If you eat much less than usual, you will be full and can’t eat any more.
After eating, flatulence is very severe, and belching is often frequent…
After eating, I feel very full, and sometimes I don’t want to eat all day.
In fact, these symptoms are all manifestations of dyspepsia. Today, Dr. Clove will tell you about the most common one, functional dyspepsia. It may account for more than half of all dyspepsia people.
What, I’m not sick?
The so-called no disease means that no organic disease of what has been found, so doctors call it [functional] dyspepsia.
The patient did not have ulcers or tumors, but there were symptoms of dyspepsia such as bloating after eating, bloating after eating a little, abdominal discomfort, nausea, belching, etc., which lasted for at least 6 months.
Earlier, it was believed that these patients were not ill, but had brain problems (it was terrible that stomach discomfort would be suspected of brain problems).
Because some patients like to see a doctor repeatedly, check gastroscope repeatedly, do CT, and even more seriously, they have looked at experts from major hospitals in Beijing and Shanghai, thinking [I have such serious symptoms, how can I not be ill, the doctor must have lied to me]!
But in fact, by doing gastroscopy, CT and other examinations on them, it can be basically confirmed that they did not have the most common organic diseases of stomach and duodenum.
What, actually I’m still sick?
However, in recent years, with the deepening of understanding of diseases, the pathogenesis of functional gastrointestinal diseases is gradually being revealed. Doctors also think that this is a disease that requires formal diagnosis and treatment.
To give two common examples, some people begin to feel distension, nausea and other discomfort after eating very little. They usually have a good appetite, but they can’t eat at all. Some people will feel epigastric pain or heartburn, but the pain is continuous and has nothing to do with eating.
If doctors perform gastroscopy on patients and confirm that they do not have diseases such as inflammation and tumor such as esophagus, stomach and duodenum, then they can basically diagnose dyspepsia caused by functional causes, and the above two conditions also represent the two types of functional dyspepsia, postprandial fullness syndrome and epigastric pain syndrome.
Why am I the one who got sick?
The specific pathogenesis of functional dyspepsia is the same as that of most diseases-[the mechanism is unknown], but doctors are still working hard. Over the years, we have also learned a little about the causes and pathogenesis.
At present, the relatively recognized causes of the disease include gastrointestinal motility deficiency, Helicobacter pylori infection, genetic factors, diet and living habits, etc. In fact, the occurrence of functional dyspepsia is often caused by the interaction of these factors.
For example, if a person has insufficient gastrointestinal motility, Helicobacter pylori infection, unhealthy eating habits at ordinary times, and is still in a state of anxiety and tension all day long, then the person is likely to suffer from functional dyspepsia.
Can gastroscope not be done?
No.
Among digestive doctors, there is a famous saying handed down from mouth to mouth: “Find an early cancer, save a life, save a family”.
Therefore, once there are gastrointestinal symptoms, combined with the patient’s age and medical history, the first thing to consider is those common and visible organic diseases, such as atrophic gastritis, tumor, Helicobacter pylori infection, etc. When these are excluded, a patient can be diagnosed with functional dyspepsia.
If you don’t do gastroscopy just because you are afraid, once what’s disease is missed, the consequences will be much greater than the pain suffered during gastroscopy. At this time, you can tell the doctor to choose painless gastroscopy.
If it is this disease, how should it be treated?
The treatment of functional dyspepsia is a relatively long process. Even if the treatment period improves, it is also very easy to repeat. We must be prepared for the tough battle. Can’t stop the drug as soon as the symptoms improve.
The simplest and most effective treatment for most people is to adjust diet and lifestyle.
1. Eat what?
Rice, bread, yogurt, apples, etc. are helpful to relieve the symptoms of dyspepsia. However, stimulating and spicy foods, carbonated drinks, alcohol, strong tea, etc. may aggravate dyspepsia and should be eaten less.
2. How to eat?
In addition to eating what, how to eat is also important. Irregular eating and eating too fast will aggravate the symptoms of dyspepsia.
There is also a recommended way to eat: eat a small amount of low-fat food 6 times a day, that is, only a little at a time, and you can eat it several times a day, and these foods are preferably low-fat foods that are not greasy.
Do you have any medicine?
I don’t want to say too much about taking medicine, because they are all prescription drugs. Only when taken under the guidance of doctors can the best effect be achieved.
(1) Proton pump inhibitors (PPI): PPI drugs, which are most commonly used in gastrointestinal diseases and inhibit excessive gastric acid secretion, are the first choice of treatment, and low-dose PPI therapy is generally recommended;
(2) Motility promoting drugs: This kind of treatment is effective. Domperidone, itopride and mosapride are commonly used in our country.
(3) Anti-anxiety drugs: Mental factors of some patients play a great role. At this time, doctors usually add some anti-anxiety and depression drugs, but their application is still controversial.
(4) Treatment of Helicobacter pylori: For patients who have undergone breath test and are determined to be positive for Helicobacter pylori, if the symptoms are still not relieved after a period of regular treatment, they can also try to eradicate Helicobacter pylori treatment.
However, it is necessary to remind that the eradication of Helicobacter pylori must be guided by doctors, standardize the application of several corresponding drugs, and require sufficient treatment courses. Otherwise, it is very likely to cause drug resistance of Helicobacter pylori, and it is very difficult to treat it again.
Summary
Although functional dyspepsia is not a serious illness, it will still seriously affect the quality of life of patients. We can completely stay away from it by developing good diet and living habits, adjusting mentality, reducing anxiety and tension, and appropriate drug treatment.