Eating six small, low-fat meals per day may reduce early feelings of fullness, bloating after a meal, or nausea. Avoidance of caffeine, alcohol or smoking may also help. Share this page. Share on facebook. Share on twitter. Share on linkedin. Share on email. Share on print. Topics of this article. Was this article helpful? Make a donation. Related Information. Research News. August 27, CVS in Adults. March 8, Intestinal Pseudo-Obstruction.
Personal Stories. International Foundation for Gastrointestinal Disorders. Our Other Sites. Although diagnosing this condition can sometimes be challenging, due to the variable nature of symptoms, the prognosis for functional dyspepsia is good.
There is no evidence that it leads to cancer or other serious disease. Theories as to its cause are multiple but a minor muscle motility disturbance is most likely. Typically, successful therapy involves dietary discretion and short courses of medication. Functional Dyspepsia Functional dyspepsia is a chronic disorder of sensation and movement peristalsis in the upper digestive tract. Symptoms of Functional Dyspepsia The disturbed motility present in functional dyspepsia leads to amplified sensation in the upper gut visceral hyperalgesia.
Diagnosing Functional Dyspepsia In the past, some physicians would have diagnosed peptic ulcer disease in an individual complaining of upper middle abdominal epigastric pain and nausea. A physician arrives at a diagnosis of functional dyspepsia when there is no evidence of structural disease and there have been at least three months of one or more of the following with onset at least six months earlier : bothersome post-meal postprandial fullness early satiation epigastric pain epigastric burning The role of investigations and testing in functional dyspepsia is often misunderstood.
Management of Functional Dyspepsia Dietary and Lifestyle Modifications Although no evidence directly links specific foods to functional dyspepsia, it does make sense to limit or avoid foods where a symptom effect is obvious on an individual basis. Medications There are two main approaches to treating functional dyspepsia with medications: neutralizing acid and blocking its production. H 2 RAs work by blocking the effect of histamine, which stimulates certain cells in the stomach to produce acid.
H 2 RAs are all available by prescription and some are accessible in a lower dose non-prescription formulation. PPIs work by blocking an enzyme necessary for acid secretion and have the best effect when taken on an empty stomach, a half-hour to one hour before the first meal of the day. PPIs have emerged as the most effective therapy for relieving symptoms and improving quality of life, as well as healing and preventing damage to the esophagus.
In Canada, PPIs are available only by prescription. Longer-term and multiple daily dose PPI therapy may be associated with an increased risk for osteoporosis-related fractures of the hip, wrist, or spine. Functional Dyspepsia Outlook Functional dyspepsia is a common, long-recognized condition with a number of upper abdominal symptoms. Want to learn more about functional dyspepsia? Feldman M, et al. Elsevier; Accessed Nov. Longstreth GF, et al. Functional dyspepsia in adults.
Indigestion dyspepsia. Goldman L, et al. Functional gastrointestinal disorders: Irritable bowel syndrome, dyspepsia, esophageal chest pain, and heartburn. In: Goldman-Cecil Medicine. Mounsey A, et al.
Functional dyspepsia: Diagnosis and management. American Family Physician. Li J, et al. A combination of peppermint oil and caraway oil for the treatment of functional dyspepsia: A systematic review and meta-analysis.
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