Symptoms of functional dyspepsia

Functional dyspepsia is what we often call indigestion. There are many reasons that can induce functional dyspepsia. Although it is not very difficult to treat functional dyspepsia, we also need to understand some symptoms of functional dyspepsia. Only when we understand the symptoms of functional dyspepsia can we use symptomatic medication according to these symptoms.

To prevent functional dyspepsia, we need to reduce mental stress and do appropriate exercise. A reasonable diet and regular living habits are the best ways to prevent functional dyspepsia.

Functional dyspepsia has no characteristic clinical manifestations, mainly including upper abdominal pain, upper abdominal distension, early satiety, belching, loss of appetite, nausea, vomiting, etc. Symptoms may occur alone or as a group.

1. Early satiety refers to the feeling of fullness shortly after eating, resulting in a significant reduction in food intake.

2. Upper abdominal distension often occurs after meals, or persists and worsens after meals.

3. Early satiety and upper abdominal distension are often accompanied by belching. Nausea and vomiting are uncommon and often occur in patients with significantly delayed gastric emptying, with vomiting usually of the stomach contents of the meal.

4. Many patients also suffer from mental symptoms such as insomnia, anxiety, depression, headache, and inattention. These symptoms are related to the "cancer fear" in some patients.

5. Symptoms may also change during the course of the disease. The onset is usually slow, lasting over years, and may persist or recur. Many patients have dietary, mental and other triggering factors.

Treatment of functional dyspepsia

The treatment is mainly symptomatic, following the principles of comprehensive treatment and individualized treatment.

1. General treatment

Develop good living habits, avoid smoking, drinking and taking non-steroidal anti-inflammatory drugs. No special diet, avoid foods that trigger symptoms in personal life experience. Pay attention to providing psychological treatment based on the different characteristics of the patients. People with insomnia and anxiety can be given appropriate sedatives.

2. Medication

There is no specific medicine, and treatment is mainly empirical.

(1) Drugs that inhibit gastric acid secretion are generally used for patients with upper abdominal pain as the main symptom. H2 receptor antagonists or proton pump inhibitors can be used selectively.

(2) Gastrointestinal prokinetic drugs are generally suitable for patients with upper abdominal distension, early satiety, and belching as the main symptoms. Selectively take domperidone, itopride, etc.

(3) Helicobacter pylori eradication therapy may be effective for a small number of FD patients with Helicobacter pylori infection and can be tried for those with severe symptoms.

(4) Antidepressants can be tried for patients who have poor responses to the above treatments and have obvious psychiatric symptoms. Commonly used antidepressants include tricyclic antidepressants; selective inhibitors of serotonin reuptake, flupentixol-melitracen tablets, etc. It is advisable to start with a small dose and pay attention to the adverse reactions of the drug. It is recommended to take it under the guidance of a specialist physician.

(5) Other mucosal protective agents can be used, such as aluminum hydroxide gel, bismuth, sucralfate, and mezilin-S.

Above we introduced what functional dyspepsia is. We know that functional dyspepsia is actually what we often call indigestion. There are many ways to treat functional dyspepsia. We can use general therapy or drug therapy. The above article introduces the symptoms of functional dyspepsia in detail.