Photo of an adult's torso with a hand placed on the upper abdomen, checking for discomfort at a quiet table after a meal

Baekrokdam Korean Medicine Clinic · Digestive Disease Treatment Guide

If tests show nothing, but your gastrointestinal tract feels unstable whenever you eat, sleep, or feel nervous

We see patients who are told their endoscopy is normal, yet experience a blocked feeling in the solar plexus after eating, or recurring reflux, abdominal pain, diarrhea, constipation, and bloating despite switching acid suppressants, digestive aids, or probiotics. We determine the priority of herbal medicine prescriptions by analyzing the movement and sensation of the digestive organs, body heat or coldness, sleep, tension, and autonomic nervous system responses for each condition.

Rather than just the name of a test, we look at when you eat, where you feel discomfort, and how long the symptoms persist.

Rather than the name of a test, focus on the sequence of meals, abdominal pain, and bowel movements

Take 2 minutes to organize the timeline of your digestive symptoms

This is not a diagnostic test. First, connect the location of your discomfort, the timing before and after meals, and symptoms that occur at the same time, such as bowel movements, throbbing, or cold sweats.

101 · First, the location of discomfort202 · Onset time303 · Symptoms at the same time✓Summary
01 · Primary area of discomfortWhat do you feel first or most frequently?

Please choose only one. You can add accompanying symptoms later.

Before leaving the house

When you first start thinking about where the restroom is

Even if test results are normal, the discomfort of a blocked epigastrium after meals, abdominal pain on the way to work, or calculating restroom visits before a meeting is real. We must distinguish whether it is a stomach/esophageal symptom, abdominal pain linked to bowel movements, or a reaction to gas and food to make the subsequent treatment specific.

  • Whether the pain occurs immediately after meals, on an empty stomach, or changes after bowel movements
  • Whether the shape and frequency of stools change along with diarrhea or constipation
  • Whether there are changes requiring re-examination, such as bloody stools, weight loss, or nighttime symptoms

From symptoms to conditions

Select the current appearance before the name of the disease

A single sentence stating that your stomach feels uncomfortable can include early satiety, reflux, abdominal pain related to bowel movements, diarrhea, constipation, gas, and bloating. Start by focusing on the most uncomfortable scenario and its timing.

Heartburn · Satiety · Reflux

Upper abdominal, stomach, and esophageal discomfort

Distinguish between symptoms around the stomach and esophagus, such as epigastric pain, early satiety, heartburn, acid reflux, or a sensation of something stuck in the throat.

Diarrhea · Constipation · Mixed

Abdominal Pain and Changes in Bowel Movements

Please record abdominal pain related to bowel movements, stool shape, frequency, urgency, and nighttime symptoms to help identify the type of intestinal disorder.

Bloating · Gas · Postprandial

Gas, Bloating, and Food Reactions

We gradually distinguish post-meal bloating, gas, and recurring discomfort after specific foods without imposing excessive dietary restrictions.

Tension · Palpitations · Dizziness · Fatigue

Digestive and Systemic Symptoms Often Missed by Tests

We examine gastrointestinal discomfort that cannot be explained by test results alone, as well as gut-brain and autonomic nervous system symptoms that fluctuate together, such as sleep issues, anxiety, palpitations, and dizziness.

Questions that remain after testing

Focusing on when and how you felt discomfort, rather than just what you ate

We address in patient-friendly language the reasons behind bloating that persists despite normal test results, reflux that recurs even with acid blockers or digestive aids, weeks of alternating diarrhea and constipation, and why gastrointestinal distress and palpitations occur together during times of tension.

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01 · Symptoms after testing

Why do I still feel bloated even though my endoscopy was normal?

Even if an endoscopy shows no major abnormalities, early satiety and bloating can persist if the stomach's movement in receiving and releasing food, the sensation in the solar plexus, or the gut-brain signals are misaligned. We examine the symptoms remaining after a 'normal' result from the perspective of functional dyspepsia categories and Korean medicine treatment.

02 · The Rhythm of Diarrhea and Constipation

When diarrhea and constipation alternate, how do we restore the rhythm of the intestines?

If you experience loose stools suddenly after holding in hard stools for several days, or have diarrhea in the morning and a feeling of incomplete evacuation in the afternoon, these should be viewed as a single cycle rather than treating diarrhea and constipation separately.

