Tuesday, 21st November 2017
BEAUTY Article
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This Month's Magazine

Dyspepsia

A recent study shows that "Dyspepsia" is defined by pain or discomfort in the central abdominal area.

A recent study shows that "Dyspepsia" is defined by pain or discomfort in the central abdominal area, characterized by or associated with the following symptoms: bloating, burning, fullness, nausea, retching, belching and vomiting. Heartburn and vetrosternal burning are only and additional symptoms of dyspepsia and when they becomes the dominant complaint, the diagnosis should go more towards gastro oesophageal reflux.
 
With patients older than 45 years, who smoke and show pain that is relieved by food or antacids may mean the presence of a peptic ulcer.

A stable doctor-patient interaction is the best therapy. Alcohol and caffeine should be reduced or discontinued, bearing in mind that food and daily events may contribute to dietary or psychosocial factors that could increase the pain.


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I wish to avoid entering into more details that should best be discussed with and assessed by your doctor only as the types of drugs available on the market are many and different, but what I do underline is that there can be many reasons for a single stomach pain and how often we neglect it or neglect to care about the kind of daily food intakeĀ… After all we are what we eat!

Symptoms can be caused by the following:

  1. Food or drink intolerance
    i.e. fatty foods, high alcohol, coffee, fizzy drinks, not easily digestible foods.
  2. Lumina gastrointestinal tract dysfunction
    i.e. peptic ulcer, reflux, gastro-desophagus.
  3. Helicobacter pylori infection.
  4. Functional or non-ulcer dyspepsia 
    This is the most common cause of chronic dyspepsia. Two thirds of patients have no obvious organic cause for the symptoms they experience, which may arise from a complex interaction of increased organic sensitivity, gastric emptying delay and impaired accommodation to food, not forgetting psychological stress. Remember that, even if benign, these symptoms may become chronic and difficult to treat.
  5. Other causes
    Diabetes, thyroid disease, gastric cancer.
    The clinical findings given to a non specific nature of dyspepsia symptoms are not useful for a correct diagnosis. Many patients report fear of a serious underlining condition. Recent changes in employment, marital discord, physical or sexual abuse, anxiety and depression, may all contribute to the symptoms.



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