Is it true that functional dyspepsia cannot be cured?

  Functional dyspepsia is a common functional gastrointestinal disease, and some data show that the prevalence of functional dyspepsia in the domestic population is about 20%, and there are about 300 million people. Because of its complex etiology and a variety of factors, especially with the close relationship between psychological factors, so rely on drug treatment effect is often poor, it gives people the impression that the cure is not good. In fact, as long as the cause of the disease is clear, strengthen the diet and supplement the drug treatment, functional dyspepsia treatment effect is very good, the prognosis is good.  What is functional dyspepsia Functional dyspepsia is a functional gastrointestinal disease, which is often referred to as gastrointestinal dysfunction. Functional dyspepsia is a group of clinical syndromes with various clinical manifestations, mainly including epigastric pain, epigastric distension, early satiety, belching, loss of appetite, nausea, vomiting and so on. It can appear alone or as a group of symptoms. The characteristics are: 1. early satiety refers to the feeling of fullness soon after eating, resulting in a significant reduction in food intake; 2. epigastric distention mostly occurs after meals, or is persistent and worsens after eating; 3. early saturation epigastric distention is often accompanied by belching. Nausea and vomiting are uncommon and often occur in patients with significantly delayed gastric emptying, and vomiting is mostly of the stomach contents of the current meal. 4. Many patients are accompanied by insomnia, anxiety, depression, headache, inattention and other mental symptoms. These symptoms are related to the psychology of “fear of cancer” in some patients; 5. The symptoms may change during the course of the disease, starting slowly, over the years, persistently or repeatedly, and many patients have diet and mental triggering factors.  What are the causes of functional dyspepsia? The main causes of functional dyspepsia are: gastrointestinal motility disorders, visceral sensitivity, and psychosomatic factors.  Psychological factors play a very important role in the development of functional dyspepsia. For example, a person’s emotions are sensitive, usually easy to anger in life, the stomach and intestines are also easily affected by emotions, some people’s internal organs are more sensitive, eat some spicy stimulating food body will feel uncomfortable, there are some patients with functional dyspepsia phenomenon, fear that they have a major disease, but also in the mental anxiety, lazy life and work, headaches and even depression With the change of mood and diet, this symptom will affect the normal life and mental state of the patient if it is not improved continuously.  What are the treatments for functional dyspepsia? Functional dyspepsia is mainly symptomatic treatment based on symptom improvement, and our guidelines for the diagnosis and treatment of functional dyspepsia propose 2 steps: examination before treatment, or empirical treatment first according to the relationship between symptoms and eating. Gastrointestinal motility disorder is the main pathological basis of functional dyspepsia, so gastrointestinal motility drugs are the most commonly used drugs for functional dyspepsia. If pre-meal epigastric pain is considered to be caused by the stimulation of gastric acid or bile on the gastric mucosa in fasting, then good habits need to be developed in diet to avoid gastric fasting as much as possible, or auxiliary acid suppressants to reduce the secretion of gastric acid to reduce the stimulation of gastric mucosa by gastric acid. Patients with functional dyspepsia have varying degrees of mental and psychological regulation disorders, manifested as depression and/or anxiety states. For such patients, cognitive and behavioral therapy is often required to adjust the patient’s mental and psychological disorders, if necessary with anti-anxiety-depressant treatment.  How to improve the cure rate of functional dyspepsia Functional dyspepsia is a functional disease, functional disease is characterized by: the condition is variable, and sometimes heavy, sometimes light, many complaints, patient suffering, drug therapy is not ideal, patients worry, fear, suspicion and other serious psychological problems, after repeated physical and laboratory examination but can not detect the pathological changes of the corresponding organs, the patient’s quality of life, work efficiency is affected. The patient’s quality of life and work efficiency are affected, but the healthy life span is not threatened. Therefore, the correct treatment method is: prevention of seizures, supplemented by medication, adjustment of psychological state, improvement of lifestyle, and correction of triggering factors.  1. Maintain a good psychological state. Eliminate unnecessary tension, worry, fear and other bad psychological state, establish confidence to overcome the disease. Maintain optimism, broad-mindedness, emotional optimism, good mood, gastrointestinal function will be good.  2.Adopt a healthy lifestyle. Live a regular life, eat regularly, combine work and rest, and actively participate in physical exercise and recreational activities to distract attention. Avoid sedentary, standing, more aerobic exercise, exercise 3 to 5 times a week, each exercise for about 30 minutes.  3, pay attention to diet conditioning. Eat a light diet, eat more fresh vegetables and fruits, eat more coarse grains, drink more water, drink more yogurt. Avoid rough, greasy and stimulating food, avoid cold drinks, eat less and more meals, avoid tobacco, alcohol and coffee, etc. Avoid smoking and alcohol and taking non-steroidal anti-inflammatory drugs, and avoid foods that can induce symptoms in personal life experience.  4.Medication symptomatic treatment. For gastrointestinal motility disorders and gastrointestinal visceral hypersensitivity, drugs that regulate gastrointestinal motility and reduce gastrointestinal irritation factors can be used. Regulate gastrointestinal motility drugs are pro-gastrointestinal motility drugs gastrointestinal antispasmodics. Stimulation reducing drugs include commonly used are gastric acid inhibiting drugs, digestive enzyme preparations and intestinal probiotics. For patients with functional gastrointestinal disorders with significant depression and anxiety disorders can be supplemented with anti-anxiety and depression medications. In fact, medications, both prescription and over-the-counter, are recommended to be used under the guidance of a medical professional.