Jump to content
BANGKOK
ThaiBob

GERD/Endoscopy/Colonoscopy

Recommended Posts

I have been diagnosed with GERD. 10 days ago I went to Bangkok Hospital Pattaya emergency with severe heartburn (thought I was having a heart attack). Saw the gastroenterologist the next day and have been on PrevAcid with good results for the last 10 days. She of course recommended follow-up procedures, first an endoscopy, and then a colonoscopy. The quoted costs weee 11,000 and 18,000 respectively. The quotes were inclusive; lab work, pulips (if any). Is this reseasonable or excessive?I know I am due for a colonoscopy. Thanks. 

Share this post


Link to post
Share on other sites

At RSH Healthcare in Bangkok i was quoted:

Gastroscopy 9,000 baht

Biopsy 1,000-2,000 baht

Colonoscopy 15,000 baht.

 

So your costs you quote seem reasonable surprisingly.

 

How did they diagnose GERD without doing the above? my doctor said they don't know for sure until they do the tests. I had suspected Gastritis

 

 

 

 

  • Like 1
  • Thanks 1

Share this post


Link to post
Share on other sites
10 minutes ago, scubascuba3 said:

At RSH Healthcare in Bangkok i was quoted:

Gastroscopy 9,000 baht

Biopsy 1,000-2,000 baht

Colonoscopy 15,000 baht.

 

So your costs you quote seem reasonable surprisingly.

 

How did they diagnose GERD without doing the above? my doctor said they don't know for sure until they do the tests. I had suspected Gastritis

 

 

 

 

I have all the classic GERD symptoms and have been responding so far to GERD medications. Perhaps that is why she is suggesting more, to be sure. I told her not at this time until we give the meds a chance. That's why the question about costs. Thanks. 

Share this post


Link to post
Share on other sites
I have all the classic GERD symptoms and have been responding so far to GERD medications. Perhaps that is why she is suggesting more, to be sure. I told her not at this time until we give the meds a chance. That's why the question about costs. Thanks. 
Is PrevAcid the same as Lansoprazole? it appears to be according to google. How much was it and how many mg?

I have been using 30mg Lansoprazole daily for 4 months and has been very effective. I've switched to Omeprazole and it isn't doing the job quite as well
  • Like 1

Share this post


Link to post
Share on other sites

It's the job of private hospital staff to 'upsell' services.

 

I'd say it depends on if you're worried there may be a more serious underlying cause - as acid reflux can just be diet or stress related, so they may be just adding more services to make more money.

 

I've noticed that if I don't mention I have full, corporate health insurance, then then they recommend fewer tests.

Share this post


Link to post
Share on other sites
24 minutes ago, scubascuba3 said:

Is PrevAcid the same as Lansoprazole? it appears to be according to google. How much was it and how many mg?

I have been using 30mg Lansoprazole daily for 4 months and has been very effective. I've switched to Omeprazole and it isn't doing the job quite as well

Yes. 680 baht for 14 tablets at SC drugstore on Rama IV in Bangkok. Omeprazole a fraction of the cost but less effective says the doc. 

  • Like 1
  • Thanks 1

Share this post


Link to post
Share on other sites
Posted (edited)
26 minutes ago, ThaiBob said:

Omeprazole a fraction of the cost but less effective says the doc. 

Horses for courses. Omeprazol works for me. And it helped with my Dysphagia. I have trouble swallowing boiled/fried rice.

 
Quote

 

Will omeprazole help with dysphagia?
It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus.

 

 
Edited by IvorBiggun2

Share this post


Link to post
Share on other sites

Those are extremely good prices, in fact they surprise me. Make sure that cost of IV sedation is included as might not be. These days colonosvopy at private hospitals is running 25-35 k and gastroscopy about 25k.

From symptoms alone cannot rule out gastritis / peptic ulcer disease (which is not same as GERD) hence the recommendation for gastroscopy which will give definitive answer and also test for presence of heliobacter pylori. Which if present requires additional meds.

