Alarm symptoms of indigestion and principles of management

  In 2000, the International Working Group on Functional Gastrointestinal Disorders put forward a set of opinions on the management of dyspepsia, and in the same year, our country also formulated a diagnosis and treatment procedure for dyspepsia. It is pointed out that if you have the following alarm symptoms of dyspepsia, you should do further examination.  So is dyspepsia alarm symptoms?  1, age 40 or older; 2, difficulty swallowing, stubborn vomiting, loss of appetite; 3, unexplained weight loss, black stool, anemia, abdominal masses and other symptoms; 4, family history of tumors or obvious emotional factors or psychological disorders.  Further examination should be done. If there is no such condition, empirical treatment can be taken first to eliminate the symptoms and improve the quality of survival.  For example: 1. Patients with epigastric discomfort, epigastric pain or distension during fasting, which is relieved after eating, are likely to have acid-related diseases such as reflux esophagitis or peptic ulcer; 2. If patients have symptoms such as epigastric discomfort, pain, early saturation and epigastric distension after meals, attention should be paid to whether the digestive system is overloaded due to improper diet or excessive eating.  In these cases, it is recommended to choose acid suppressants for acid-related disorders and motility promoters for dyspepsia related to gastric motility disorders.  If the symptoms are relieved after two weeks of medication, the above judgment is further supported.  If not, further biochemical, ultrasound and endoscopic examinations are recommended, and treatment will be based on the results.