indigestion
Introduction
Introduction to indigestion Indigestion is a disease caused by gastric dysmotility, and it also includes gastroparesis and esophageal reflux disease with poor gastric motility. Indigestion is mainly divided into functional dyspepsia and organic dyspepsia. Functional dyspepsia belongs to the category of "sputum", "stomach pain" and "noisy" in traditional Chinese medicine. The disease is in the stomach, involving organs such as liver and spleen. It should be treated according to syndrome differentiation, spleen and stomach, liver and qi, digestion. Treatment with lead and other methods. basic knowledge Proportion of the disease: This disease can occur in any age group, 95% of the population will have such symptoms. Susceptible people: no special people Mode of infection: non-infectious Complications: constipation
Cause
Causes of dyspepsia
Physiological and psychological factors (25%):
People with psychological and mental stress can cause the disease.
Dietary habits (20%):
Bad eating habits, including irritating foods (coffee, tea, sweets, greasy, cold, etc.) and poor eating habits (including fasting, frequent consumption of irritating foods, and irregular eating or binge eating).
External environmental factors (25%):
Affected by the ambient temperature, it is easy to cause disease.
Other disease infections (15%):
Helicobacter pylori infection is also one of the major causes of dyspeptic symptoms in some patients with FD.
Prevention
Indigestion prevention
1. Develop good habits. Do not overeating, avoid eating non-digestible foods and drinking a variety of easily produced beverages.
2. Choose safe, effective and inexpensive drugs. In addition to the use of gastrointestinal capacity drugs, such as porphyrins, but also to supplement digestive enzymes and drugs that promote bile secretion.
Because bile is indispensable in the digestion process, it can also cooperate with digestive enzymes to achieve good digestion. In recent years, a new digestive enzyme preparation compound azinamide enteric-coated tablet contains not only trypsin, pancreatic lipase, pancreatic amylase, but also an azinamide which effectively promotes bile secretion and dimethicone which eliminates flatulence. . After clinical observation, the total effective rate of the drug for 4 weeks was more than 85%, and there was no adverse reaction.
Complication
Dyspepsia complications Complications constipation stomach cancer
There may be a series of symptoms, such as abdominal discomfort or pain, fullness, heartburn, belching, etc., constipation, stomach cancer.
Symptom
Symptoms of dyspepsia Common symptoms Nausea, bloating, bloating, appetite, suffocation, suffocation, sputum, sputum, sputum, sputum, sputum
(1) Diarrhea: Diarrhea is the main symptom. Most patients have frequent diarrhea or intermittent attacks, and very few have no diarrhea or constipation.
(2) abdominal pain, abdominal distension: abdominal pain is rare, mostly pain, often occurs before defecation, about half of which have obvious flatulence and nausea and vomiting.
(3) Weight loss: About 50% to 100% of patients occur, due to insufficient nutrient absorption and loss of appetite, resulting in weight loss, mainly due to protein, fat and other nutrient absorption disorders, resulting in excessive loss.
(4) vitamin deficiency: vitamin D and calcium deficiency can cause hand and foot convulsions, protein deficiency can cause osteoporosis, bone softening and cause bone pain.
(5) Biochemical changes: serum potassium, sodium, calcium and magnesium can be decreased to varying degrees; plasma protein, blood lipids and prothrombin are also reduced.
(6) The fat absorption rate is less than 90%, or the fecal fat discharge amount is more than 7 g/day.
Examine
Indigestion check
1, blood routine, urine routine, fecal routine.
2, liver function, kidney function.
3. Immunological examination of viral hepatitis.
4, X-ray examination, B-mode ultrasound examination.
5. Detection of electrolytes and inorganic elements.
6, gastric juice detection.
7, cardiovascular examination.
8, endoscopy: endoscopy can be found in ulcers, erosion, tumors and other organic lesions.
9. Radionuclide (isotope) inspection.
Diagnosis
Diagnosis of dyspepsia
(1) There are symptoms of upper abdominal pain, upper abdominal distension, early satiety, belching, nausea, vomiting, etc., which lasts for at least 4 weeks or more than 12 weeks in December.
(2) Endoscopic examination showed no organic lesions such as stomach and duodenal ulcer, erosion, tumor, etc. No esophagitis was found, and no history of the above disease was found.
(3) Laboratory, B-ultrasound, and X-ray examination exclude hepatobiliary and pancreatic diseases.
(4) No diabetes, kidney disease, connective tissue disease and mental illness.
(5) No history of abdominal surgery. The selection of scientific research cases also need to be accompanied by irritable bowel syndrome, so as not to affect the comparability of the study; no new organic lesions were found after regular follow-up, and the follow-up time was more than 1 year.
(6) Differential diagnosis: The diseases to be identified are listed in the diagnostic criteria. In particular, it should be noted that in the past, there will be refractory symptoms, and no refractory esophagitis in gastroscopy is classified as reflux FD. These patients have been classified as endoscopically negative gastroesophageal ducts. Reflux disease.
