Understanding Side Effects of Helicobacter Pylori Treatment
Side effects of Helicobacter pylori? Hello, doctor. I have been taking medication for Helicobacter pylori. The first day was fine, but starting from the second day, I experienced severe bloating. After taking the medication, my stomach feels like it's slowly inflating like a...
Dr. Cai Anshun Reply:
Hello: Helicobacter pylori is often treated with a quadruple or triple therapy, which includes two or three antibiotics. Some gastrointestinal discomfort may occur, but if it is not severe, you can continue the treatment as prescribed. If the discomfort is more severe and intoler...[Read More] Understanding Side Effects of Helicobacter Pylori Treatment
Do You Need a Biopsy for Stomach Ulcers? Understanding Risks and Recovery
Gastric ulcer biopsy Hello Doctor: Last month, I underwent an endoscopy due to stomach pain. After the procedure, the doctor informed me that I have an ulcer. I asked the doctor if a biopsy was necessary and whether there were any signs of potential cancer. The doctor said that t...
Dr. Chen Shidian Reply:
He must be confident, which is why he didn't perform a biopsy. Please discuss this with the attending physician. Symptoms typically improve within one week, and healing time depends on the size, usually taking 1 to 2 months for complete healing.[Read More] Do You Need a Biopsy for Stomach Ulcers? Understanding Risks and Recovery
Long-Term GERD and the Impact of Helicobacter Pylori Infection
Long-term gastroesophageal reflux disease (GERD) followed by the detection of Helicobacter pylori? Hello, Doctor. I have been experiencing gastroesophageal reflux disease (GERD) for three years now. I previously consulted with an otolaryngologist and a pulmonologist, and finally ...
Dr. Chen Shidian Reply:
Symptoms may be related to reflux; medication can be taken to see if there is any improvement, and discontinuation of the medication can help determine if symptoms recur. Additionally, it is recommended to eradicate Helicobacter pylori. Whether this will increase reflux can be mo...[Read More] Long-Term GERD and the Impact of Helicobacter Pylori Infection
Risk of H. pylori Infection from Contaminated Surfaces: A Café Scenario
The transmission rate of Helicobacter pylori? If you washed your hands with soap in the restroom and then touched the restroom doorknob with your left hand, followed by eating noodles and accidentally spilling some drink on your left hand, which then dripped onto the noodles that...
Dr. Chen Shidian Reply:
It should be zero! However, please continue to be cautious about food hygiene.[Read More] Risk of H. pylori Infection from Contaminated Surfaces: A Café Scenario
Understanding Left Upper Abdominal Pain: Causes and Concerns
Left upper abdominal tenderness, nausea, and bloating? Hello, doctor. At the beginning of February, I visited the clinic three times due to frequent belching and nausea occurring 1 to 2 hours after meals. Twice, my family physician prescribed medication for gastroesophageal reflu...
Dr. Chen Shidian Reply:
Due to weight loss, it is recommended to undergo an upper gastrointestinal endoscopy or ultrasound for peace of mind.[Read More] Understanding Left Upper Abdominal Pain: Causes and Concerns
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension that makes me want to burp but I can't, so I take antacids. In the past, taking an antacid once would help with dig...
Dr. Zhang Kebin Reply:
Hello Mr. CC: You reported that recently you often feel bloated after meals, with a sensation of upper abdominal distension and a desire to burp. Taking antacids provides some relief, but the dosage needs to be increased. It is recommended that you discuss with your primary physi...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension and an urge to burp that I can't relieve, so I take antacids. In the past, taking an antacid once would help with d...
Dr. Zhang Kebin Reply:
Hello Mr. CC: You reported that lately you often feel bloated after meals, experiencing a sensation of upper abdominal distension and the urge to burp. Taking gastric medication provides some relief, but the dosage needs to be increased. It is recommended that you discuss with yo...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension and an urge to burp that I can't seem to relieve, so I take antacids. In the past, taking antacids once would help ...
Dr. Zhang Kebin Reply:
Hello Mr. CC: You reported that lately you often feel bloated after meals, experiencing a sensation of upper abdominal distension and the urge to burp. Taking antacids provides some relief, but the dosage needs to be increased. It is recommended that you discuss with your primary...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Understanding Bloating and Digestive Issues: Causes and Solutions
Gastrointestinal issues, bloating, digestive problems? Hello Doctor: Recently, I often feel bloated after meals, with a sensation of upper abdominal distension that makes me want to burp but I can't, so I take antacids. In the past, taking antacids once would help with diges...
Dr. Zhang Kebin Reply:
Dear Mr. CC: You report that you often feel bloated after meals, experiencing a sensation of upper abdominal distension and the urge to burp. Taking antacids provides some relief, but the dosage needs to be increased. It is advisable for you to discuss with your primary physici...[Read More] Understanding Bloating and Digestive Issues: Causes and Solutions
Understanding Low Grade Glandular Dysplasia: What Your Biopsy Results Mean
Dysplasia I received a report after my gastroscopy. Does this indicate cancer? The report states: 1. CLINICAL DIAGNOSIS: Gastric ulcer scar. 2. DIAGNOSIS: Stomach, endoscopic biopsy—Low grade glandular dysplasia. 3. GROSS DESCRIPTION: The specimen fixed in formalin consists of a ...
Dr. Zhang Kebin Reply:
Hello Mr. Wei! Your biopsy results from the gastroscopy indicate low-grade glandular dysplasia. According to the progression of gastric cancer: normal -> intestinal metaplasia -> low-grade dysplasia -> high-grade dysplasia -> gastric cancer, your condition is not clas...[Read More] Understanding Low Grade Glandular Dysplasia: What Your Biopsy Results Mean
Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
The condition of gastric burning is not improving significantly with medication? Hello, doctor. I have been suffering from gastroesophageal reflux disease (GERD) for many years. I started treatment two years ago and have undergone several endoscopies. The results showed only slig...
