Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Mild Barrett's esophagus? Hello Doctor, last month I had an endoscopy and received the pathology report. The doctor mentioned that there is very mild Barrett's esophagus with no cancer risk. Below is my pathology report, but I tried to look it up and it seems there is n...
Dr. Chen Shidian Reply:
The biopsy location in the English report is near the pylorus of the stomach, not the esophagus. With proper medication and dietary management, very few individuals require surgery.[Read More] Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Long-Term Use of PPI for GERD: Risks and Alternatives Explained
Medications for Gastroesophageal Reflux Disease (GERD) Hello, doctor. Over a decade ago, my acid reflux was not very severe; I only felt a sensation of something stuck in my throat. After undergoing an endoscopy, the doctor prescribed a three-month course of proton pump inhibitor...
Dr. Chen Shidian Reply:
Gastric protective agents are lower-dose acid suppressants that have good safety profiles, but there are some minor concerns with long-term use. If discontinuation of the medication is not possible, surgical options or newer generation endoscopic procedures may be considered, alt...[Read More] Long-Term Use of PPI for GERD: Risks and Alternatives Explained
Understanding Gastrointestinal Issues: Symptoms and Concerns for Young Adults
Gastrointestinal issues Hello Doctor: I am 19 years old and have been experiencing long-term gastrointestinal discomfort since I was about 16. I have visited multiple clinics, and over a year ago, I underwent an endoscopy at a municipal hospital, but no issues were found. However...
Dr. Chen Shidian Reply:
If the endoscopic examination shows no significant findings and the weight is normal, it is likely a motility issue, specifically irritable bowel syndrome (IBS). You should discuss medication and lifestyle adjustments with your physician.[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns for Young Adults
Understanding Gastrointestinal Issues: Symptoms and Management Insights
Gastrointestinal issues Dr. Lin: Hello, I have been experiencing abdominal discomfort for half a month. Initially, my symptoms included unformed stools that were loose and soft, occasionally containing undigested food particles, which felt like indigestion. After eating, I would ...
Dr. Lin Minghui Reply:
Hello, a 31-year-old female has been experiencing abdominal discomfort, loose stools, indigestion, and frequent bloating for the past two weeks. She has seen a gastroenterologist, and her symptoms have improved; it is likely a case of irritable bowel syndrome (IBS), with symptoms...[Read More] Understanding Gastrointestinal Issues: Symptoms and Management Insights
Effects of Induced Vomiting: Risks and Recovery Tips for Your Health
Certain factors can cause discomfort and induce vomiting? Excuse me, doctor. I apologize for the interruption. If someone has induced vomiting three to four times, what effects could this have? (But it's not a long-term issue, just for 1-3 days.) I'm very concerned abou...
Dr. Cai Anshun Reply:
Hello: Inducing vomiting can lead to severe vomiting, which may cause tears at the junction of the esophagus and stomach, resulting in bleeding or pain. It is advised not to induce vomiting again and to consume a light diet. Changhua Hospital cares about your health. Dr. Tsai An-...[Read More] Effects of Induced Vomiting: Risks and Recovery Tips for Your Health
Is Eating Small Meals Better for Your Stomach? Debunking Common Myths
Is eating small meals frequently really good for the stomach? Hello, doctor. My mother has been insisting for the past month or two that we change our eating habits to smaller, more frequent meals. The reason is that she has diabetes and also suffers from gastrointestinal issues ...
Dr. Cai Anshun Reply:
Hello: Eating small, frequent meals is primarily a recommendation for those with indigestion or malnutrition who cannot eat large amounts. Under normal circumstances, there is no need to eat small, frequent meals. It is not necessarily good or bad to eat two meals a day; what mat...[Read More] Is Eating Small Meals Better for Your Stomach? Debunking Common Myths
Is Antibiotic Treatment Necessary for Mild Stomach Ulcer with Weak H. Pylori?
Is it necessary to eradicate Helicobacter pylori if a mild gastric ulcer test shows weak positive results? Hello Doctor, I have been diagnosed with Sjögren's syndrome and need to take immunomodulators, but they make me feel nauseous. The doctor arranged for an endoscopy, w...
Dr. Chen Shidian Reply:
In principle, antimicrobial therapy is still recommended.[Read More] Is Antibiotic Treatment Necessary for Mild Stomach Ulcer with Weak H. Pylori?
