Managing GERD and Gastric Emptying: Long-Term Solutions and Medication Insights
Gastroesophageal reflux and gastric emptying? Hello Doctor: I experience symptoms of gastroesophageal reflux disease (GERD) every day, with a bitter taste in my throat and difficulty speaking in the morning unless I clear my throat frequently. I have tried lifestyle changes, such...
Dr. Cai Anshun Reply:
Hello: 1. Long-term use of medication is not recommended. It is important to determine if there are any metabolic issues causing delayed gastric emptying, such as thyroid problems, blood sugar irregularities, or lower gastrointestinal issues (obstruction or constipation). You sho...[Read More] Managing GERD and Gastric Emptying: Long-Term Solutions and Medication Insights
Understanding Constipation: Symptoms, Causes, and When to Seek Help
Bowel issues Hello, doctor. I have some questions. I have a habit of constipation and usually rely on drinking milk to help me have bowel movements (I am lactose intolerant). Sometimes after drinking milk, I need to go to the bathroom (the stool is normal), but other times it...
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be functional gastrointestinal disorder. It is recommended to increase the intake of fruits and vegetables, drink plenty of water, maintain adequate physical activity, and perform abdominal massage during bowel movements. Additionally, adjustm...[Read More] Understanding Constipation: Symptoms, Causes, and When to Seek Help
Understanding Bowel Issues: Insights from Gastroenterology Experts
Bowel movement issues Hello, Dr. Tsai. I had an episode of acute gastroenteritis last June, and since then, my bowel movements have been inconsistent, sometimes soft and sometimes hard. I intermittently took medications like New Bifidobacterium and Smeta from July to August, but ...
Dr. Cai Anshun Reply:
Hello, after certain cases of acute gastroenteritis, similar symptoms may persist for a period of time. It is advisable to adjust dietary habits. As for what examinations should be conducted, the necessity should be determined by a clinical physician. It is recommended to consult...[Read More] Understanding Bowel Issues: Insights from Gastroenterology Experts
Understanding GERD vs. Acid Rebound: A Patient's Journey
Gastroesophageal reflux or acid rebound? Hello, Doctor: I live near Shuchang but work in Taipei, and I would like to seek your advice! In June 2016, after staying up late to play cards twice, I experienced symptoms of gastric discomfort (pain near the xiphoid process, slightly to...
Dr. Cai Anshun Reply:
Hello, 1. Your symptom description indeed indicates gastroesophageal reflux disease (GERD). There is no such thing as acid rebound. You should pay attention to your diet, avoid smoking, alcohol, betel nut, tea, coffee, spicy foods, fried foods, and glutinous rice. Additionally,...[Read More] Understanding GERD vs. Acid Rebound: A Patient's Journey
Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Nausea after eating, along with upper abdominal bloating and burning sensation? Hello Doctor: In the past couple of days, I have been experiencing nausea after lunch or dinner (but I haven't vomited). After burping, I feel somewhat better, but the nausea returns. There is a ...
Dr. Cai Anshun Reply:
Hello: It may be a stomach issue. Additionally, the side effects of Buscopan can affect intestinal motility. You may want to consult a gastroenterologist for an accurate diagnosis. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Understanding Persistent Abdominal Discomfort: Possible Causes and Solutions
Gastrointestinal issues with discomfort and pain? Hello, doctor. For the past 4 to 5 weeks, I have been experiencing a dull pain around my abdomen (specifically around the navel, without favoring any particular area), and it occurs at no specific times. I have taken my previous g...
Dr. Lin Minghui Reply:
Pain near the navel can commonly be caused by gastroenteritis, irritable bowel syndrome, gastric ulcers, peptic ulcers, and duodenal ulcers, which require a specific treatment regimen. It is important to take medications regularly and pay attention to dietary habits by avoiding s...[Read More] Understanding Persistent Abdominal Discomfort: Possible Causes and Solutions
Understanding Esophageal Fungal Infections and Their Impact on Appetite
Esophageal candidiasis? The endoscopy revealed fungal infection in the esophagus, and the physician prescribed a month-long course of antibiotics. Additionally, there is laryngitis and a perforated eardrum. The bitter taste in the mouth has led to a complete loss of appetite. Is ...