Dr. Chen Shidian Reply:
It may be advisable to continue medication (possibly increasing the dosage at your own expense) and monitor the situation, while maintaining a normal diet. If necessary, a 24-hour esophageal pH monitoring can be performed (the test may cause some discomfort).[Read More] Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges
Irritable Bowel Syndrome (IBS): Dietary bloating, weight loss to underweight? Irritable Bowel Syndrome: Dietary Bloating, Weight Loss to Underweight Hello Doctor, I have been seeking medical attention for over a year and have consulted many doctors. As of January 19, 2021, I had...
Dr. Chen Shidian Reply:
You seem to have a tendency towards anxiety, and it is advisable to seek assistance from a psychosomatic specialist (along with a metabolic specialist to rule out any new metabolic diseases) for management.[Read More] Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges
Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Gastrointestinal discomfort, with intermittent nausea and dry heaving? Hello Dr. Chang, I had two gastroscopies 1 to 2 years ago, during which Helicobacter pylori was detected. After treatment and medication, I underwent another gastroscopy to confirm that the treatment was succe...
Dr. Zhang Kebin Reply:
Dear Mr. Hsiang, Regarding your previous upper gastrointestinal endoscopy, the findings included: 1. Helicobacter pylori infection, 2. Bile reflux, 3. Relaxation of the lower esophageal sphincter, 4. Gastroesophageal reflux disease (GERD), and 5. Erythema of the gastric wall wit...[Read More] Managing Gastrointestinal Discomfort: Insights on Symptoms and Treatment
Is Intestinal Metaplasia from H. Pylori Infection Reversible? Insights and Risks
Is intestinal metaplasia caused by Helicobacter pylori reversible? Recently, I was diagnosed with gastroesophageal reflux disease and underwent an endoscopy, which revealed that Helicobacter pylori has caused partial intestinal metaplasia of the gastric wall, resembling a Buddha&...
Dr. Zhang Kebin Reply:
Hello, sir: Regarding your inquiry about whether intestinal metaplasia of the gastric mucosa is reversible, whether it will worsen, and the likelihood of progression to gastric cancer: 1. According to the Maastricht V/Florence Consensus, intestinal metaplasia is considered irre...[Read More] Is Intestinal Metaplasia from H. Pylori Infection Reversible? Insights and Risks
Understanding Elevated Liver Enzymes: Possible Medication Effects
Liver dysfunction Hello Doctor, six months ago my liver function tests showed GOT at 26 and GPT at 37, both within the normal range. However, during a recent blood test, I found that GOT is now 108 and GPT is 280. Previously, I took several medications for Helicobacter pylori, in...
Dr. Chen Shidian Reply:
→ First, exclude the possibility of hepatitis B/C, then discontinue the medication and observe. We can only suspect a possible correlation (unless we conduct a one-by-one drug trial again, which is not recommended).[Read More] Understanding Elevated Liver Enzymes: Possible Medication Effects
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Gastrointestinal issues I would like to ask the doctor... Previously, I was diagnosed with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed medication, including antibiotics and a medication called rabeprazole, which is supposed to be tak...
Dr. Cai Anshun Reply:
Hello: It is correct that stomach medication should be taken before meals. As for why the doctor changed the timing, there may be a specific reason for it; you can ask him during your follow-up visit. If you have started feeling unwell again with nausea, dizziness, and loss of ap...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Medication Concerns
Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Duodenal ulcer Around mid-November, I underwent an upper gastrointestinal endoscopy at the hospital, which revealed a duodenal ulcer without Helicobacter pylori infection. I have been taking Dexilant for nearly a month now, but I am experiencing some issues, including bloating an...
Dr. Chen Shidian Reply:
PPIs may lead to an increase in small intestinal bacteria, resulting in diarrhea. Please discuss this further with your attending physician.[Read More] Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Gastrointestinal issues Hello, Doctor. I would like to ask a question. Previously, I had an uncomfortable stomach and went to the hospital for an endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), a bit of gastritis, and Helicobacter pylori infection. I was...
Dr. Zhang Kebin Reply:
Hello Ruru, 1. According to the consensus on Helicobacter pylori treatment in Taiwan, after completing antibiotic therapy, it is recommended to wait four weeks before testing for eradication using either a urea breath test (UBT) or a stool antigen test (SAT). Proton pump inhibi...[Read More] Understanding Gastrointestinal Issues: GERD, H. Pylori, and Treatment Concerns
Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Helicobacter pylori Dear Doctor, I previously experienced discomfort in my stomach and underwent an endoscopy at the hospital. The doctor diagnosed me with gastroesophageal reflux disease (GERD) and Helicobacter pylori infection. I was prescribed antibiotics and a medication ca...
Dr. Cai Anshun Reply:
Hello: You can determine whether the eradication was successful through a carbon-13 breath test or a stool antigen test for Helicobacter pylori. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Helicobacter Pylori: Treatment and Follow-Up Questions
Can You Open Capsules? Safety and Absorption of Supplements Explained
Opening capsules and others? Hello, doctor. I have seen in the news that certain antibiotic capsules should not be opened to consume the powder inside, as it can cause damage to the esophagus and throat. Since I follow a vegetarian diet and have recently been taking dietary suppl...
Dr. Chen Shidian Reply:
→ It should not be a problem, but please confirm with a pharmacist. → Helicobacter pylori antibodies are long-term indicators, not short-term indicators, so it cannot be answered.[Read More] Can You Open Capsules? Safety and Absorption of Supplements Explained