Understanding Stomach Ulcers and Acid Reflux: Symptoms and Treatments
Gastric ulcers and gastroesophageal reflux issues? I started experiencing a sour taste in my mouth last December, and after taking traditional Chinese medicine for four months, it improved. Since then, I have been very careful with my diet, avoiding sweet, sour, and spicy foods t...
Dr. Chen Shidian Reply:
The described condition is mild gastritis and superficial ulcers, which can be effectively treated with gastric medications. However, your symptoms of acid reflux may not necessarily be related to the stomach. If routine health checks show no abnormalities, further monitoring may...[Read More] Understanding Stomach Ulcers and Acid Reflux: Symptoms and Treatments
Understanding Gastrointestinal Issues: Pain, Bloating, and Antibiotic Effects
Gastroenterology and Hepatology Hello, doctor. I experienced severe abdominal cramps in the evening and had a bowel movement. After visiting the clinic and receiving an injection, I stopped having diarrhea. However, for the following week, I felt constant intestinal movement, exc...
Dr. Cai Jinji Reply:
Hello, Miss Elephant: There are many possible causes for abdominal pain. It is recommended to consult a gastroenterologist. If you are feeling very uncomfortable, you may need to visit the emergency department. Director Cai Jin-ji, Nantou Hospital.[Read More] Understanding Gastrointestinal Issues: Pain, Bloating, and Antibiotic Effects
Understanding Gastric Ulcers: Diet, Symptoms, and Healing Insights
Gastrointestinal issues related to diet in the context of gastric ulcers? Hello, Doctor. I would like to ask you some questions: 1. I underwent an upper gastrointestinal endoscopy two years ago, and prior to the procedure, I requested to self-pay for ulcer medication for over a...
Dr. Chen Shidian Reply:
Mild gastric mucosal erosion (commonly known as gastric abrasion) is not serious and can be improved with medication, and it is not related to gastric cancer. It is advisable to avoid excessive spicy foods. Your symptoms may be caused by high levels of stress, so it is recommende...[Read More] Understanding Gastric Ulcers: Diet, Symptoms, and Healing Insights
Understanding Gastrointestinal Issues: Insights on IBS and Digestive Health
Gastrointestinal issues Hello Dr. Tsai, I have been experiencing abdominal discomfort and irregular bowel movements for the past month. During this time, I visited three different clinics. At the first clinic, I explained my condition to the doctor, who suggested that my gastric...
Dr. Cai Jinji Reply:
Dear Ms. Pan, if there is no improvement after taking the medication, you may inquire with your physician about further examinations to confirm the diagnosis. Dr. Tsai Jin-chi, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Gastrointestinal Issues: Insights on IBS and Digestive Health
Understanding the Causes of Stomach Heat: Is It Ulcers or Acid?
Heartburn Hello, doctor. I would like to ask about feeling a warm sensation in my stomach when I'm hungry. It doesn't hurt, and it goes away after eating something. Is this a symptom of a gastric ulcer, or is it simply due to excess stomach acid?
Dr. Chen Shidian Reply:
There may be some gastritis or gastroesophageal reflux disease (GERD). It is advisable to eat smaller, more frequent meals and avoid acidic and sweet foods. If necessary, take antacids or other medications to alleviate symptoms.[Read More] Understanding the Causes of Stomach Heat: Is It Ulcers or Acid?
Understanding Your Stomach Issues: When to Seek Medical Attention
Gastric issues? Recently, my stomach seems to be slightly off, and I'm not sure if it's just psychological. If I wait until I experience significant weight loss, anemia, or unbearable pain before seeing a doctor for an endoscopy, will it be too late, such as in the case...
Dr. Cai Anshun Reply:
Hello: 1. Cancer markers cannot be used to diagnose the presence or absence of cancer. 2. If the clinical physician assesses that it is necessary, an endoscopy is recommended. 3. Ultrasound can only visualize the pancreas under optimal bowel gas conditions, so it is not the best ...[Read More] Understanding Your Stomach Issues: When to Seek Medical Attention
Persistent Gastrointestinal Discomfort: Seeking Solutions for Two Months
Gastrointestinal discomfort for two months? Hello Doctor, I am a 19-year-old student who has been struggling with gastrointestinal issues for over two months, and it's really wearing me down. My symptoms include a feeling of bloating and chest tightness every morning (even w...
