Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Cough accompanied by difficulty breathing, causing sleepless nights? Hello, I woke up suddenly around 3 AM with a headache, and then I started sweating profusely. After that, I vomited, possibly due to stomach acid irritating my throat, which now feels like there is something stu...
Dr. Wu Yuwei Reply:
It is recommended to follow up with a gastroenterologist, as gastroesophageal reflux can sometimes cause coughing symptoms.[Read More] Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Understanding Medications for Ankylosing Spondylitis and Related Symptoms
Regarding medications for ankylosing spondylitis? Hello, doctor. I have been experiencing geographic tongue for over three years now. I have been taking two Sertraline tablets in the morning and evening, and one Pantoprazole tablet in the morning, along with medications for gastr...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have noticed that many patients with ankylosing spondylitis (AS) experience issues with tongue ulcers. Is this related to salazopyridine (Salsalate)? (Because when I first developed geographic tongue over three year...[Read More] Understanding Medications for Ankylosing Spondylitis and Related Symptoms
Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Bloating, inability to burp, and unexplained fever issues? Hello doctor, I would like to ask about my issues with frequent bloating and an inability to burp, which has made me feel nauseous for over five years. Every morning, I wake up feeling very nauseous, and I almost always e...
Dr. Li Jian Reply:
If traveling abroad can improve the issue, it may be caused by psychological factors. It would be advisable to consider consulting a psychosomatic medicine specialist. Thank you for your inquiry.[Read More] Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Understanding Symptoms: Could It Be Acid Reflux After Overeating?
Suspected gastroesophageal reflux disease (GERD)? Last night, I had a very filling dinner, and while sitting, I felt uncomfortable and had to sit up to burp for relief. I also did not have a bowel movement all day yesterday. During the night, I slept for about four hours but woke...
Dr. Li Jian Reply:
If symptoms persist, it is recommended to consult a gastroenterologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Symptoms: Could It Be Acid Reflux After Overeating?
Understanding Systemic Pain and Itching: A Comprehensive Guide
Generalized tingling, itching, and numbness? Hello Doctor: I have been experiencing sneezing, runny nose, and constipation for the past year. I consulted a gastroenterologist and underwent a colonoscopy and endoscopy, which revealed colon polyps, gastric polyps, and gastroesophag...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend starting with a visit to a family medicine physician. Since you are experiencing some allergy symptoms, if you are truly concerned about potential issues with your immune function, you may also consider seeing an allergist or immunol...[Read More] Understanding Systemic Pain and Itching: A Comprehensive Guide
Understanding Abdominal Pain: Causes and When to Seek Help
Abnormal abdominal pain Hello, doctor. I am 29 years old and I have ankylosing spondylitis and chronic anemia (with an average hemoglobin level of about 20). I'm not sure if this is related to the events I've experienced. The first incident occurred when I was around 20...
Dr. Zheng Weijun Reply:
Hello, thank you for your detailed description. First, regarding your mention that "the average hemoglobin does not exceed 20," this value is within the normal range; the normal hemoglobin level for women is 12–16 g/dL, so your current hemoglobin level may not be abnorm...[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Understanding Autoimmune Thyroiditis: Symptoms, Tests, and Treatment Options
Autoimmune Thyroiditis Hello, Doctor. I have been tracking thyroid issues for many years. In November of last year, my tests showed TSH 4.43, Free T4 0.84, and anti-TPO 9295, along with asymmetrical eyes, with the right eye protruding. I have been experiencing chronic dryness in ...
Dr. Li Jian Reply:
It is recommended that you visit a medical center to see an endocrinologist and check for TSH receptor antibodies, as this antibody is related to exophthalmos. Thank you for your inquiry.[Read More] Understanding Autoimmune Thyroiditis: Symptoms, Tests, and Treatment Options
Understanding CA72-4 Levels: Are They Linked to GERD and Cancer Risk?
