Functional dyspepsia is a functional disorder. Patients with functional dyspepsia often visit hospitals for the presence of various symptoms of dyspepsia, such as epigastric pain, epigastric distention, loss of appetite, nausea and vomiting. Since many diseases can cause these symptoms, the diagnosis of functional dyspepsia can be made only after various tests are conducted by doctors to exclude organic diseases such as ulcers, gastritis and tumors.
Functional dyspepsia is one of the most common functional gastrointestinal disorders. Some survey data show that there is indigestion in the general population with the occurrence of mental. Psychological factors are closely related, and more than one person in the same family often has this disease, which is called family aggregation. Functional dyspepsia is not life-threatening, but it can affect people’s quality of life to varying degrees.
Organic disease and functional disease In the disease process, the organ or tissue occurrence can be detected lesions is organic lesions; appear symptoms, but by the current science and technology did not find out the cause of the condition, that is, functional disease. Because of the development of science and technology, what is proved to be a functional disease at present may be found to be an organic disease in the future.
What are the common symptoms of functional dyspepsia?
The main symptoms of functional dyspepsia are epigastric pain, epigastric distention, early satiety, belching (burping), loss of appetite, nausea, vomiting, etc.
Epigastric pain The patient may feel subjective discomfort and damage to the tissues of the body, and this painful symptom may make the patient feel very uncomfortable. Epigastric pain due to functional dyspepsia is irregular, but may persist with meals.
Epigastric distention A discomfort similar to the presence of food in the stomach for too long, mostly related to meals and aggravated after eating.
Early satiety is a feeling of rapid fullness of the stomach after the start of a meal, which is disproportionate to the volume of food consumed, i.e., the patient may not have eaten much food but feels very full and distended, making it impossible to complete the meal.
Belching (hiccups) Air swallowed into the stomach during eating and drinking and expelled from the stomach when the lower esophageal sphincter is briefly relaxed is annoying and affects the patient’s life.
Nausea and vomiting are uncommon, with vomiting mostly of the stomach contents of meals.
Anxiety and depression Some patients have mental symptoms such as insomnia, anxiety, depression, headache, and lack of concentration.
What are the characteristics of the symptoms of patients with functional dyspepsia?
The appearance of symptoms in patients with functional dyspepsia is often related to certain life events, such as mental shock, mood swings. Improper diet, etc. Not every patient with functional dyspepsia has all of the above symptoms, and they can vary from patient to patient. Some patients can have different manifestations. Some patients may have mainly upper abdominal pain, while others may have mainly upper abdominal distension. Some patients may have one symptom, such as epigastric pain after a meal;
Some patients may have a group of symptoms, such as early satiety, postprandial epigastric pain, epigastric fullness, etc. The patient’s symptoms may change during the course of the disease, such as the original epigastric fullness after meals, but later changed to epigastric pain after meals.
The symptoms of patients with functional dyspepsia can be persistent or recurrent.
Eating a specific thing or mental. Changes in mood can be a trigger or an aggravation of symptoms in patients with functional dyspepsia.
How do doctors diagnose functional dyspepsia?
Functional dyspepsia can be diagnosed after certain examination procedures if the patient meets the following criteria
Symptoms such as epigastric pain, upper abdominal fullness, early satiety, belching, loss of appetite, nausea, vomiting, etc. that have lasted for at least a cumulative period of more than 12 weeks in the last 6 months.
Exclude the presence of organic gastrointestinal disease. It was confirmed after examination that the patient did not have organic gastrointestinal diseases such as esophagitis, gastric and duodenal ulcers, gastric mucosal erosion, tumors and liver, biliary and pancreatic diseases, and had not previously had these diseases.
Exclusion of systemic diseases. The patient has no diabetes mellitus, kidney disease, connective tissue and psychiatric disease.
Has not undergone abdominal surgery.
Is there a specific medicine for functional dyspepsia?
There is no specific medication for functional dyspepsia. Doctors need to use targeted medications to relieve or alleviate the patient’s symptoms according to the characteristics of the patient’s symptoms. Generally, patients with epigastric pain as the main symptom are given drugs that inhibit gastric acid secretion, such as ranitidine, famotidine, omeprazole, etc.; patients with epigastric distension, early satiety, belching as the main symptom are given pro-gastrointestinal motility drugs, such as morpholine (domperidone), mosapride, etc.
Since dry mental and emotional changes are related to the appearance of functional dyspepsia symptoms, some patients with mental and psychological problems also need to take antidepressants or anti-anxiety drugs under the guidance of a psychiatrist. What should patients with functional dyspepsia pay attention to?
To maintain a happy spirit, a calm mind not mouth, to have confidence in the treatment, believe that under the guidance of doctors functional dyspepsia can be cured.
Establish good living habits, avoid smoking and alcohol.
Avoid foods that have been found to induce symptoms.
To relieve the symptoms, you can take less food and more meals.