Upper Gastrointestinal (GI) endoscopy is a procedure where a doctor uses an endoscope, which is an instrument made of a flexible tube and a camera, to examine the inner lining of the gastrointestinal tract. An endoscope is inserted through the mouth. It is used to diagnose diseases like ulcers, cancers, GERD, celiac disease, etc.
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My 5-year-old son is having severe vomiting after meals for a year. Why?
Query: Hi doctor, My son is five years old. He has been having severe vomiting after meals since he was an infant. At about one year of age, the vomiting slowed to about three times a week, which is how frequent he vomits now. He is in the third percentile for height 39 inches at five years and weighs 27 p... Read Full »
Answer: Hi, Welcome to icliniq.com. It is very sad to see your child in such a situation. I understand that your child is chronically malnourished. Vomiting since such a long duration needs thorough evaluation. You can go for imaging of the abdomen and endoscopy with or without biopsy if needed. Please c... Read Full »
What causes persistent abdominal pain with blood in my stools?
Query: Hello doctor, I have been seeing a PCP for a couple of years following my former doctor's retirement. I saw him last time for minor but persistent abdominal pain and blood in the stool which stopped after stopping low dose Aspirin three times a day for one week. He sent me for a CT which reveale... Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through all the details that are posted. The causes for persistent pain in the left lower abdomen were not answered by PCP or your CT (computed tomography) abdomen. Normally if there is frank blood in stools we need to do proctoscopy or sigmoidoscopy or ... Read Full »
I have chest pain due to year-long gastritis. Please help.
Query: Hello doctor, I am a 29 year old, who is 1.83 m tall and weigh about 70 kg. My health problems started two years back, when I had a lot of stomach pains, though they went away quickly once I had a filling meal. After an endoscopy, the doctor observed a large axial hernia as well as moderately pronou... Read Full »
Answer: Hello, Welcome to icliniq.com. You are having gastroesophageal reflux disease (GERD). You have undergone Nissen fundoplication, as such hiatus hernia and related diseases take a long time to recover and you need to maintain your lifestyle and food habits for a lifetime. I suggest you try doing the ... Read Full »
I have stomach issues. Should I undergo endoscopy?
Query: Hello doctor, Eight years ago, I had an esophagogastroduodenoscopy. It came back normal except for some mild chronic antrum gastritis (reactive gastritis) and mild duodenal bulb duodenitis. I have been on Prilosec for 10 years, but have recently had some flare-ups, lots of stomach gurgling, gas, and... Read Full »
Answer: Hello, Welcome to icliniq.com. Your reports look alright (attachment removed to protect patient identity). Your symptoms are suggestive of recurrent mild gastritis (excessive acidity). You can continue the use of acid-blocking medicines like Prilosec (Omeprazole) as needed for a couple of day... Read Full »
Blood in vomit after drinking too much alcohol. Kindly help.
Query: Hello doctor,I am a 20 year old male. About three days ago, I vomited bright red blood after consuming excessive alcohol. This is the first time I have consumed more than one beer and I was also unconscious. I have not been having any pains or any other symptoms. After the first vomit of blood, I pu... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. At this age, bleeding with vomiting is likely due to an injury to the lower esophagus because of the force of the vomit. If the bleeding was severe, then an upper GI (gastrointestinal) endoscopy is necessary for two reasons. Alcoho... Read Full »
My pregnant wife has some blood in her vomiting. What is the cause?
Query: My doctor, My wife is pregnant and this is her third month. During vomiting, she noticed blood. What is the reason? Kindly suggest me. Read Full »
Answer: Hi, Welcome to icliniq.com. It's uncommon for a pregnant woman to experience vomiting with blood. This could be attributed to excessive and repeated vomiting, which might lead to tears in the esophagus, resulting in blood in the vomit. Should hematemesis persist and signs of reduced perfusion, such... Read Full »
My daughter complains of gas and difficulty breathing. What to do?
Query: Hello doctor, My daughter is 22 years old, studying abroad is complaining of feelings of gas in upper GI tract making breathing difficult at times. GERD and H.pylori are possible suspects. Can you tell me tests to confirm or reject these possibilities? Can you tell me the possible treatments if test... Read Full »
Answer: Hi, Welcome to icliniq.com. Gas in the abdomen is due to food and lifestyle. GERD (gastroesophageal reflux disease) and H.pylori can be diagnosed by upper GI (gastrointestinal) endoscopy and biopsy. Need detail histroy to look for the exact symptoms and need clinical examinations also. Sometime ga... Read Full »
What should I do if I accidentally swallow a square magnet?
Query: Hello doctor,I swallowed a square magnet. Will it harm me? Read Full »
Answer: Hello, Welcome to icliniq.com. You should get an upper gastrointestinal (GI) endoscopy done, and if the magnet is in the reach of the endoscope, it should be removed on an urgent basis. According to you, it is a single magnet. A single magnet will rarely cause symptoms, but if you have ingested mu... Read Full »
How to diagnose stomach problems?
Query: Hi doctor, Yesterday, I had roti with spinach, which is home made. Today morning, I experienced a stomach bout, but not watery. Should I take a combination of antibiotics Ridol and Ulticept 500 mg along with Metrogyl and Eldoper? I am still feeling uneasy. Please guide me on this. Every 20 days, I a... Read Full »
Answer: Hello, Welcome to icliniq.com. I was trying to understand your blood work. Is your TSH 14 and HbA1c 7%? The reason why I am concerned about these tests is because hyperthyroidism can cause recurrent diarrhea, and if your HbA1c (diabetes) number is high, it can also cause diarrhea. You can use Ridol... Read Full »
What is causing my chest pains?
Query: Hi doctor, For the last two years I have been suffering from severe chest pain. The exact location is behind the breast and the pain radiates to the left hand. I have done enough of evaluation like TMT, 2D echo, lipid profile, MRI thoracic area, MRI cervical, CT chest with contrast and other blood t... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. As per your details, there are only two possibilities, atypical anxiety chest pain and gastroesophageal reflux disease (GERD) with hiatus hernia. My recommendation is to get an upper gastrointestinal endoscopy done. If that is normal, then we ca... Read Full »
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