Dr. Chen Qifeng Reply:
There is generally no direct correlation with a perforated eardrum unless there is also a fungal infection of the eardrum along with esophageal fungal infection. Typically, antifungal medications are prescribed; however, the most important factor is identifying any specific reaso...[Read More] Understanding Esophageal Fungal Infections and Their Impact on Appetite
Understanding Gastroscopy: Key Questions About Procedures and Diagnosis
Nasal-gastric endoscopy issues? Hello Dr. Chen, due to my gastroesophageal reflux disease, some medications require an endoscopy for prescription. I would like to ask some questions related to endoscopy: 1. When an endoscopy reveals a lesion, is it common practice to perform a ...
Dr. Chen Shidian Reply:
Hello, the transnasal gastroscope is a small-sized gastroscope that can also perform biopsies. Generally, when physicians find a lesion, they will conduct a biopsy to confirm it. I'm not sure which hospitals in Taichung offer transnasal gastroscopy, but large hospitals or me...[Read More] Understanding Gastroscopy: Key Questions About Procedures and Diagnosis
Managing IBS: Coping with Stress and Dietary Challenges
Irritable bowel syndrome... occasionally causes feelings of tension and stress! Hello, doctor... I am 38 years old. In the past, around the ages of 17 to 18, I experienced significant stress due to college entrance exams, which led to frequent episodes of diarrhea shortly after m...
Dr. Chen Shidian Reply:
Hello, sir. You have a good understanding of your gastrointestinal symptoms and their causes. Currently, there is no cure, but you can learn to relax. If necessary, you may use gastrointestinal medications before meals to reduce the peristaltic reflex triggered by food. Changhua ...[Read More] Managing IBS: Coping with Stress and Dietary Challenges
Understanding Dark Green Fluid in Nasogastric Tube: Causes and Concerns
The nasogastric tube contains dark green fluid? Hello Dr. Chen: My father has been bedridden for over six months and is currently being fed liquid milk through a nasogastric tube. Recently, he has been coughing, and deep green liquid has been coming out of the nasogastric tube. I...
Dr. Chen Shidian Reply:
Hello, sir. It is likely that bile has refluxed into the stomach and caused vomiting, which is why it appears yellow-green. Antiemetic and prokinetic medications may be added. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Dark Green Fluid in Nasogastric Tube: Causes and Concerns
Understanding Helicobacter Pylori Treatment and Side Effects
I'm sorry, but I need more context or content to provide a translation. Please provide The patient, CHERRY, a 31-year-old female, underwent an upper gastrointestinal endoscopy on December 9, 2016. The doctor diagnosed her with mild gastritis, esophagitis, gastroesophageal re...
Dr. Chen Qifeng Reply:
You can wait until the completion of the Helicobacter pylori eradication treatment before monitoring any subsequent symptoms.[Read More] Understanding Helicobacter Pylori Treatment and Side Effects
Managing GERD and Delayed Gastric Emptying: Risks and Treatment Options
Gastroesophageal reflux and delayed gastric emptying? Hello Doctor, three years ago I had an upper endoscopy that revealed superficial gastritis and superficial gastric ulcers. I took Nexium intermittently for a while. This year, my endoscopy showed Barrett's esophagus, gast...
Dr. Cai Anshun Reply:
Hello: Pay attention to changes in dietary habits, including diet and weight. Reducing the intake of high-fat and high-protein foods can decrease gastric emptying time, and enzymes may not necessarily be helpful. Reducing gastroesophageal reflux can lower the risk of Barrett'...[Read More] Managing GERD and Delayed Gastric Emptying: Risks and Treatment Options
Understanding Helicobacter Pylori: Treatment and Acid Suppression Options
Helicobacter pylori Hello, after experiencing stomach pain, I underwent an endoscopy which revealed a high number of Helicobacter pylori and inflammation. I have been taking antibiotics and proton pump inhibitors for ten days. I found information online stating that this is only ...
Dr. Chen Shidian Reply:
Hello, it is sufficient to use the antibacterial treatment for 10 days. If treatment for ulcers or reflux is needed, then continuous medication is required, and it is covered by health insurance. Changhua Hospital cares about your health. Chen Shih-Tien[Read More] Understanding Helicobacter Pylori: Treatment and Acid Suppression Options
Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects
Helicobacter pylori I had an upper gastrointestinal endoscopy on Monday because I experienced stomach pain when hungry. After eating something, the pain subsided. The doctor mentioned that I have mild gastritis, esophagitis, gastroesophageal reflux disease (GERD), and Helicobacte...
