Understanding Barrett's Esophagus: Treatment Duration and Lifestyle Tips
Barrett's esophagus Hello Doctor, during my health check-up this year, I was diagnosed with Barrett's esophagus, esophagitis, chronic gastritis with intestinal metaplasia and erosion, and I do not have Helicobacter pylori. I am currently taking PANTOLOC 40MG. How long s...
Dr. Zhang Kebin Reply:
Hello Mr. Fang: You inquired about Barrett's esophagus? Barrett's esophagus is a precancerous condition that requires regular monitoring based on its length and degree of dysplasia. It cannot be completely eradicated. Regarding Barrett's esophagus, the European Soc...[Read More] Understanding Barrett's Esophagus: Treatment Duration and Lifestyle Tips
Understanding Bloating: Causes, Symptoms, and Treatment Options
Gastrointestinal bloating Doctor, I have a question. About a month ago, I went to the hospital and had an upper gastrointestinal endoscopy. My stool tested negative for occult blood, and I also had an ultrasound. The doctor diagnosed me with gastroesophageal reflux disease (GERD)...
Dr. Chen Shidian Reply:
It is likely a case of digestive abnormalities, which can be assisted with digestive aids and dietary adjustments. It is advisable to avoid high FODMAP foods (details can be found online; the term "FODMAP" stands for Fermentable Oligosaccharides, Disaccharides, Monosacc...[Read More] Understanding Bloating: Causes, Symptoms, and Treatment Options
Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Chronic gastritis The gastroscopy revealed the presence of Helicobacter pylori, chronic gastritis, and gastroesophageal reflux disease (GERD), with no ulcers present. I have completed a 14-day triple antibiotic regimen prescribed by the hospital. While the symptoms of chronic gas...
Dr. Chen Shidian Reply:
Treatment needs to be observed for a while before a determination can be made. Individuals should avoid foods that they find unsuitable, primarily sweet, spicy, irritating, or dairy products.[Read More] Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Managing Nausea and GERD: Insights from Gastroenterology
Dry heaving, nausea, gastritis, GERD (Gastroesophageal Reflux Disease) Q: After lying down and getting up, I feel nauseous and need to eat or drink something to alleviate it. Examination: Gastritis (no Helicobacter pylori), excessive gastric acid after 8 hours of NPO, gastroesoph...
Dr. Chen Shidian Reply:
Medication can be discussed with the primary care physician (medications to be taken at bedtime? Some may require out-of-pocket expenses?) along with weight loss, increased physical activity, and dietary adjustments.[Read More] Managing Nausea and GERD: Insights from Gastroenterology
Understanding Duodenal Ulcers: Recurrence Risks and Management Tips
Duodenal ulcer Hello, doctor. Recently, I went to the hospital for an endoscopy due to stomach discomfort. During the examination, the doctor found two duodenal ulcers and conducted a test for Helicobacter pylori. During my follow-up visit today, the doctor said that Helicobacter...
Dr. Cai Anshun Reply:
Hello: The treatment for ulcers typically involves a proton pump inhibitor for about four months, and long-term medication is not necessary. It is important to avoid irritating foods and reduce stress. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Duodenal Ulcers: Recurrence Risks and Management Tips
Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Gastrointestinal and gastroesophageal reflux issues? I have been experiencing loose and unformed stools for a long time. On several occasions, after using the restroom, I noticed fresh blood similar to that from a ruptured hemorrhoid (not from an anal fissure). I also frequently ...
Dr. Cai Anshun Reply:
Hello: If you continue to have symptoms, gastroesophageal reflux may require changes in your dietary and lifestyle habits. Avoid prolonged sitting or standing to prevent varicose veins, which may help improve your symptoms. Changhua Hospital cares about your health. Dr. Tsai An-s...[Read More] Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Frequent nighttime stomach pain accompanied by back pain? I often experience stomach pain accompanied by back pain at night, and the pain lasts for about 10 hours until the next day, making it impossible to sleep. After seeing a doctor and undergoing tests, no Helicobacter pylori...
Dr. Cai Anshun Reply:
Hello: In addition to medication, it is important to review and improve dietary habits and lifestyle factors that may contribute to gastroesophageal reflux disease (GERD). If the issue is not related to the stomach, we should also rule out problems with the liver, gallbladder, pa...[Read More] Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Does Antibiotic Use Affect the Accuracy of H. Pylori Stool Tests?
Helicobacter pylori Hello Doctor, I underwent an upper gastrointestinal endoscopy, ultrasound, and Helicobacter pylori stool test on September 30th, and all results were normal. However, I would like to ask if taking 2 to 4 Amoxicillin capsules due to root canal treatment a while...
Dr. Chen Shidian Reply:
The dosage of the medication should not affect the test results.[Read More] Does Antibiotic Use Affect the Accuracy of H. Pylori Stool Tests?
Does Taking Antacids Affect Helicobacter Pylori Stool Test Results?
Helicobacter pylori stool test Hello, doctor. Due to stomach discomfort, I visited the hospital on September 29 and took a gastric antacid prescribed by the doctor that evening. The next day, during the gastroscopy and abdominal ultrasound, everything was normal except for mild g...
Dr. Chen Shidian Reply:
I cannot.[Read More] Does Taking Antacids Affect Helicobacter Pylori Stool Test Results?
Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Helicobacter pylori Hello Doctor: I have been experiencing recurrent abdominal pain, so I visited a gastroenterologist for an examination. After undergoing an endoscopy, the doctor mentioned that there were some abrasions in my stomach, but no Helicobacter pylori was detected. I ...