Dr. Cai Anshun Reply:
Hello: If you have consumed tea, coffee, or spicy, fried, high-fat, and high-protein foods, it is advisable to avoid them for now. Make sure to stay hydrated with fruits and vegetables. If there is no improvement, please consult a gastroenterologist at Changhua Hospital to addres...[Read More] Persistent Gastrointestinal Discomfort: Seeking Solutions for Two Months
Understanding Stomach Discomfort: When to Seek Medical Attention
Stomach discomfort? I have been feeling a bit uncomfortable in my upper abdomen for the past few days, and I'm not sure if it's related to the left-sided hernia surgery I had at the end of February. Recently, I haven't felt unwell, but I do experience some abdomina...
Dr. Cai Anshun Reply:
Hello: For some individuals, bowel function may temporarily change after surgery, which can be adjusted through lifestyle and dietary habits. If there is no significant weight gain or loss, there is generally no need for excessive concern. However, if the situation does not impro...[Read More] Understanding Stomach Discomfort: When to Seek Medical Attention
Why Lying Down Causes Loud Burping: Understanding Gastrointestinal Issues
Burping while lying down? Hello doctor, for the past three months, I have been experiencing loud belching whenever I lie down, which continues until I fall asleep. Occasionally, I also belch after meals, but that happens only a few times. Recently, in the past month, the belching...
Dr. Chen Shidian Reply:
It is recommended to visit a gastroenterology outpatient clinic for examination to confirm the diagnosis before adjusting the medication.[Read More] Why Lying Down Causes Loud Burping: Understanding Gastrointestinal Issues
Why Lying Down Causes Loud Belching: Understanding Gastrointestinal Issues
Burping while lying down? Hello, doctor. For the past three months, I've started experiencing loud burping whenever I lie down, and it continues until I fall asleep. Occasionally, I also burp after meals, but that's only a few times. Recently, in the past month, the bur...
Dr. Chen Shidian Reply:
It is recommended to visit a gastroenterology outpatient clinic for examination to confirm the diagnosis before adjusting the medication.[Read More] Why Lying Down Causes Loud Belching: Understanding Gastrointestinal Issues
Managing Gastrointestinal Issues: Insights from a Hepatobiliary Specialist
Gastrointestinal issues, please consult Dr. Ming-Hui? Hello Dr. Lin, I received your reply today. I have been experiencing some recent stomach issues and would like to report and inquire about them. I have consulted with a psychiatrist and a gastroenterologist (I have had an ultr...
Dr. Lin Minghui Reply:
Hello, for a 48-year-old male with psychogenic gastritis, it is advisable to consume a gentle diet to prevent stomach cramps. Avoid greasy, overly sweet, cold, irritating, and hard-to-digest foods. Maintain a normal and balanced diet, eating three meals a day without rushing. Dur...[Read More] Managing Gastrointestinal Issues: Insights from a Hepatobiliary Specialist
Understanding Left Lower Rib Pain: Possible Causes and Next Steps
Pain under the rib cage? Hello, doctor. I would like to ask about an incident that happened when I was in the 6th grade. I experienced severe pain in the lower left side of my ribcage, close to my stomach, which was so intense that I collapsed and couldn't get up. Since that...
Dr. Lin Minghui Reply:
Hello, a 25-year-old female is experiencing intermittent sharp pain in the lower left side of the rib cage, near the stomach. Possible causes could include neuropathic pain or gastrointestinal spasms. The nearby anatomical structures include the esophagus, stomach, large intestin...[Read More] Understanding Left Lower Rib Pain: Possible Causes and Next Steps
Understanding Nausea: Is It Related to IBS or a Sensitive Stomach?
Nausea? Hello doctor, this morning after drinking milk tea, I felt bloated and had a nausea sensation. Sometimes when I drink black tea, I also feel a tightness in my stomach and have the urge to vomit. I've had gastrointestinal issues since childhood; I tend to feel nauseou...
Dr. Chen Shidian Reply:
Stomach and intestinal issues are similar problems; please adjust your diet and lifestyle accordingly, and you may keep medication on hand to take when necessary.[Read More] Understanding Nausea: Is It Related to IBS or a Sensitive Stomach?