Persistent stomach pain, long-term acidity, or difficulty swallowing should not be ignored. Dr. Shekhar Poudel explains 5 important warning signs that indicate you may need an endoscopy in Kathmandu.
When Do You Need an Endoscopy? 5 Warning Signs You Should Not Ignore
Digestive problems like acidity, bloating, and stomach discomfort are very common in Nepal. Many people assume it is “just gastritis” and continue medicines without proper evaluation.
However, some symptoms require further investigation.
According to Dr. Shekhar Poudel, early diagnosis with endoscopy helps detect ulcers, infections, severe gastritis, and even early-stage stomach cancer.
If you are experiencing persistent digestive symptoms in Kathmandu, here are 5 warning signs you should not ignore.
1. Persistent Upper Abdominal Pain
If stomach pain lasts more than 2–3 weeks despite medication, further evaluation is needed.
Possible causes include:
- Peptic ulcer
- H. pylori infection
- Severe gastritis
- Early stomach malignancy
Endoscopy allows direct visualization of the stomach lining for accurate diagnosis.
2. Difficulty Swallowing (Dysphagia)
Symptoms such as:
- Food getting stuck
- Pain while swallowing
- Gradually worsening swallowing difficulty
should be evaluated promptly.
3. Unexplained Weight Loss
Losing weight without trying, especially along with poor appetite, may indicate an underlying gastrointestinal condition.
4. Vomiting Blood or Black Stools
These are emergency warning signs:
- Vomiting blood
- Black tarry stools
- Sudden weakness
Immediate medical attention is required.
5. Long-Term Acidity Not Improving
If you are taking antacids or PPIs for months without relief, it is important to confirm the diagnosis rather than continuing medication blindly.
Is Endoscopy Painful?
Modern endoscopy is:
- Quick (5–10 minutes)
- Safe and effective
- Usually well tolerated
- Can be done with sedation if needed
When performed by a trained specialist, it is a very safe diagnostic procedure.
Who Should Consider Screening?
You should consider endoscopic evaluation if you:
- Are above 40 years with new symptoms
- Have a family history of stomach cancer
- Have chronic H. pylori infection
- Have long-standing gastritis
Conclusion
Ignoring persistent digestive symptoms can delay diagnosis. Early detection allows proper treatment and better outcomes.
If you are experiencing any of these symptoms and are searching for endoscopy services in Kathmandu, consult a qualified gastroenterology specialist for proper evaluation.
