Understanding Stomach Pain: Managing GERD and Anxiety Effects
Stomach pain has affected my mental state! Doctor: Hello! In May, due to excessive mental stress, I experienced stomach pain and diarrhea. After evaluation by a physician, I was diagnosed with irritable bowel syndrome and gastroesophageal reflux disease (GERD). In August, I under...
Dr. Cai Anshun Reply:
Hello, (1) Helicobacter pylori is not directly related to gastroesophageal reflux disease (GERD), so it is reasonable not to perform a H. pylori test. The prevalence of H. pylori is about 50% to 60%; however, if there is no history of peptic ulcers, duodenal ulcers, or family his...[Read More] Understanding Stomach Pain: Managing GERD and Anxiety Effects
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Irritable Bowel Syndrome (IBS) Issues Hello Dr. Chen, thank you for your previous response. Based on your assessment, my symptoms are attributed to stress-induced irritable bowel syndrome (IBS). I visited the doctor on August 14, and after hearing my symptoms, the doctor palpated...
Dr. Chen Shidian Reply:
1. Based on the symptoms described, irritable bowel syndrome (IBS) should still be considered first. However, it is advisable to check for fecal occult blood. 2. Additionally, if there is no improvement after medication, especially with weight loss, further examination should b...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Can Gastroscopy Also Examine the Esophagus and Throat?
Gastrointestinal endoscopy..? Can an endoscopy also examine the esophagus and throat?
Dr. Cai Anshun Reply:
Hello: During an upper gastrointestinal endoscopy, the esophagus is always examined; however, the examination of the throat may often be hindered by the patient's gag reflex, making it difficult to see clearly. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Can Gastroscopy Also Examine the Esophagus and Throat?
Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation
Abdominal discomfort with alternating diarrhea and constipation? Hello, Doctor. I have had poor dietary habits and been overweight. Since February, I have suddenly experienced left abdominal pain (which seems to be cramping pain), and then gastrointestinal issues began. Initially...
Dr. Cai Anshun Reply:
Hello: According to your description, being overweight and having poor dietary habits, along with discomfort in the left abdomen, if it is in the upper left abdomen, may indicate gastric issues. The limited abdominal space, if occupied by intra-abdominal fat, can compress the nor...[Read More] Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation
Accidentally Swallowed Chicken Bone: Should You Get an Endoscopy?
Accidentally ingested a chicken bone? I went to the hospital for an X-ray of my throat, but nothing was found. They also inserted a tube through my nostril for examination, and again, nothing was seen. When they suggested scheduling an endoscopy, I refused out of fear. Recently, ...
Dr. Chen Qifeng Reply:
Hello: Ingesting chicken or fish bones can lead to two scenarios. One is a scratch, which typically presents with milder symptoms and can be managed with medication. The other involves the bone becoming lodged in the esophagus, leading to more severe symptoms affecting the gastro...[Read More] Accidentally Swallowed Chicken Bone: Should You Get an Endoscopy?
Is There a Connection Between Cold Symptoms and Lower Abdominal Pain?
Is there a connection between a cold and lower abdominal pain? Doctor, may I ask if my lower abdominal pain is related to my cold? Since I had a cold last July, I have been experiencing symptoms such as nasal congestion, runny nose, itchy throat, and tinnitus. I haven't seen...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, unless there is a viral infection accompanied by upper respiratory symptoms that also causes gastroenteritis, diarrhea, and abdominal pain, the conditions may be unrelated. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Is There a Connection Between Cold Symptoms and Lower Abdominal Pain?
Why Does Eating Cause Severe Throat Pain? Insights from Gastroenterology
Experiencing a sharp pain in the throat while eating? Experiencing a sharp pain in the throat while eating, especially when consuming acidic foods, can be concerning. Since you have already consulted an otolaryngologist and undergone both a nasopharyngoscopy and X-ray examination...
