The answer is unclear. Helicobacter pylori (H. pylori) infection of the stomach. Some patients with mild upper gastrointestinal symptoms who were thought to have abnormal function of the stomach or intestines have been found to have stomachs infected with H.
my.clevelandclinic.org/health/articles/gastroesophogeal-reflux-disease-gerd. Accessed June 1, 2017. Patients also should be advised to not exercise immediately after eating, to abstain from foods and drinks that may aggravate or contribute to heartburn and dyspepsia, and to avoid lying down within 30 minutes of eating.
“Weight loss and quitting smoking will help most,” says Dr. Staller. It is always important to keep track of what you eat, especially when dining out for a meal. Symptoms of food poisoning can often kick in within hours of eating contaminated food. These often include nausea, vomiting, diarrhea and abdominal pain. Current guidelines recommend the use of acid-suppressive therapy with proton pump inhibitor (PPI) therapy as the first-line approach to GERD treatment.(7-9) PPIs suppress gastric acid secretion and have a profound effect on oesophageal mucosal healing.(10) Despite the high efficacy of PPIs, up to 30% of patients continue to experience GERD-like symptoms even when adequately dosed.(7,8) Patients who do not respond to PPIs or have any alarm symptoms (e.g. dysphagia, odynophagia, weight loss, vomiting and/or abdominal pain) require further evaluation.
This is true especially if the patient has already been prescribed medications that are not relieving the heartburn. If it is obvious from the symptoms that a person has heartburn, no tests or exams may be necessary. Advice in regard to lifestyle modifications, diet, or medications may begin immediately.
These conditions include Crohn’s disease, cystic fibrosis, celiac disease, and IBS. Symptoms are often managed using a combination of lifestyle changes and medication. Several disorders of the liver and gallbladder can impair the action of bile, preventing the proper breakdown of fats in the intestine. For example, this can occur in people with gallstones or liver cirrhosis.
Sometimes people have persistent indigestion that is not related to any of these factors. This type of indigestion is called functional, or non-ulcer dyspepsia. Swallowing excessive air when eating may increase the symptoms of belching and bloating, which are often associated with indigestion.
It can impair the proper breakdown of fats, starches, and proteins. This can cause loose stools or diarrhea. People with celiac disease who consume gluten, may experience loose stools.
Chronic PD usually results from a medical condition, such as irritable bowel syndrome (IBS). Find out more about the causes of PD and get some treatment tips. Loose stools or diarrhea that does not improve after 1 week should be given immediate medical attention. This can be a sign of a more serious medical condition and may worsen without treatment.
Another therapeutic approach is to test for Helicobacter pylori infection of the stomach (with blood, breath or stool tests) and to treat patients with infection to eradicate the infection. It may be necessary to retest patients after treatment to prove that treatment has effectively eradicated the infection, particularly if dyspeptic symptoms persist after treatment. Once testing has been done to an extent that is appropriate for the clinical situation, it is reasonable to first try a therapeutic trial of stomach acid suppression to see if symptoms improve. Such a trial probably should involve a PPI (proton pump inhibitor) for 8 to 12 weeks.
5. Abdominal Wall Pain
These drugs usually are prescribed if other drugs have not helped. They may have to be used indefinitely. If a person continues to have heartburn, a health care professional may recommend adding a drug such as metoclopramide (Reglan).
Electrocardiogram (ECG or EKG)An electrocardiogram is known by the acronyms “ECG” or “EKG” more commonly used for this non-invasive procedure to record the electrical activity of the heart. An EKG generally is performed as part of a routine physical exam, part of a cardiac exercise stress test, or part of the evaluation of symptoms. Symptoms evaluated include palpitations, fainting, shortness of breath, dizziness, fainting, or chest pain. these causes include bloating, gas, colitis, endometriosis, food poisoning, GERD, IBS (irritable bowel syndrome), ovarian cysts, abdominal adhesions, diverticulitis, Crohn’s disease, ulcerative colitis, gallbladder disease, liver disease, and cancers.