03 · Probiotics and Trial and Error

When gas continues to build up despite constantly changing probiotics and digestive aids

If gas continues to build up even after changing probiotics and digestive aids, it is difficult to view it as a problem with gut bacteria alone. A treatment direction is established by looking at how the speed of food descending from the stomach, constipation and bowel movements, the amount of fermenting food, and intestinal sensations overlap.

04 · Symptoms That Do Not Respond to Medication

When acid suppressants and digestive aids do not work, what should be re-examined?

If symptoms do not improve even with acid suppressants or digestive aids, it is not because the medication is weak, but because the remaining discomfort may be originating from a different axis among acid, esophageal sensation, gastrointestinal motility, or intestinal function.

Recurrence that cannot be explained by tests and medication alone

We examine the motility, sensation, body heat, and autonomic nervous system of the digestive organs together

Symptoms can recur for a long time even without significant structural damage, as seen in functional dyspepsia, non-erosive reflux, and irritable bowel syndrome. Baekrokdam determines the priority of herbal medicine treatment by diagnosing patterns of post-meal stagnation, early satiety, hypersensitive reflux sensation, tension-related abdominal pain and bowel changes, as well as body heat, cold sensitivity, sleep, and fatigue for each condition.

Points to check first

Bloody stools, black stools, anemia, difficulty swallowing, persistent vomiting, fever, jaundice, unexplained weight loss, or diarrhea that wakes you from sleep require a medical evaluation first. After confirming these symptoms, we focus on functional digestive symptoms that do not heal well or recur.

You may consider a consultation in these cases

  • When post-meal discomfort, abdominal pain, or bowel changes continue to limit daily life despite tests and diagnosis
  • When food restrictions increase due to symptoms, and weight or nutritional intake begins to fluctuate
  • When there is a clear recurring pattern of symptoms depending on sleep, stress, menstruation, or meal times

Things to check during the consultation

  • Meal amount and timing, interval until pain occurs, and changes before and after bowel movements
  • Bristol stool form, frequency, urgency, and nighttime symptoms
  • Endoscopy and blood test results, and reactions to medications, probiotics, and supplements

If bleeding, anemia, worsening difficulty swallowing, persistent vomiting, unexplained weight loss, or nighttime diarrhea newly occur, they must be re-evaluated even if past tests were normal. After ruling out these cases, we focus on herbal medicine treatment for chronic or recurring functional digestive symptoms.

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Chief Director Choi Yeon-seung, Baekrokdam Korean Medicine Clinic

Medical and content review

Normal test results and persistent discomfort are not contradictory

We re-examine the timing relationship between meals, abdominal pain, and bowel movements, as well as previous treatments. Cases requiring re-testing, such as bleeding, weight loss, or persistent vomiting, are ruled out before proceeding with Korean medicine treatment.

“The fact that test results are normal does not mean there is nothing to treat. Korean herbal medicine prescriptions become more specific when we distinguish between the way the stomach moves after eating, the sensitivity to pain, and autonomic nervous system reactions that vary depending on tension and sleep.”
Chief Director Choi Yeon-seungProviding Korean medicine treatment since 2010
  • Graduated from Kyung Hee University College of Korean Medicine
  • Chief Director of Baekrokdam Korean Medicine Clinic

Before your consultation

Frequently Asked Questions

Can digestive discomfort persist even if an endoscopy is normal?

There are gut-brain interaction disorders, such as functional dyspepsia or IBS, where symptoms recur without structural damage. However, we first check for any suddenly appearing symptoms or those requiring prompt medical evaluation before determining the necessary tests.

Is it okay to keep switching between different probiotics or digestive aids?

Record the name, ingredients, and start date of the medications or supplements you have taken, along with any changes in symptoms, and avoid changing multiple things at once. Rather than taking them arbitrarily for a long time, we prioritize a plan tailored to your diagnosis and symptom type.

Do I have to follow a low-FODMAP diet for the rest of my life?

No. It is a process of restricting certain foods for a short period under professional guidance when necessary, then reintroducing food groups one by one to find which types and amounts you can tolerate.

Can I start with a Korean herbal medicine consultation even if I have bloody stools or weight loss?

For bleeding, anemia, unexplained weight loss, persistent vomiting, or nocturnal diarrhea, a gastrointestinal evaluation and testing must be conducted first. After confirming the results, we set goals for abdominal pain, bowel movements, diet, and energy levels to be managed together with Korean herbal medicine treatment.

Records for your next visit

Please start by recording the date the symptoms began and any changes after treatment

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