Dr. Chen Qifeng Reply:
Hello: The symptoms mentioned are more indicative of oral or throat conditions. If the ENT examination shows no issues, you may consider undergoing an endoscopy to check for gastroesophageal reflux disease (GERD). Wishing you good health. Sincerely, Dr. Chi-Feng Chen, Taoyuan Hos...[Read More] Why Does Eating Cause Severe Throat Pain? Insights from Gastroenterology
Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Gastroesophageal reflux disease (GERD) Doctor, I apologize. A few days ago, I went to a nearby hospital for an examination and had an upper gastrointestinal endoscopy. The doctor said I have gastroesophageal reflux disease (GERD), which is mild. I would like to ask if this condit...
Dr. Li Yongming Reply:
Hello, gastroesophageal reflux disease (GERD) is defined according to the "Montreal definition" as the condition where gastric contents flow back into the esophagus, causing symptoms or injury to the esophagus, leading to discomfort or complications. Most patients exper...[Read More] Understanding Reflux Esophagitis: Symptoms and Treatment Insights
Understanding Gastrointestinal Issues: From Blood in Urine to Digestive Disturbances
Regarding gastrointestinal issues..? Hello, doctor! About a month ago, I noticed blood in my urine. I went to see a urologist, but the X-ray did not show anything at that time. The doctor suspected it might be a case of kidney stones. Later, the doctor arranged for a contrast ima...
Dr. Li Yongming Reply:
Hello, let's start by analyzing "hematuria." There are many causes for hematuria, with the most common being urinary tract stones, which have an incidence rate of 15% in the population, particularly affecting individuals aged 30 to 50, with a male-to-female ratio o...[Read More] Understanding Gastrointestinal Issues: From Blood in Urine to Digestive Disturbances
Understanding Gastrointestinal Pain and Its Connection to Chest Discomfort
Gastrointestinal pain causing chest pain? Gastrointestinal issues that cause chest pain typically manifest in the central region of the chest, which can sometimes be perceived as pain along the line connecting the breasts. Thank you!
Dr. Chen Shidian Reply:
Gastroesophageal reflux disease (GERD) can cause discomfort even in the throat. Dietary adjustments can be made, and antacids may be used. If necessary, an endoscopy should be performed.[Read More] Understanding Gastrointestinal Pain and Its Connection to Chest Discomfort
Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Waking up in the middle of the night with a sore throat? Hello Doctor: I have a gastric ulcer and underwent gastroscopy in January and May (with Helicobacter pylori infection). In January, I had to take antibiotics for a week (a total of ten pills per day) to treat the ulcer. Dur...
Dr. Chen Qifeng Reply:
Hello: In terms of gastroenterology, it is recommended to check liver function and assess for the recurrence of ulcers or the condition of gastroesophageal reflux. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Persistent Nausea and Burping: Understanding Gastrointestinal Issues
Belching and nausea? Hello Dr. Lee: For the past two months, I have been experiencing nausea and a sensation of something stuck in my throat after meals, which is quite uncomfortable. I find that I need to burp continuously to relieve the discomfort. In the past two weeks, the sy...
Dr. Li Yongming Reply:
Hello, based on your symptoms, it appears you may be experiencing a sensation of a lump in the throat (globus sensation). Medically, there is no specific etiology or mechanism that can directly explain this condition. When the symptoms occur, there may be increased pressure in th...[Read More] Persistent Nausea and Burping: Understanding Gastrointestinal Issues
Understanding Cough Caused by Acid Reflux: When to See a Gastroenterologist
Cough caused by acid reflux? Hello Dr. Chen: Recently, I visited an otolaryngologist due to a persistent cough (I often feel a foreign body sensation and itchiness in my throat, with minimal phlegm. When I cough forcefully, some air from my stomach comes out, but I don't fee...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux occurs mainly due to the inadequate closure of the gastroesophageal sphincter, allowing gastric acid, gastric contents, and food to flow back into the esophagus, leading to inflammation of the lower esophagus. Based on your symptoms, it is recommend...[Read More] Understanding Cough Caused by Acid Reflux: When to See a Gastroenterologist
Persistent Vomiting and Bloating: Seeking Answers for Ongoing Digestive Issues
Vomiting and abdominal bloating have persisted for three weeks without improvement? I am experiencing symptoms such as vomiting, abdominal bloating, belching, occasional goosebumps with cold sweats, a sensation of something stuck in my throat, and discomfort when touching just ab...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms and their severity, it is recommended to schedule an upper gastrointestinal endoscopy with a gastroenterologist. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Persistent Vomiting and Bloating: Seeking Answers for Ongoing Digestive Issues
Understanding Persistent Cough Symptoms: Is It Acid Reflux?
