From Antacids to Gastroscopy: What Really Works for Indigestion

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Key Pointers

  • Antacids and over-the-counter remedies may provide quick, temporary relief.
  • Frequent or worsening indigestion should not be ignored, as it may point to underlying issues.
  • Doctors assess persistent symptoms through medical history, physical exam, and tests.
  • Gastroscopy is a useful tool to investigate causes of indigestion safely and effectively.
  • Treatment may involve medication, dietary adjustments, or procedures depending on findings.

Why Indigestion Happens

Indigestion, also known as dyspepsia, describes discomfort in the upper abdomen. Symptoms include bloating, burping, nausea, or a burning sensation after meals. While it is common, persistent indigestion can interfere with daily life and may be linked to conditions such as gastritis, ulcers, or reflux disease.

The Appeal of Quick Fixes

Many people first turn to antacids or over-the-counter remedies. These can neutralise stomach acid and ease mild, occasional discomfort. While useful for short-term relief, they do not address the underlying cause. Regular reliance on these medicines may mask symptoms and delay proper medical evaluation.

When Indigestion Signals Something More

If indigestion happens often, worsens over time, or is associated with red flag symptoms such as vomiting, weight loss, blood in stools, or difficulty swallowing, it should not be dismissed as a minor issue. Persistent symptoms warrant medical assessment to rule out more serious digestive conditions.

How Doctors Investigate Persistent Indigestion

A consultation usually starts with a review of your symptoms, lifestyle habits, and medical history. Depending on the case, your doctor may recommend further tests.

One common investigation is gastroscopy. This procedure uses a thin, flexible tube with a camera to examine the oesophagus, stomach, and duodenum. It allows the doctor to look for inflammation, ulcers, or other abnormalities that may explain ongoing indigestion.

Treatment Options Beyond Antacids

Treatment for indigestion depends on the underlying cause:

  • Lifestyle adjustments: Eating smaller meals, avoiding late-night suppers, reducing alcohol or caffeine, and managing stress.
  • Medication: Acid-reducing medicines such as proton pump inhibitors (PPIs) or H2 blockers may be prescribed for longer relief.
  • Targeted care: If ulcers, reflux, or infection (such as Helicobacter pylori) are found, specific treatments will be recommended.
  • Procedures: In some cases, further endoscopic interventions or surgery may be considered.

The goal is to relieve symptoms while addressing the root cause, rather than relying solely on temporary fixes.

Everyday Habits That May Ease Indigestion

Lifestyle changes play a big role in managing symptoms. Simple adjustments in daily routines can help reduce discomfort:

  • Eat at a slower pace to avoid swallowing excess air.
  • Avoid lying down immediately after meals.
  • Choose lighter meals in the evening instead of heavy or oily foods.
  • Stay active with short walks to improve digestion.

Small, consistent changes often make a noticeable difference over time.

Why Gastroscopy Matters in Long-Term Care

Unlike antacids that mask symptoms, gastroscopy provides a clear picture of what is happening inside the digestive tract. Identifying ulcers, polyps, or inflammation early can prevent complications. It also guides doctors in prescribing the most effective treatment.

While not everyone with indigestion needs a gastroscopy, it is often recommended when symptoms persist or are accompanied by red flag signs.

FAQs About Indigestion and Gastroscopy

1. Is occasional indigestion normal?
Yes, many people experience indigestion occasionally after a large or rich meal. Persistent or worsening symptoms, however, should be checked by a doctor.

2. How do I know if my indigestion is serious?
Warning signs include unintentional weight loss, difficulty swallowing, vomiting, or blood in stools. These require medical attention.

3. Do antacids cure indigestion?
No, antacids only provide temporary relief. They do not address the root cause of ongoing indigestion.

4. Is gastroscopy painful?
Gastroscopy is generally well tolerated. Sedation is often used to make the procedure more comfortable.

5. Can stress cause indigestion?
Yes, stress can worsen indigestion by affecting stomach acid production and digestive function. Managing stress may help reduce flare-ups.

Next Steps with Clinic for Digestive Surgery

At the Clinic for Digestive Surgery, consultations are available for the evaluation and management of indigestion and related digestive concerns. Tests such as gastroscopy may be recommended when necessary to aid diagnosis and treatment planning.

Locations:

  • Mount Elizabeth Novena Specialist Centre
  • Mount Alvernia Hospital

Contact: +65 6570 2702 | [email protected]

Book a Consultation to learn more about managing indigestion and protecting your digestive health.