The concept pertains to the muscular organs of the gastrointestinal tract, the esophagus, stomach, small intestine, gallbladder, and colon that are controlled by nerves. What is meant by the word, functional, is that either the muscles of the organs or the nerves that control the organs aren’t working normally, and, because of this, the organs usually do not function normally, and the dysfunction causes the outward symptoms. The nerves that control the organs include not only the nerves that lie within the muscles of the organs but also the nerves of the spinal cord and brain. Treatment in indigestion for which there is absolutely no other cause found, is primarily with education along with smooth muscle relaxant and promotility drugs. There also might be a role for anti-depressant drugs and dietary changes.
They include over-the-counter drugs such as for example omeprazole (Prilosec) and prescription drugs such as for example pantoprazole (Protonix). These drugs decrease the release of acid from the stomach lining.
Most of the outward indications of indigestion can be explained on the basis of reduced activity of the gastrointestinal muscles that results in slowed transport (transit) of food through the stomach and intestine. (It is clear, as discussed previously, that there are other causes of these symptoms in addition to slowed transit.) Such medical indications include nausea, vomiting, and abdominal bloating. When transit is severely affected, abdominal distention (swelling) also may occur and can bring about abdominal pain.
Drugs that specifically relax the muscles of the stomach are being developed, but more clinical trials showing their benefit are essential. The initial approach to dyspepsia, whether treatment or testing, depends on the patient’s age, symptoms and the duration of the symptoms.
But according to Flook, itâ€™s hard to predict what, if anything, can help. â€œThe measures that make an improvement to dyspepsia are a very individual matter. Possible triggers include eating large and late meals, caffeine, alcohol, fatty meals, NSAIDs [non-steroidal anti-inflammatory drugs such as for example ibuprofen] along with other medications.â€ Exercise, relaxation techniques, psychological therapies and acupuncture may help, but evidence is tricky to find since it hasnâ€™t been a study priority, says Ford.
Chocolate, tomatoes, oranges, and mint are common culprits of heartburn. The good news is, these symptoms usually resolve after your baby is born. Yesterday evening I woke with a bad pain in my right upper arm. That followed with indigestion.
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This means a few of your stomach contents can come back up into your oesophagus (called reflux). You may also have indigestion because your growing baby in your uterus (womb) presses against your stomach.
It will usually be considered a pressure, ache or tight band of pain on the left side of your chest. It can then spread up to your neck and jaw and make you breathless, faint and sweaty.
A lot of people with wind and bloating donâ€™t have an underlying health problem. But flatulence can often be the effect of a condition such as constipation, irritable bowel syndrome or lactose intolerance. If H. pylori bacterial infection is causing your indigestion (see Diagnosis of indigestion), your GP may recommend an assortment of medicines. You may want to take antibiotics to kill off the bacteria and proton pump inhibitors to reduce how much acid your stomach makes.
In addition to causing heartburn, excess gastric acid may also cause bleeding sores (ulcers) in the stomach; these, too, are treated with PPIs, among other drugs. If indigestion is the effect of a disease or medical condition, the prognosis is varied and dependent upon the resolution of that condition. Some conditions such as ulcers, GERD, and gastritis respond readily to medications.
My cardiac enzymes were elevated, my EKG was so weird the ER doc called 5 cardiologists. I was hypotensive, tachycardic and could feel the fluids filling up in my own lungs. If I went to the Dr each time I had one of these symptoms (arm pain, back pain, neck pain, chest pain, etc) I’d be in the er almost daily. How are we supposed to really know? Scary.