Gastroesophageal reflux disease (GERD) Last year, my CA 72-4 index was 13, and this year it is 24. I have gastroesophageal reflux disease (GERD) and I'm unsure if this elevated index could be related to my condition. Based on this index, is there a high probability of cancer...
Dr. Zeng Guosen Reply:
I'm not an expert in gastroesophageal reflux disease, so I'm afraid I might not provide the correct information. I recommend consulting a gastroenterologist. Thank you.[Read More] Understanding CA72-4 Levels: Are They Linked to GERD and Cancer Risk?
Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Gastrointestinal issues Hello Doctor, I would like to ask about something that happened to me yesterday. Before going to bed, I suddenly felt bloated in my stomach. I managed to fall asleep, but I woke up in the middle of the night feeling uncomfortable and had to have a bowel mo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be acute gastroenteritis. As for whether it is caused by norovirus, testing may be needed to confirm. However, the management typically involves a bland diet, plenty of rest, and increased fluid intake, which should lead to gradual im...[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Understanding Throat Discomfort: Causes and Concerns for Your Health
Sensation of a foreign body in the throat? I previously experienced a sensation of something stuck in my throat after drinking tea on an empty stomach and then eating pineapple cake. This feeling disappeared the next day, but after a few days, it returned intermittently, even whe...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described are likely caused by two main conditions. First, it could be allergic rhinitis, which can lead to post-nasal drip causing throat discomfort and productive cough. I recommend increasing physical activity and avoiding allergens, which should help i...[Read More] Understanding Throat Discomfort: Causes and Concerns for Your Health
Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Sleep issues Hello, doctor. I have some questions I would like to ask you. As a teenager, I'm not sure if what I'm experiencing is normal. I am an athlete and I start training at 7 AM and also have practice in the afternoon. Recently, I've been sleeping with the ai...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal to experience a dry throat when sleeping in an air-conditioned room, as air conditioning has a dehumidifying function. 2. Whether you snore may require the assistance of those around you to observe. As for sleep apnea, a sleep study at a sleep clinic is ...[Read More] Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Understanding Abdominal Pain and Symptoms: Causes and Treatment Options
Gastrointestinal issues When lying in bed, I sometimes experience a sensation of liquid pressure and vibration in certain areas of my upper abdomen, accompanied by pain. What could this symptom indicate? What are the possible causes of such symptoms? Under what conditions can Hic...
Dr. Hong Yuanbin Reply:
Hello, 1. The area you pressed is likely the stomach. Applying pressure to the stomach can indeed cause pain, which is a normal physiological response. 2. These medications may be used in cases of severe gastric ulcers or gastroesophageal reflux disease (GERD). However, whethe...[Read More] Understanding Abdominal Pain and Symptoms: Causes and Treatment Options
Understanding Gout Diagnosis: Symptoms, Treatment, and Management
Gout Diagnosis Thank you, doctor, for taking the time to respond to my questions. I really appreciate it! I am a 34-year-old male, 175 cm tall, weighing 93 kg. I do not drink alcohol but often stay up late. I have gastroesophageal reflux disease and a duodenal ulcer, for which I ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is swelling and redness always present in gout? I had pain in my knee at that time, but there was no swelling or redness; can that still be considered gout? --> Most of the time, yes, but some patients may not exhi...[Read More] Understanding Gout Diagnosis: Symptoms, Treatment, and Management
Understanding Creatinine Levels: Concerns About Kidney Health
Confusion Regarding Blood Test Report for Serum Creatinine Hello Doctor, I am 37 years old, weigh 75 kg, and am 167 cm tall. I have symptoms of gastroesophageal reflux disease and Barrett's esophagus, for which I have been taking proton pump inhibitors (such as Pantoprazole)...
