Treatment-resistant dyspepsia

                                   Treatment-resistant dyspepsia

It is said that if the stomach stays healthy, then the whole body stays healthy. Energy comes to the body through the stomach. Most of the people when they have stomach pain, so they begin to understand it as a cardiac problem. While it is 99% acidic problem.

Dyspepsia

Today we will talk in detail about dyspepsia, an important gastrointestinal problem. 10 to 15% of people suffer from dyspepsia. Most people complain of pain, heaviness, or burning in the upper part of the stomach after eating. Such people do not feel hungry properly, nor do they eat properly. After eating food, they start feeling very heavy in the stomach. 

Symptoms of dyspepsia.

The most common symptoms of dyspepsia are:

•  Stomach pain

• Heartburn 

• Frequent  nausea and vomiting  

•  

• Feeling sluggish 

• Stomach heaviness 

•  Chest pain

•  Difficulty in breathing  

• Loss of appetite 

• Headache  

If a person has this type of symptom, they should check up to the doctor immediately. If it is not treated timely, it can lead to dangerous diseases such as gastric cancer, gallbladder cancer. In severe cases, there may be blood in the vomit or blood in the stool.  

Proper diet 

Such people should take special care in their diet. Always drink water before eating, not in the middle or at the end of the meal. (Always drink water half an hour after eating ).

Eat more fruits, especially apples, guava and papaya. Eat comfortably, chew well.  After dinner doesn't sleep immediately, be sure to walk a little after dinner .drink plenty of water .avoid alcohol. Avoid spicy and fried foods. Low-fat yoghurt, Aloe vera fresh juice is very useful for any kind of stomach problems. 

Causes of dyspepsia

 If we improve our daily life a little, we can avoid dyspepsia.  There are many causes of indigestion.  

 

Chilli spices and grease food.  Excessive consumption of tea or coffee or drinking tea or coffee in an empty stomach.Overweight, Gallstones, Pancreas inflammation, Excessive consumption of sweets. Obesity, hiatus hernia, fast food or overeating. 

Chronic constipation, Peptic ulcers Stress. Alcohol or cigarette use. Having gallstones. Some medications can also cause acidosis. Dyspepsia tests.

Test for dyspepsia 

There are 3 major dyspepsia diagnosis tests.

1.Endoscopy 2.  H pylori  3.Abdominal  CT scan

1.Endoscopy: Endoscopy is indicated to look for gastric cancer or other serious organic diseases in all patients over age 55 years, the new-onset dyspepsia and all patients with alarm features such as weight loss dysphagia recurrent vomiting evidence of bleeding or anaemia.

It is also helpful for patients who are concerned about serious underlying disease. Endoscopic evaluation is also warranted when symptoms fail to respond to initial empiric management strategies within 4 - 8 weeks or when frequent symptom relapse occurs after this continuation of antisecretory therapy.

2.H pylori: H pylori (urea breath test, faecal antigen test, or IgG serology ) should be performed first. Although the serologic test is inexpensive, performance characteristics are poor in low prevalence populations, where is breath and faecal antigen tests have 95% accuracy. If H pylori breath test or faecal antigen test results are negative in a patient not taking NSAIDs, peptic ulcer disease is virtually excluded.

3.Abdominal  CT scan: Abdominal imaging (ultrasonography or CT scanning ) is performed only when pancreatic, biliary tract, vascular disease, or volvulus is suspected.

Treatment of dyspepsia

Fist of all, remember that care is better than a cure.You people will agree with me that sample food be eaten to keep the stomach and body.

Antacids: The first medicine that a doctor prescribes to a patient with dyspepsia are antacids. Most patients find relief from these antacids. 

Antibiotics: Antibiotics are the first-line therapy, proton pump inhibitors dose (Clarithromycin 500 mg bid  Amoxicillin 1g  bid, Metronidazole 500 mg bid)  combine with antibiotics for 14 days.

Proton pump inhibitors (PPIs): One-third of patients derive relief from placebo. Antisecretory therapy for 4-8 weeks with oral proton pump inhibitors ( omeprazole, esomeprazole or rabeprazole 20 mg .lansoprazole 30 mg ) may benefit 15-20% of patients, particularly those with dyspepsia characterized as epigastric pain, dyspepsia and heartburn.

Anti -H pylori treatment: Meta-analyses have suggested that a small number of patients with functional dyspepsia (<10%) derive benefit from H pylori eradication therapy. Therefore, patients with functional dyspepsia should be tested and treated as recommended above.

Antidepressants: Low doses of antidepressants like desipramine or nortriptyline 10 -15 mg orally at bedtime are believed to benefit some patients, possibly by moderating visceral afferent sensitivity.

Dyspepsia will never happen if you exercise regularly. Never take dyspepsia medicines without a doctor's advice. Eat Healthily, Stay healthy.