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Dyspepsia


About this topic


You may feel a burning pain in your upper belly during or after a meal. This is called dyspepsia. The pain may come and go. Other times, the pain may be present most of the time. You may have burping, belching, heartburn, or throw up. Some people have a feeling of a full belly or of being bloated. Sometimes, doctors use drugs or suggest changes in lifestyle. Other times, diet changes or surgery is needed. ‚  


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What are the causes?


  • Eating too much or too fast
  • Eating too many spicy or greasy foods
  • Certain illnesses or infections. These may include H. pylori, gastritis, reflux, or ulcers.
  • Taking drugs like antibiotics and nonsteroidal anti-inflammatory drugs

What can make this more likely to happen?


  • Drinking too much caffeine or alcohol
  • Stress
  • Smoking

What are the main signs?


Signs may happen more often when eating or drinking. Sometimes, they happen a little while after eating. The most common signs are: ‚  
  • Pain or burning in your upper belly
  • Burping
  • Upset stomach and throwing up
  • Bloated or swollen belly
  • Feeling full on only a small amount of food
  • Loss of weight or desire to eat
  • Black stools

How does the doctor diagnose this health problem?


The doctor will take your history and do an exam. The doctor will ask about your signs. Your doctor will want to rule out other illnesses. Based on your signs, your doctor may order: ‚  
  • Lab tests
  • X-rays
  • Ultrasound
  • Upper endoscopy
  • Colonoscopy
  • Swallowing study
  • Breath tests
  • Barium enema

How does the doctor treat this health problem?


Most often, the doctor will treat your signs. Treatment may include: ‚  
  • Drugs
  • Change in diet
  • Learning about the illness and how to live with it
  • Learning how to manage stress
  • Stopping smoking

Are there other health problems to treat?


If some other illness is causing your dyspepsia, your doctor will want to treat it. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain
  • Calm heartburn
  • Prevent reflux
  • Treat other signs

What problems could happen?


  • Scarring of the esophagus
  • Irritation or damage to the digestive tract lining
  • Damage to the valves that fill or empty your stomach
  • Long-term indigestion

What can be done to prevent this health problem?


  • Avoid eating too much, especially at night.
  • If you are taking drugs like ibuprofen (Advil, Motrin) for swelling and pain, ask your doctor if there is some other treatment choice. These are nonsteroidal anti-inflammatory drugs (NSAIDS). They can sometimes cause dyspepsia.

Where can I learn more?


American Academy of Family Physicians ‚  
http://familydoctor.org/familydoctor/en/diseases-conditions/dyspepsia.printerview.all.html ‚  
KidsHealth ‚  
http://kidshealth.org/kid/ill_injure/aches/indigestion.html ‚  
National Digestive Disease Information Clearinghouse ‚  
http://digestive.niddk.nih.gov/ddiseases/pubs/indigestion/ ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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