, there are difficulties in breathing, elevated blood pressure, dizziness, headaches, and increased heart rate. A psychiatric evaluation has confirmed autonomic nervous system dysfunction. Initia...[Read More] Chronic Hiccups: Unraveling the Mystery of Persistent Gastrointestinal Issues
Why Does Gastritis Always Strike After Late Dinner?
Why does gastritis always occur in the early hours after dinner? Hello doctor, my current condition is as follows: I have undergone gastroscopy four times this year, showing mild gastritis and the presence of Helicobacter pylori, which has been eradicated. I have been taking PPIs...
Dr. Chen Shidian Reply:
Take the PPI before bedtime. If discomfort persists, return for a follow-up consultation.[Read More] Why Does Gastritis Always Strike After Late Dinner?
Understanding Gastrointestinal Issues: Symptoms and Concerns
Bowel-related issues, gastrointestinal problems? Due to an unstable routine over the past two months, combined with the consumption of spicy foods and a tendency to overeat, I have been experiencing constipation for more than a month. About two weeks ago, I noticed passing what a...
Dr. Hu Guozheng Reply:
According to your statement, there should be a difference in the color and consistency of the stool, and although a recent endoscopy was normal, the issue has recurred. Gastrointestinal bleeding can manifest as black or bloody stools, but not all black stools necessarily indicate...[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns
Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues
Foul-smelling breath? Since October, I have been experiencing a foul odor in my breath that seems normal to me, although I can occasionally smell it (it's not pungent). Every time I take the subway three times, people around me start to react to the smell (coughing, covering...
Dr. Chen Shidian Reply:
Halitosis is primarily caused by dental issues. Additionally, one can opt for self-paid testing for Helicobacter pylori and undergo eradication therapy.[Read More] Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Right abdominal dull and sharp pain for almost a month? One night, I was suddenly awakened by what seemed to be acute gastroenteritis, experiencing vomiting and fever. The next morning, I saw a doctor and felt some improvement. However, after a few days, my symptoms worsened. Ini...
Dr. Chen Shidian Reply:
Please discuss with the attending physician.[Read More] Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Understanding Helicobacter Pylori: Conflicting Test Results Explained
Inquiry about Helicobacter pylori? Dear Doctor, I underwent an upper gastrointestinal endoscopy on November 1st, and everything was normal. Today, the clinic staff called to inform me that there is no Helicobacter pylori. However, I find it strange because in February of this yea...
Dr. Cai Anshun Reply:
Hello: There are two methods for detecting Helicobacter pylori via gastroscopy: the rapid urease test and histopathological examination of tissue samples. Since both require the collection of gastric tissue for testing, a negative result may occur if the tissue sample does not in...[Read More] Understanding Helicobacter Pylori: Conflicting Test Results Explained
Understanding Subepithelial Tumors in the Stomach: Key Questions Answered
Regarding submucosal tumors of the stomach? Hello, Doctor. I previously asked you a question and have not received a response yet. Today, I checked my health record and saw the report from my endoscopy, so I would like to attach it for your clarification. Here is the text report:...
Dr. Cai Jinji Reply:
Hello Miss Anonymous: It is advisable to confirm the diagnosis first before deciding on the course of action. There are many possibilities for submucosal tumors of the stomach, and generally, the larger the tumor, the higher the chance of malignancy. As for surgery, it will depen...[Read More] Understanding Subepithelial Tumors in the Stomach: Key Questions Answered