Dyspepsia

Indigestion, or dyspepsia, is the term for a group of symptoms pertaining to the upper gastrointestinal tract. It frequently presents as upper abdominal pain or discomfort, and while it may be a minor problem for some people, it may also be a sign of a more serious underlying ailment for others. A comprehensive understanding of the possible reasons and when to seek medical assistance is crucial to the proper management of dyspepsia.

What Does Dyspepsia Look Like?

Dyspepsia can manifest in a number of ways, such as:
The most prevalent symptom is upper abdomen pain or discomfort, which is frequently described as a burning or painful feeling in the region between the navel and the lower ribs.
  • Bloating – Even after a little meal, a sensation of fullness or tightness in the upper belly.
  • Nausea – Occasionally coupled with a desire to throw up.
  • Belching – Belching is the act of often burping, which might momentarily ease discomfort.
  • Acid Reflux – Acid reflux is frequently associated with heartburn, which is a burning feeling behind the breastbone.
  • Early Satiety – is the state of becoming full after consuming a modest quantity of food.
These symptoms can have a major impact on a person’s quality of life and range in degree, occurrence, and persistence..

Common Digestive Conditions Causing Dyspepsia

Dyspepsia can be caused by a number of underlying digestive disorders, the most prevalent being peptic ulcer disease and indigestion:
  • Indigestion – Dyspepsia is frequently associated with functional indigestion, which has a clear aetiology. A number of things, including overindulging, fatty or spicy foods, coffee, alcohol, stress, and some drugs (such NSAIDs), can cause this kind of indigestion. Functional indigestion, although usually not life-threatening, can produce severe discomfort and needs to be managed with lifestyle modifications and occasionally medication.
  • Peptic ulcer disease (PUD) – Peptic Ulcer Disease is characterised by the development of sores on the lining of the stomach or the duodenum, the first segment of the small intestine. Helicobacter pylori (H. pylori) infections and long-term NSAID use are the two main causes of these ulcers. A common symptom of PUD is dyspepsia, which manifests as a burning ache in the upper abdomen that gets better or becomes worse when you eat. Serious side effects include bleeding, perforation, or obstruction of the digestive tract might result from untreated peptic ulcers.
  • Gastroesophageal Reflux Disease (GERD) – Heartburn and regurgitation are symptoms of gastroesophageal reflux disease (GERD), a disorder in which stomach acid flows backward into the oesophagus. Moreover, GERD can produce symptoms including nausea, bloating, and upper abdominal pain that are comparable to dyspepsia.
  • Gallbladder Disease – After consuming fatty meals, symptoms like dyspepsia may arise from gallstones. Although it usually affects the upper right abdomen, pain can also be felt in the upper middle abdomen, which can resemble indigestion.
  • Pancreatitis – An inflammation of the pancreas that frequently occurs after eating can cause nausea, vomiting, and upper abdomen pain that is prolonged. Due to the reduced ability to absorb lipids, dyspepsia symptoms may eventually result from chronic pancreatitis.
  • Stomach Cancer – Although it is uncommon, dyspepsia can be an early sign of stomach cancer, in those who have a history of smoking, strong alcohol use, or gastrointestinal cancer in their family.

When to Seek Medical Advice

Although dyspepsia is usually not a reason for alarm, the following symptoms and indicators need to be addressed right away:
  • Acute or ongoing upper abdominal pain.
  • Unintended reduction in weight.
  • Ache or difficulty swallowing during eating.
  • Throwing up, especially if it’s bloody or regular.
  • Stools that are tarry and black (a sign of gastrointestinal haemorrhage).
  • A significant history of gastrointestinal illnesses or cancer in the family.
It’s critical to get medical help right away if you have any of these symptoms, as they could point to a more serious underlying issue.

How to Diagnose Dyspepsia

A thorough assessment of your symptoms, medical history, and lifestyle choices is necessary to diagnose dyspepsia. To identify the root cause, your healthcare professional could suggest a number of diagnostic tests, including:
  • Blood Tests – To look for signs of inflammation or infection, such as an H. pylori infection.
  • Endoscopy – A technique in which the stomach, duodenum, and esophagus are seen through the mouth using a flexible tube equipped with a camera. This aids in the diagnosis of ulcers, inflammation, and other anomalies.
  • Abdominal Ultrasound / CT imaging – For the purpose of assessing the pancreas, liver, and gallbladder for any indications of illness that may be the cause of dyspepsia.
  • H. Pylori Testing – This involves looking for the bacteria that commonly causes peptic ulcers, H. pylori, in the breath, stool, or blood.

Treatment for Dyspepsia

Depending on the underlying reason, dyspepsia may be treated with any of the following:
  • Lifestyle Modifications – such as dietary adjustments, eating habits, and stress reduction, are frequently the first line of treatment. Symptoms can be lessened by avoiding trigger foods, eating smaller meals, and delaying going to bed after meals.
  • Medication – Your doctor may recommend proton pump inhibitors (PPIs), antacids, H2-receptor antagonists, or antibiotics (for H. pylori infection) depending on the underlying reason. Treatment for Peptic
  • Ulcer Disease – Usually consists of taking acid-suppressing drugs along with antibiotics to get rid of H. pylori. Surgery can be necessary in extreme situations.
  • Surgery – Surgical intervention may be required in rare instances if a structural issue exists, such as in cases of severe gallbladder disease or stomach obstruction.

Book a Call

Diagnosing and treating disorders that can lead to dyspepsia is our area of expertise at the Clinic for Digestive Surgery. Our group of knowledgeable specialists is here to help you at every stage of the procedure, including diagnosis, treatment, and aftercare. Make an appointment with us right now if you’re exhibiting dyspepsia symptoms so you can get the support and information you need.
Schedule your personalised consultation with our doctor now!

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Dr Foo Chek Siang

Dr Foo Chek Siang

General Surgeon
MBBS M Med (Surgery) MRCS (Edinburgh) FRCS (Edinburgh) FAMS (Surgery)
Dr. Tan Bo Chuan

Dr Tan Bo Chuan

General Surgeon
MD MRCS (Edin) MMed (Surgery) FRCSEd (General Surgery)