early satiety
Introduction
Introduction The so-called "early satiety" means that the amount of food eaten is less than the normal amount of food, which gives a feeling of "satisfaction", indicating that the stomach has a problem. To be specific, the "stomach motility" is a problem! When the proximal stomach accommodates And the function of storing food is reduced, and it can not relax normally after eating. The patient will feel fullness, usually accompanied by hernia, bloating, and even nausea and vomiting. The slowing of gastric emptying can lead to prolonged retention of food in the stomach, increased gastric acid secretion, and thus mucosal damage, which is prone to gastritis. Gastritis will further promote the slowing of gastric motility, thereby causing a vicious circle.
Cause
Cause
There are several factors that cause gastric dysmotility:
1. Gastric secretion dysfunction: There are two secretory cells in the stomach wall of the human body, one secreting digestive enzymes and the other secreting gastric acid. When the function of these cells declines, digestive enzymes and gastric acid secretion are also reduced. Reflexively inhibits contraction and peristalsis of gastric muscles, thereby producing gastric motility disorders.
2. Mental and emotional changes: mental stress and emotional grief can make the gastric electrical activity disorder, affecting the sympathetic nerve and causing the gastric muscle contraction frequency to be slow, the food in the stomach can not be discharged into the intestinal tract in time, forming food and gas retention in the stomach, causing bloating , suffocating, nausea and many other symptoms.
3. Functional dyspepsia: slowing of gastric emptying, causing a series of symptoms of dyspepsia, called "functional dyspepsia", because the function of the human proximal stomach to store and store food is reduced, can not be after eating Normal diastole, the patient will have a feeling of fullness, usually accompanied by hernia, bloating, and even nausea, vomiting and other symptoms.
4. Inappropriate eating: eating too much radish, potatoes, sweet potatoes, chestnuts and other foods overeating, overeating, so that the stomach load exceeds the normal state, the stomach muscles are not enough power, the stomach can not be empty on time, the stomach accumulates food For a long time, it will lead to insufficient stomach power.
5. Bad living habits: If excessive smoking causes the pyloric sphincter to relax, causing bile reflux, drinking alcohol can damage the gastric mucosa, and can also cause gastric dysmotility.
Examine
an examination
Related inspection
Pepsin determination of gastrin gastroscopy
Indigestion is a disease caused by gastric motility disorders, including gastroparesis and esophageal reflux disease with poor gastric motility. Symptoms include intermittent upper abdominal discomfort or pain, fullness, heartburn (acid reflux), and hernia. Often due to chest tightness, early satiety, abdominal distension and other discomfort and reluctance to eat or eat as little as possible, it is not easy to sleep at night, often have nightmares after sleep. Going to the hospital for examination, except for mild gastritis under the gastroscope, other tests such as B-ultrasound, X-ray angiography and blood biochemical examination can not detect abnormal performance.
Diagnosis
Differential diagnosis
It needs to be differentiated from organic diseases that cause dyspepsia including esophagus, gastroduodenum, hepatobiliary pancreas and upper gastrointestinal symptoms, especially peptic ulcer and gastric cancer. In addition, it should be pointed out that: in the past there will be heartburn, acid reflux symptoms and no reflux esophagitis in the gastroscopy is listed as reflux FD, this part of the patient has been classified as endoscopic negative gastroesophageal Reflux disease; symptoms of dyspepsia may be manifestations of irritable bowel syndrome (IBS), or FD and IBS coexist.
