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Definition:
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Indigestion (dyspepsia) is a mild discomfort in the upper belly or abdomen,it occurs during or right after eating. It may feel like:
- A feeling of heat, burning, or pain in the area between the navel and the lower part of the breastbone
- An unpleasant feeling of fullness that comes on soon after a meal begins or when the meal is over
Bloating and nausea are less common symptoms.
Indigestion is NOT the same as heartburn.
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Alternative Names:
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Dyspepsia; Uncomfortable fullness after meals
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Common Causes:
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Most of the time indigestion is not a sign of a serious health problem unless it occurs with other symptoms. These may include bleeding, weight loss, or trouble swallowing.
Rarely, the discomfort of a heart attack is mistaken for indigestion.
Indigestion may be triggered by:
- Drinking too much alcohol
- Eating spicy, fatty, or greasy foods
- Eating too much (overeating)
- Eating too fast
- Stress or being nervous
- Eating high-fiber foods
- Smoking tobacco
- Drinking too much caffeine
Other causes of indigestion are:
- Gallstones
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Gastritis (when the lining of the stomach becomes inflamed or swollen)
- Swelling of the pancreas (pancreatitis)
- Ulcers (stomach or intestinal ulcer)
- Use of certain medicinessuch as antibiotics, aspirin, and over-the-counter pain medicines (NSAIDs)
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Home Care:
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Changing the way you eat may help your symptoms. Steps you can take include:
- Allow enough time for meals.
- Chew food carefully and completely.
- Avoid arguments during meals.
- Avoid excitement or exercise right after a meal.
- Relax nd get rest if indegestionis caused by stress.
Avoid aspirin and other NSAIDs. If you must take them, do so on a full stomach.
Antacids may relieve indigestion.
Medicines you can buy without a prescription, such as ranitidine (Zantac) and omeprazole (Prilosec OTC) can relieve symptoms. Your doctor may also prescribe these medicines in higher doses or for longer periods of time.
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Call your health care provider if:
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Get medical help right away if your symptoms include jaw pain, chest pain, back pain, heavy sweating, anxiety, or a feeling of impending doom. These are possible heart attack symptoms.
Call your health care provider if:
- Your indigestion symptoms change noticeably
- Your symptoms last longer than a few days
- You have unexplained weight loss
- You have sudden, severe abdominal pain
- You have trouble swallowing
- You have yellow coloring of the skin and eyes (jaundice)
- You vomit blood or pass blood in the stool
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What to expect at your health care provider's office:
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Your doctor will perform a physical exam on the stomach area and digestive tract. You will be asked questions about your symptoms.
You may have some tests.
- Ultrasound test of the abdomen
- Blood tests
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Upper edoscopy
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References:
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Mayer EA. Functional gastrointestinal disorders: irritable bowel syndrome, dyspepsia, and functional chest pain of presumed esophageal origin. In: Goldman L, Schafer Al, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 139.
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