Dyspepsia

This is a difficult digestion. The causes are multiple. It is often accompanied by gastric hyperacidity, flatulence, flatulence with the production of gas (burping). It may be related to secretory or motor disorders.

Dyspepsia SECRETORY

- Hyperchlorhydriques dyspepsia (see GASTRITIS)

- Dyspepsia that can be associated with gastric atrophy or vagal tone.

Dyspepsia DRIVE

- In connection with a HIATUS HERNIA,

- In connection with gastropyloriques disorders, food intolerance lasts a few days;

- In connection with pyloroduodéno-gastric disorders, resulting in food and bilious vomiting, and heartburn, rather late.

These dyspepsia are often related to:

- Dietary errors: alcohol, fats, flour, meal times anarchic,

- An unknown vesicular disease, such calculations (see LITHIASIS VESICLE)

- But may be related to an actual injury to the gastric mucosa or ULCER CANCER (see these terms).

SYMPTOMS

- The pain is poorly defined in such gravity.

- The schedule of the pain is unclear unlike the pain of ulcer of stomach or duodenum.

- The discomfort often lasts all day, it can be improved by bed rest.

- There are abdominal bloating (gas in the stomach) with bloating.

- The tongue is white and halitosis.

- Drowsiness after meals is common.

tREATMENT

You must first remove an objective cause:

- ULCER or CANCER of the stomach,

- Atrophy of the gastric mucosa,

- LITHIASIS VESICLE,

- Pancreatic insufficiency.

- Malabsorption of carbohydrates (lactose, fructose)

- Parasitosis (giardiasis, strongyloidiasis)

- Intestinal ischemia

- Diabetes

- Hyper or hypothyroidism

- Amyloidosis

- Connective

- Paraneoplastic visceral neuropathy

Endoscopic examination of the gastroenterologist will be invaluable.

If no objective cause is discovered, it will recommend:

- A low-fat diet and alcohol

- The elimination or reduction of carbohydrates,

- A regular schedule of meals,

- Careful chewing food,

- Making beverages between meals

- Sometimes it will be necessary to use sedation medications to treat very often autonomic field (nervous) of these patients: antispasmodics, antiemetics (against vomiting), benzodiazepines.

Moreover, dyspepsia is often associated with poor gastric emptying, it will be improved by facilitating medications that gastric emptying, eg metoclopramide (Primpéran) or domperidone (Motilium, péridys).

The use of antacids is often beneficial

(Maalox, phosphalugel, ulfon, prefagyl, Gaviscon.

As gastric dressings (smecta, Bedelix, gastropulgite, polysylane.

The antihistaminiquesH2 as cimetidine, tagamet, the pepdine the azantac and inhibitors of the proton pump (Mopral, LANZOR, ogast, Protonix, Pariet may be needed.

This drug list is not exhaustive, of course.