Dr. Wu Jiyu Reply:
1. According to your inquiry, first, it is important to understand the definition of chronic kidney disease (CKD). It can be classified as stage 1 or stage 2 when the glomerular filtration rate (GFR) is greater than 60 mL/min/1.73 m² and there are abnormalities in urine or imagin...[Read More] Understanding Creatinine Levels: Concerns About Kidney Health
Understanding Long-Term Symptoms of Gastroesophageal Reflux Disease
Long-term symptoms of gastroesophageal reflux disease (GERD)? Hello Doctor, I am a 20-year-old male. Last June, I was diagnosed with grade B gastroesophageal reflux disease (GERD) through an endoscopy, and I am currently undergoing treatment. I have only been prescribed a proton ...
Dr. Hong Yuanbin Reply:
Hello, most people's gastroesophageal reflux disease (GERD) is indeed a long-term condition caused by multiple factors, including relaxation of the lower esophageal sphincter, overeating, and lying down after meals. Medications, including proton pump inhibitors (PPIs), are o...[Read More] Understanding Long-Term Symptoms of Gastroesophageal Reflux Disease
Can I Take These Medications Together? A Guide for Patients
Can the medications be taken together? Hello Doctor, I would like to ask if I have gastroesophageal reflux disease, and my doctor prescribed me Periscon before meals, Famotidine after meals, and Kascoal. Later, I bought a cold capsule called Yongkefeng at the pharmacy because I c...
Dr. Hong Yuanbin Reply:
Hello, there are no significant interactions between these medications; however, it is generally recommended to space them out by about 30 minutes. Thank you for your inquiry.[Read More] Can I Take These Medications Together? A Guide for Patients
Understanding Chest Pain: Causes and When to Seek Help
Chest pain in the center? For the past 3.4 months, I have been experiencing sudden sharp pain in the center of my chest (the area where CPR compressions are performed). Sometimes the pain radiates to the back at the same point. During these episodes, I also feel a sensation of so...
Dr. Hong Yuanbin Reply:
Based on your description, there are two possible scenarios. If pressing down causes pain in the bony area, it may indicate inflammation of the costal cartilage. In this case, it is recommended to apply some anti-inflammatory ointment on the outer side of the pain, which may help...[Read More] Understanding Chest Pain: Causes and When to Seek Help
Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Short-term rapid increase in creatinine levels? Hello Dr. Wu, On August 28, 2021, I went to the hospital for a blood test. On that day, I checked the report online and found that my creatinine level had risen to 1.28. The creatinine levels from the previous four months were 1.0...
Dr. Wu Jiyu Reply:
Regarding the definition of chronic kidney disease (CKD), you mentioned that the five data points you provided indicated the presence of urinary protein, which alerted you to your kidney function. The four measurements of glomerular filtration rate (GFR) were 75, 83, 75, and 79 m...[Read More] Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Understanding Esophageal Injury Recovery: Insights from Gastroenterology
Yesterday's question continued? Thank you, doctor, for your careful response! Today, my family gave me a suspension of Gastroesophageal Reflux Medication to drink, and I feel that the pain has somewhat lessened, but it still persists a little. I plan to see a gastroenterolog...
Dr. Hong Yuanbin Reply:
Currently, it is not possible to definitively determine whether it is gastroesophageal reflux disease (GERD), a gastric ulcer, or simply esophagitis or gastritis. If it is merely inflammation, it usually improves within 1-2 weeks. In the case of GERD or a gastric ulcer, the durat...[Read More] Understanding Esophageal Injury Recovery: Insights from Gastroenterology
Understanding Chest Discomfort: Causes and When to Seek Help
Mild discomfort in the chest? Hello, doctor. About two days ago, I took anti-inflammatory medication and antibiotics at the clinic due to a cold. However, the next day, I started feeling a slight, vague pain in the middle of my chest, which is particularly noticeable around meal ...
Dr. Hong Yuanbin Reply:
Hello, the esophagus is quite long, extending from the throat to the chest. Based on your description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or a gastric ulcer. However, the exact cause can only be determined through an endoscopy. As for ...[Read More] Understanding Chest Discomfort: Causes and When to Seek Help