Regarding my mother's issue that has lasted for three years? Hello, I would like to ask about my mother, who has been experiencing a persistent cough that sounds like clearing her throat for the past three years. This year, it seems to have worsened. Could this be related to...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, there is a possibility of gastroesophageal reflux disease (GERD), and the possibility of an ear, nose, and throat (ENT) issue cannot be ruled out. Both can be treated in outpatient clinics. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department...[Read More] Understanding Persistent Cough Symptoms: Is It Acid Reflux?
Understanding the Severity of Acid Reflux: Symptoms and Concerns
Gastroesophageal reflux disease (GERD) Hello Doctor: When experiencing gastroesophageal reflux, the acid can reach the throat, causing pain, and sometimes it even reaches the head. Is this serious? Thank you~~
Dr. Chen Qifeng Reply:
Hello: The severity of gastroesophageal reflux disease (GERD) can be determined based on the following criteria: (1) endoscopic examination, the degree of reflux esophagitis; (2) the severity and recurrence of clinical symptoms; (3) response to medication. Wishing you good health...[Read More] Understanding the Severity of Acid Reflux: Symptoms and Concerns
Understanding Peptic Ulcers and Colonic Ulcers: Symptoms and Solutions
Regarding peptic ulcers and colonic ulcers? Hello Dr. Chen. I previously consulted with you and have since undergone some examinations. I was surprised to find out that I have peptic ulcers, colonic ulcers, and duodenal ulcers, as well as gallstones. I would like to ask you, Dr. ...
Dr. Chen Shidian Reply:
Dear Mr. Chao, The ulcer can be treated. Please adhere to the prescribed medication and make lifestyle adjustments. As for the gallstones, surgical intervention may be considered if the condition persists (such as experiencing postprandial abdominal pain even after the ulcer has...[Read More] Understanding Peptic Ulcers and Colonic Ulcers: Symptoms and Solutions
Understanding Prolonged Gastroesophageal Reflux: When to Seek Further Help
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been experiencing gastroesophageal reflux since January of last year and have been under observation and medication. It has not improved by August; does this indicate a serious condition? I have been taking medication, b...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) symptoms do not always correlate with the severity of the condition. Some individuals may have mild findings on endoscopy but experience significant symptoms. It is recommended to undergo an endoscopy and then treat with a proton pump...[Read More] Understanding Prolonged Gastroesophageal Reflux: When to Seek Further Help
Understanding Medications for Acid Reflux: Effects and Dietary Considerations
Medications for gastroesophageal reflux disease (GERD)? Hello, doctor. I have been experiencing discomfort and a sensation of a foreign body in my throat due to acid reflux. After undergoing a laryngoscopy, the physician prescribed several medications, including: betamine, raniti...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it appears to be gastroesophageal reflux disease (GERD). It is recommended to visit a gastroenterologist for an upper endoscopy. If GERD is confirmed, treatment may require only one pill per day. Regarding diet and lifestyle, it is advised to avoid s...[Read More] Understanding Medications for Acid Reflux: Effects and Dietary Considerations
Understanding Acid Reflux: Symptoms, Treatment, and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello, a few days ago I experienced acid reflux to my throat and stomach pain at midnight. I have been taking omeprazole 20mg, twice a day, for the past two days, and my stomach pain has improved, but I still frequently feel a sensation of a...
Dr. Chen Qifeng Reply:
Hello: The severity of gastroesophageal reflux disease (GERD) is assessed based on the degree of esophagitis observed during endoscopy and the symptoms presented. Endoscopy is often necessary. Omeprazole is a proton pump inhibitor and is the first-line medication for GERD. Genera...[Read More] Understanding Acid Reflux: Symptoms, Treatment, and When to Seek Help