Colonoscopy has nothing to do with it, but if you are due for a routine one anyway it saves time and money to do both at same time.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

  • Thanks 1

Share this post


Link to post
Share on other sites
4 hours ago, ThaiBob said:

I have been diagnosed with GERD.

https://wakegastro.com/patient-info/gerd-diet/

 

GERD Diet – General Guidelines

  • Stop smoking and chewing tobacco.
  • Discuss your weight with your doctor. Lose weight if you are overweight.
  • Do not overeat. Eat small portions at meals and snacks.
  • Avoid tight clothing, tight-fitting belts. Do not lie down or bend over within the first 15-30 minutes after eating.
  • Do not chew gum or suck on hard candy. Swallowing air with chewing gum and sucking on hard candy can cause belching and reflux.
  • Use bricks or wood blocks to raise the head of your bed 6-8 inches.
  • Do not eat/drink: Chocolate, tomatoes, tomato sauces, oranges, pineapple and grapefruit, mint, coffee, alcohol, carbonated beverages, and black pepper.
  • Eat a low-fat diet. Fatty, greasy foods cause your stomach to produce more acid.
  •  

Share this post


Link to post
Share on other sites
5 hours ago, scubascuba3 said:

At RSH Healthcare in Bangkok i was quoted:

Gastroscopy 9,000 baht

Biopsy 1,000-2,000 baht

Colonoscopy 15,000 baht.

 

So your costs you quote seem reasonable surprisingly.

 

How did they diagnose GERD without doing the above? my doctor said they don't know for sure until they do the tests. I had suspected Gastritis

 

 

 

 

I do not want to thread fxxk, but Thailand is getting expensive. I did a Gastroscopy and Cononoscopy in Switzerland a month ago. Cost was 13'500 Baht (430 CHF). 

Share this post


Link to post
Share on other sites

After being quite sick for a few weeks already and having many weird symptoms earlier this year I was recommended by a gastroenterologist at a private hospital on Samui to have a colonoscopy and gastro endoscopy to check if a cause could be found there. But first it was agreed upon to do some blood work to rule out some other common things.

 

While waiting for the blood results the insurance rep checked how was I was insured and then gave me the quotation; 145,000 Baht!!! The doctor could only do the procedure first thing next morning, as he only spends 2 days a month practicing in this hospital. I decided to first await the blood result before making a decision and really also didn’t want to spend all evening on the toilet, while already feeling <deleted>. The doctor tried 2 times to persuade me to go ahead with the procedure the next morning. I stood firm and said I would see how I felt in a few days and to see what the blood said. Upon realizing I wouldn’t accept, the doctor told me he never even sent my blood to the lab for the agreed upon tests and would now also no longer do this. If I wanted these tests done I had to see another internist the next day (by this time all these doctors already left for the day) and request them again and have blood taken again.

 

i just decided to first self medicate for an ulcer with triple antibiotics and a PPI. Along with plenty of banana shakes to ease the stomach symptoms, until I was back in my home country to have the doctors there rule out anything serious relating to all the other symptoms. 

 

Regardless of my rant; your quote seems very cheap compared to what I was quoted!

 

  • Like 1

Share this post


Link to post
Share on other sites
Just now, CHdiver said:

I do not want to thread fxxk, but Thailand is getting expensive. I did a Gastroscopy and Cononoscopy in Switzerland a month ago. Cost was 13'500 Baht (430 CHF). 

As mentioned in another thread,  endoscopy is generally much more expensive in Thailand than in Europe. 

Share this post


Link to post
Share on other sites

 

 

 

 

Do not eat/drink: Chocolate, tomatoes, tomato sauces, oranges, pineapple and grapefruit, mint, coffee, alcohol, carbonated beverages, and black pepper.
 

Amazing how accurate that is for Gastritis too.

 

Although for example 2 coffees are fine, 3 aren't for me

 

 

 

Share this post


Link to post
Share on other sites
8 hours ago, Sheryl said:

Those are extremely good prices, in fact they surprise me. Make sure that cost of IV sedation is included as might not be. These days colonosvopy at private hospitals is running 25-35 k and gastroscopy about 25k.

From symptoms alone cannot rule out gastritis / peptic ulcer disease (which is not same as GERD) hence the recommendation for gastroscopy which will give definitive answer and also test for presence of heliobacter pylori. Which if present requires additional meds.

Colonoscopy has nothing to do with it, but if you are due for a routine one anyway it saves time and money to do both at same time.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

One thing I never understood about Thailand (or this hospital), is quotations for private payers like myself (insurance for emergencies or urgent care via Anthem Bluecross, no OPD) is less than insurance companies. Just the opposite in America where insurers jack up prices then claim the insured are getting a great deal because the price is lower. True also for auto body work here, I pay less my insurance company would pay more. I will get the colonoscopy in December as I have found out that price will still be available. I will check about IV sedation for the endoscopy. I find this forum invaluable. Thanks! 

Share this post


Link to post
Share on other sites
Posted (edited)

Chulalongkorn has separate colonoscopy clinic costs including lab and pathology with two shot anaesthetic approx bht 10500

 

I have the bill

 

You are totally out no pain

 

They also have brocure

Edited by spornb
  • Like 1
  • Thanks 1

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recently Browsing   0 members

    No registered users viewing this page.

×
×
  • Create New...