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These images are a random sampling from a Bing search on the term "Dyspepsia. Search Bing for all related images. Nearly everyone has had indigestion at one time. It's a feeling of discomfort or a burning feeling in your upper abdomen. You may have heartburn or belch and feel bloated.
You may also feel nauseated, or even throw up. You might get indigestion from eating too much or too fast, eating high-fat foods, or eating when you're stressed. Smoking, drinking too much alcohol, using some medicines, being tired, and having ongoing stress can also cause indigestion or make it worse.
Sometimes the cause is a problem with the digestive tract, like an ulcer or GERD. Avoiding foods and situations that seem to cause it may help. Because indigestion can be a sign of a more serious problem, see your health care provider if it lasts for more than two weeks or if you have severe pain or other symptoms. Your health care provider may use x-rays, lab tests, and an upper endoscopy to diagnose the cause. You may need medicines to treat the symptoms. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.
Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers.
Patients should address specific medical concerns with their physicians. Toggle navigation. Symptoms Chapter. From Related Chapters. Page Contents Definition Dyspepsia Chronic or recurrent Epigastric Pain , burning, early satiety or post-prandial fullness Functional Dyspepsia At least 1 month of Dyspepsia without underlying organic cause on upper endoscopy OR Dyspepsia for at least 3 months of the last 6 months with no signs of organic cause.
Diagnosis: Rome IV Criteria for Functional Dyspepsia Symptoms for at least 3 months of the last 6 months No evidence for structural disease including on upper endoscopy if performed that could explain symptoms and Symptom criteria at least one is present Epigastric Pain or epigastric burning on at least 1 day per week Early satiety on at least 1 day per week Postprandial fullness on at least 3 days per week References Stangnellini Gastroenterology 6 : [PubMed].
Approach: Step 4 - Consider empiric antisecretory therapy acid suppression Timing Initial trial for 8 weeks Longterm antisecretory use is often needed Antisecretory Agents Proton Pump Inhibitor e. Omeprazole No advantage to high Proton Pump Inhibitor doses e. Ranitidine Cost effective initial trial Some protocols recommend as initial agent and switching to Proton Pump Inhibitor if not effective Adjunctive medication options Metoclopramide prokinetic agent May offer benefit in Nonulcer Dyspepsia Risk of tardive diskinesia Ineffective Medications avoid Sucralfate offers no benefit in Nonulcer Dyspepsia Misoprostel offers no benefit in Nonulcer Dyspepsia Bismuth Subsalicylate is not recommended due to toxicity with longerterm use.
Approach: Step 5 - Upper Endoscopy Indications if not already done above Incomplete relief with above management. Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Ontology: Duodenitis C Causes include bacterial and viral infections and gastroesophageal reflux disease. Symptoms include vomiting and abdominal pain.
Ontology: Dyspepsia C Symptoms include burning stomach, bloating, heartburn, nausea and vomiting. Definition NCI An uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Symptoms include burning stomach pain, bloating, heartburn, nausea, and vomiting. Causes include gastritis, gastric ulcer, gastroesophageal reflux disease, pancreatic disease, and gallbladder disease. Definition MSH Impaired digestion, especially after eating.
Ontology: Gastritis C Definition CSP inflammation of the stomach. Ontology: Nonulcer dyspepsia C Ontology: Acid dyspepsia C Related Topics in Symptoms. Gastroenterology Chapters.
Gastroenterology - Symptoms Pages. Back Links pages that link to this page. Search other sites for 'Dyspepsia'. Acute or chronic inflammation of the duodenum. Inflammation of the duodenum the first part of the small intestine that connects to the stomach.
Disease or Syndrome T Inflammasjon i tolvfingertarmen , Duodenitt , Betennelse i tolvfingertarmen. A disorder characterized by an uncomfortable, often painful feeling in the stomach, resulting from impaired digestion.
An uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Impaired digestion, especially after eating. Sign or Symptom T K30 , R Indigestione , Dispepsia.
Dyspepsia , Indigestio. Inflammation of the lining of the stomach. A disorder characterized by inflammation of the stomach. Gastritis k. Gastritt , Magekatarr. Finding T Dispepsia non ulcerosa , Dispepsia funzionale. Dispepsia funcional , Dispepsia no-ulcerosa , dispepsia funcional , dispepsia no ulcerosa trastorno , dispepsia no ulcerosa.