Dr. Cai Anshun Reply:
Hello: There are two methods for detecting Helicobacter pylori during an upper gastrointestinal endoscopy. One method involves taking a biopsy, which is then examined by a pathologist under a microscope to check for the presence of Helicobacter pylori in the gastric tissue. If th...[Read More] Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
About 5 to 6 years ago, there was a suspicion of gastrointestinal bleeding, with the expulsion of coffee-colored material? Hello, doctor. I have a question. About 5 to 6 years ago, I experienced symptoms of suspected gastric bleeding, as I vomited brownish material, but I did not...
Dr. Lin Minghui Reply:
Hello: The previous gastrointestinal bleeding may be related to the current gastritis. A 15-year-old boy had a history of gastric bleeding and vomited coffee grounds. Possible causes of the bleeding include inflammation, erosion, or ulcers in the esophagus, stomach, or duodenum, ...[Read More] Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Is it necessary to have regular check-ups for mild gastroesophageal reflux disease (GERD) until it is completely resolved? Hello Doctor, I am 23 years old and have undergone gastroscopy which indicated grade A mild reflux. Over the past ten years, I have had several check-ups wit...
Dr. Cai Anshun Reply:
Hello: 1. If there are no symptoms, medication is not necessary. It is sufficient to pay attention to dietary and lifestyle adjustments. Tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods, as well as being und...[Read More] Do I Need Ongoing Treatment for Mild Acid Reflux? Understanding Risks and Management
Can Triple Therapy for H. Pylori Treat Urinary Tract Infections?
Triple therapy for Helicobacter pylori? Hello Dr. Chen: I am currently undergoing a triple therapy for Helicobacter pylori, which includes a medication called amoxicillin. My doctor mentioned that it is also used clinically to treat urinary tract infections. I seem to be showing ...
Dr. Chen Shidian Reply:
Theoretically, it has a bactericidal effect throughout the body, but the effectiveness varies depending on the type of bacteria.[Read More] Can Triple Therapy for H. Pylori Treat Urinary Tract Infections?
Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Gastrointestinal endoscopy issues? Hello, last month I visited a clinic due to issues with hiccups and a sensation of something stuck in my throat. The doctor arranged for me to undergo an endoscopy, and the results showed only mild gastroesophageal reflux disease (GERD) with no ...
Dr. Chen Shidian Reply:
The clinic equipment should be fine. You can first adjust the medication and diet, and then return for a follow-up appointment.[Read More] Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
If the effectiveness of PPI medications for acid reflux is poor, what should be done? My symptoms include a burning and uncomfortable sensation in the upper abdomen (possibly in the duodenum or stomach), which is most severe when I am fasting. Interestingly, the symptoms are less...
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 should be considered. Avoid late-night snacks, do not lie down after eating, refrain f...[Read More] Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Gastric ulcer issues? Hello, doctor! In February of this year, I underwent a gastroscopy, which revealed the presence of a gastric ulcer, but there was no Helicobacter pylori infection. I was prescribed a proton pump inhibitor (PPI) for four months. After taking the medication fo...
Dr. Yang Zhichao Reply:
Hello Mr. Jason: 1. You have been experiencing abdominal bloating, urination issues, and occasional mild pain for the past 1 to 2 weeks, along with foul-smelling gas or bowel movements, which should not be related to the medication. 2. Regarding the repeat endoscopy, it is lik...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Understanding Side Effects of Triple Therapy for H. Pylori Treatment
Side effects and symptoms after taking medication? I would like to ask if it is normal to experience diarrhea, predominantly black in color, for five days after completing a one-week course of a triple therapy for Helicobacter pylori. Is this still a side effect of the triple the...
Dr. Zhang Kebin Reply:
Hello Mr. Wei Lun: You reported that after completing a week of the triple therapy for Helicobacter pylori, you have been experiencing persistent diarrhea, predominantly black in color. Black stools may indicate gastrointestinal bleeding. While antibiotics can cause diarrhea, the...[Read More] Understanding Side Effects of Triple Therapy for H. Pylori Treatment
Understanding Chronic Gastritis and Intestinal Metaplasia: Risks and Concerns
Gastrointestinal Endoscopy Pathology Report The pathology report from your endoscopic biopsy indicates chronic gastritis with focal intestinal metaplasia, but no Helicobacter pylori infection was found. Yes, intestinal metaplasia refers to the presence of intestinal-type cells in...
Dr. Chen Shidian Reply:
There is only mild localized dysplasia, and no bacteria present, so there is no need to worry about deterioration.[Read More] Understanding Chronic Gastritis and Intestinal Metaplasia: Risks and Concerns
Understanding the Link Between GERD and Helicobacter Pylori Infection
Gastroesophageal reflux disease (GERD) and Helicobacter pylori? I have gastroesophageal reflux disease (GERD) and underwent an endoscopy. The doctor confirmed the presence of reflux and asked if I wanted to undergo eradication therapy for Helicobacter pylori. I would like to unde...
Dr. Cai Anshun Reply:
Hello: It is recommended to eradicate Helicobacter pylori if there is a gastric ulcer. However, if there is no gastric ulcer, eradication is not necessarily required, except in cases of anemia or a family history of gastric cancer. In my opinion, when treating gastroesophageal re...[Read More] Understanding the Link Between GERD and Helicobacter Pylori Infection
Understanding Stomach Ulcers: Healing, Diet, and Recovery Time
Gastric ulcer issues? Hello Doctor, I recently went to the hospital for an upper gastrointestinal endoscopy, and it was confirmed that my persistent upper abdominal pain was caused by a gastric ulcer. However, the doctor mentioned that my ulcer has already formed a scar. What doe...
Dr. Chen Shidian Reply:
It should be healed, and only symptomatic treatment is needed, along with avoiding irritating foods. Whey protein should not pose any issues.[Read More] Understanding Stomach Ulcers: Healing, Diet, and Recovery Time