Dyspepsia (Indigestion), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Dyspepsia (Indigestion) is a mild medical disorder presenting with discomfort in the upper abdomen after taking food.
Dyspepsia (Indigestion) is a sensation of discomfort in the upper belly or abdomen during or right after eating often accompanied by heartburn, nausea, regurgitation and flatulence.
Dyspepsia normally happens when people eat too much, too fast, or eats foods that do not agree with them.
Most patients with recurring dyspepsia are caused by:
1. Non-ulcer dyspepsia
Other causes for dyspepsia such as duodenal or stomach ulcer, acid reflux, inflamed esophagus (esophagitis), gastritis, etc have been excluded..
The inside of the gastrointestinal tract appears normal.
It is the most common form of dyspepsia.
The cause is not obvious, although infection with a bacterium (germ) called Helicobacter pylori (commonly just called H.pylori) may be responsible.
2. Duodenal and stomach (gastric) ulcers
Peptic ulcer disease is a hole in the innermost layer of the wall of the stomach or of the duodenum (the first part of the small intestine connected to the stomach).
Too much production and escape of the acidic gastric juice can cause burns into the protective lining of the stomach and induce inflammation of the underlying stomach tissue.
An ulcer is where the lining of the gastrointestinal tract is injured and the underlying tissue is exposed.
The causes of excess production of gastric acid are:
a. Most common is stress and anxiety that automatically raise the production of the acid as a result of sympathetic nervous response.
b. Hereditary- some gastric patient has a family history of gastric problem.
c. Irregular meals tend to produce more acidic gastric juice to form at regular meal time.
d. Alcohol and smoking has been linked with higher acid formation
e. Drugs:
Aspirin and other painkillers belonging to the non-steroidal anti-inflammatory drugs (NSAID) tends to irritate the stomach inner lining
Dyspepsia may be activated by:
1. Drinking too much alcohol
2. Eating spicy, fatty, or greasy foods
3. Eating too much (overeating)
4. Eating too fast
5. Emotional stress or nervousness
6. High-fiber foods
7. Tobacco smoking
8. Too much caffeine
Dyspepsia may be diagnosed through one or more medical tests:
1. Upper gastrointestinal endoscopy.
2. Urea breath test can also detect whether the patient have H.pylori infection
Treatment:
1. Altering the way the patient eat (too fast or too much) may reduce the symptoms.
2. Permit enough time for meals.
3. Chew food carefully and completely.
4. Avoid quarrels during meals.
5. Avoid over-excitement or exercise right after a meal.
6. A calm environment and rest may help improve stress-related indigestion.
7. Avoid aspirin and other NSAIDs.
If the patient must take them, he or she must take them on a full stomach.
B. Medications
1. Medications the patient can buy without a prescription such as ranitidine (Zantac) and omeprazole (Prilosec OTC) can relieve symptoms.
2. Antacids will neutralize the stomach acid and help reduce symptoms and improve healing.
Stomach acid causes irritation of the inflamed tissue in the stomach.
3. If the ulcer is induced by aspirin or NSAID's, the doctor would definitely ask the patient to stop these medicines and the patient would be given acid reducing medicines (omeprazole, lansoprazole, cimetidine, famotidine, ranitidine,) which reduce acid productions and increase ulcer healing process.
4. If the ulcer is induced by Helicobacter pylori, the doctor would give triple therapy (three drugs) to kill the bacteria.
TABLE OF CONTENT
Introduction
Chapter 1 Dyspepsia (Indigestion)
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Digestive Process
Chapter 8 Digestive Diseases
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Dyspepsia (Indigestion), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Dyspepsia
(Indigestion),
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2016 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Dyspepsia (Indigestion), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Dyspepsia (Indigestion)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenmed.wordpress.com.
From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Dyspepsia
What is Dyspepsia (Indigestion)?
Dyspepsia (Indigestion) is a mild medical disorder presenting with discomfort in the upper abdomen after taking food.
It occurs during or right after eating.\
Dyspepsia (Indigestion) is a sensation of discomfort in the upper belly or abdomen during or right after eating often accompanied by heartburn, nausea, regurgitation and flatulence.
Dyspepsia normally happens when people eat too much, too fast, or eats foods that do not agree with them.
Heartburn is a burning sensation that spreads from a person's mid-chest up to the neck and throat.
It is produced by stomach acid which is normally not a problem unless it moves out of the stomach.
With heartburn, the acid in the stomach goes up and irritates the esophagus, the tube that passes food from the oral cavity to the stomach.
This is called acid reflux and can leave a sour taste in the person's mouth.
Dyspepsia (Indigestion) and heartburn are common symptoms for both children and adults
It may present with:
1. A sensation of heat, burning, or pain in the region between the navel and the lower part of the sternum (breastbone)
2. A sensation of unpleasant abdominal fullness that is uncomfortable and happens soon after the meal starts or when it is over
3. Abdominal bloating or nausea is less common symptoms.
4. Dyspepsia is NOT the same as heartburn.
5. Weight loss or difficulty swallowing.
Sometimes the discomfort of a heart attack (chest pain, breathless) is mistaken for dyspepsia.
What are the causes of Dyspepsia or Indigestion?
Common causes
Most patients with recurring dyspepsia are caused by:
1. Non-ulcer dyspepsia
This is occasionally called functional dyspepsia.
It means that there is no known cause found for the symptoms.
Other causes for dyspepsia such as duodenal or stomach ulcer, acid reflux, inflamed esophagus (esophagitis), gastritis, etc have been excluded..
The inside of the gastrointestinal tract appears normal.
It is the most common form of dyspepsia.
About 60% people who have recurring attacks of dyspepsia have non-ulcer dyspepsia.
The cause is not obvious, although infection with a bacterium (germ) called Helicobacter pylori (commonly just called H.pylori) may be responsible.
2. Duodenal and stomach (gastric) ulcers
Peptic ulcer disease is a hole in the innermost layer of the wall of the stomach or of the duodenum (the first part of the small intestine connected to the stomach).
Too much production and escape of the acidic gastric juice can cause burns into the protective lining of the stomach and induce inflammation of the underlying stomach tissue.
An ulcer is where the lining of the gastrointestinal tract is injured and the underlying tissue is exposed.
If the patient could observe the inside of the gastrointestinal tract, an ulcer looks like a small red crater (hole) on the inside lining of the gastrointestinal tract.
The causes of excess production of gastric acid are:
a. Most common is stress and anxiety that automatically raise the production of the acid as a result of sympathetic nervous response.
b. Hereditary- some gastric patient has a family history of gastric problem.
Blood group O patients tend to have more gastritis while Blood group A patients has a tendency towards stomach cancer.
c. Irregular meals tend to produce more acidic gastric juice to form at regular meal time.
d. Alcohol and smoking has been linked with higher acid formation
e. Drugs:
Aspirin and other painkillers belonging to the non-steroidal anti-inflammatory drugs (NSAID) tends to irritate the stomach inner lining
Enteric coated aspirin are normally given to sufferers of heart disease and stroke.
NSAIDs are commonly given as pain killers
Prolonged taking of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen can produce peptic ulcers
f. Disorders such as pernicious anemia, autoimmune disorders and chronic bile reflux can cause Dyspepsia as well.
Duodenitis and gastritis (the inflammation of the