Dr. Chen Qifeng Reply:
Generally, the eradication of Helicobacter pylori is often achieved through a triple therapy regimen (which includes one proton pump inhibitor and two antibiotics). While taking these medications, side effects such as diarrhea, nausea, and vomiting may occur. If the symptoms are ...[Read More] Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects
Understanding Digestive Issues: Abdominal Noises and Mucus in Stool
Persistent stomach rumbling with mucus in the stool? In the past two weeks, I've experienced a slight burning sensation in my chest, and sometimes after eating, I feel like there's a lump in my throat. Initially, I consulted a traditional Chinese medicine practitioner, ...
Dr. Chen Shidian Reply:
Hello, your symptoms are likely due to increased colonic motility, resulting in softer stools and bowel sounds. This is related to stress and diet. Please pay attention to reducing oil and dairy intake. If necessary, you may use gastrointestinal medications to adjust your symptom...[Read More] Understanding Digestive Issues: Abdominal Noises and Mucus in Stool
Understanding Duodenal Ulcers: Symptoms, Treatment, and Anxiety Management
Duodenal ulcer Hello, doctor: In July of this year, I suddenly experienced severe chest tightness and persistent throat inflammation. I visited numerous ENT specialists, and later found online that it might be gastroesophageal reflux disease (GERD). An endoscopy revealed mild ulc...
Dr. Cai Anshun Reply:
Hello: You can start with dietary control, being careful not to consume coffee, tea, smoke, or drink alcohol. Avoid overeating and try to limit fried and spicy foods as much as possible. If there is no improvement, you may consider consulting a gastroenterologist. Changhua Hospit...[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Anxiety Management
Understanding Throat Discomfort When Swallowing Medications
Swallowing medication feels strange..? Hello Dr. Tsai, I have been quite troubled by something recently. Due to work factors, I tend to consume hot foods and beverages more frequently. Recently, I have been feeling a bit strange in my throat (somewhat itchy, hard to describe), an...
Dr. Cai Anshun Reply:
Hello: 1. Frequently consuming excessively hot foods can indeed cause damage to the esophageal mucosa, which may increase the risk of developing esophageal cancer. An increased risk does not mean that it will definitely occur. 2. If you suspect an esophageal issue, you may consid...[Read More] Understanding Throat Discomfort When Swallowing Medications
Managing Chronic Indigestion: Solutions for Bloating and Acid Issues
Dyspepsia, gastric acid, bloating? I have been experiencing indigestion for 5 years, and despite taking many medications, I have not been able to return to normal. I often feel very bloated after eating just a little, sometimes only a few bites. Occasionally, I eat very little in...
Dr. Cai Anshun Reply:
Hello, Additionally, it is important to pay attention to whether there is constipation or fecal impaction. Gastroparesis refers to the condition where the stomach is excessively distended by food, leading to inefficient gastric motility and prolonged gastric emptying time, whic...[Read More] Managing Chronic Indigestion: Solutions for Bloating and Acid Issues
Persistent Red Mucus Blood After Colonoscopy: What to Do Next?
After a colonoscopy, there is persistent blood in the stool with red mucous blood clots? Hello Doctor: I am 26 years old. In early August of this year, I experienced significant bleeding in the toilet during bowel movements and noticed red mucus in my stool. After one or two week...
Dr. Chen Shidian Reply:
Hello, sir. I suggest that you consolidate the examination reports and pathology reports from both hospitals, choose one of them, and proceed with the examinations/medications while maintaining long-term follow-up. Changhua Hospital cares about your health. Chen Shidian.[Read More] Persistent Red Mucus Blood After Colonoscopy: What to Do Next?
How Often Should You Switch Bulk-Forming Laxatives?
Consultation on bulk-forming laxatives again? Hello Dr. Tsai! I am very happy to hear your response! My heavy feelings of depression have finally been alleviated to some extent. I would like to ask how often it is reasonable to change my bulk-forming laxative? Additionally, I hav...
Dr. Cai Anshun Reply:
Hello: There is no specific timeframe for changing medications (perhaps consider changing them every month). The key point is to minimize reliance on medication. If it’s difficult to stop suddenly, you can start by reducing the dosage by half, then use it every other day, and gra...[Read More] How Often Should You Switch Bulk-Forming Laxatives?