How do doctors investigate and treat persistent gastric discomfort?

Doctor's Answer

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

Looking at the response to PPI (proton pump inhibitor) and antacid, your problem is likely related to gastric acid production since both medicine reduce the acid load in your stomach. Partial treatment response may mean too short a treatment duration. This is especially so if we are dealing with ulcers in your stomach or duodenum. Having said that, persistent gastric pain should not be taken too lightly.

A common test to investigate persistent gastric discomfort is endoscopy which involved inserting a flexible tube into your stomach to inspect the stomach lining. This test is mostly done under sedation to ensure comfort and con usually be completed in15 mins.

From the appearance of the inner stomach lining and tissue sampling, your doctor can detect inflammation, ulcers and HP (Helicobacter pylori) infection. This can help him organise an appropriate treatment for you including eradication of the HP infection. Sometimes, other diagnosis may be made at endoscopy.

Do get an advice from your family doctor if your symptoms do not resolve within the following 1-2 weeks.

- Dr Quan

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox