Indigestion

Symptoms of dyspepsia

Symptoms of dyspepsia usually occur in bouts, often after eating. They include the following:

 

Causes of dyspepsia

 

Treatment of dyspepsia

1. Drug treatment

 

 

2. H. Pylori test

H. pylori is a bacterium that affects approximately two-thirds of people in the world. It can survive the harsh acidic environment of the stomach by penetrating into the stomach lining where it is protected by a mucous layer that prevents the immune cells from reaching the bacterium. People with H. pylori infection usually remain asymptomatic but in some cases infection can cause complications such as development of gastric or duodenal ulcers, cancer, duodenitis and gastritis. Testing for H. pylori infection can be done using 13C-urea breath tests. These tests should not be completed within 4 weeks of treatment with an antibacterial drug or within two weeks of treatment with an antisecretory drug. If the test is positive a one-week triple-therapy regimen is recommended which includes a proton pump inhibitor, clarithromycin and either amoxicillin or metronidzole. If a macrolide has been used for other infections, the regimen should include a proton pump inhibitor, amoxicillin and metronidazole.

 

3. Lifestyle Changes to minimise dyspepsia

 

When to refer