This can cause some parts of the digestive system to shut down and others to go into overdrive. Many people’s stomachs produce more acid when they’re anxious and this can cause them to experience heartburn. When people are stressed or anxious, they often feel those emotions in their stomachs. Receiving bad news, worrying about finances or a loved one, even watching the evening news can cause the acid production in the stomach to ramp up, because emotions impact several aspects of the digestive system.
If it is not clearly effective, the option of discontinuing the relaxant should be discussed with a physician. The number of promotility drugs that are available for use clinically is limited. Studies of their effectiveness in indigestion are even more limited. The most studied drug is cisapride (Propulsid), a promotility drug that was withdrawn from the market because of serious cardiac side effects. (Newer drugs that have similar effects but lack the toxicity are being developed.) The few studies with cisapride for indigestion were inconsistent in their results.
Symptoms of heart palpitations
The distinction between functional disease and non-functional disease may, in fact, be blurry. Thus, even functional diseases probably have associated biochemical or molecular abnormalities that ultimately will be able to be measured.
Perhaps only 10% of those affected actually seek medical attention for their indigestion. Indigestion is not a particularly good term for the ailment since it implies that there is “dyspepsia” or abnormal digestion of food, and this most probably is not the case. In fact, another common name for dyspepsia is indigestion, which, for the same reason, is no better than the term dyspepsia!
There is a strong connection between acid reflux and anxiety. Acid reflux and anxiety can play off of each other creating a problematic cycle of mental and physical discomfort. Its important to understand how the two are connected in order to stop heartburn generated by acid reflux and anxiety.
Comparing with patients with adequate PPI symptom control, antireflux surgery might have a less favorable clinical outcome for the patients with refractory GERD symptom. Normal acid exposure and the presence of atypical reflux symptoms and persisting symptoms despite PPI therapy are predictors of a poor postoperative outcome. It is important to confirm pathological reflux before considering antireflux surgery if there is no proven esophagitis.
GERD can be broken down into classic and atypical symptoms. Symptoms may get worse when you bend over, lie down, or when you eat. Symptoms may also be worse at night. The most common classic symptoms are heartburn and regurgitation of fluid from the stomach into the esophagus. Acid reflux is one of those medical concerns that may not be apparent for some.
- When functioning normally, the LES [Lower Esophageal Sphincter] opens like a one-way valve that allows food into the stomach, but does not let it out the same way.
- For example, both stress and heartburn can lead to ulcers, and ulcers can be dangerous.
- Disrupted sleep is also a common symptom of both conditions.
Psychological treatments for indigestion
Then the researchers observed the pH values in each patient’s esophagus, because an acidic pH value is a common indicator of GERD. They found that nearly half the patients who reported having anxiety and depression had normal pH values in their esophagus – indicating that they most likely did not have GERD.
Many symptoms are tolerable if patients’ anxieties about the seriousness of their symptoms can be relieved. It also helps patients deal with symptoms when they feel that everything that should be done to diagnose and treat, in fact, is being done. The truth is that psychologically healthy people can tolerate a good deal of discomfort and continue to lead happy and productive lives.
Treatment for indigestion often is similar to that for irritable bowel syndrome (IBS) even though the causes of IBS and indigestion are likely to be different. Subjective symptoms are particularly prone to responding to placebos (inactive drugs). In fact, in most studies, 20% to 40% of patients with indigestion will improve if they receive placebo drugs.