Indy Gastro | Colonoscopy, rectal bleeding, diarrhea, constipation, endoscopy

Non-ucler Dyspesia Syndrome

Dyspepsia is a condition that affects 25% of the population. It is defined in various ways as upper abdominal pain, burning, bloating, indigestion, or early fullness after eating, and is frequently associated with gas, belching, and bloating. What distinguishes the condition of nonulcer dyspepsia from other conditions that cause similar symptoms is the absence of identifiable pathology on diagnostic testing. For instance, testing done such as upper endoscopy, ultrasound imaging, laboratory testing, and CAT scan of the abdomen are all normal.

This is a very common and frustrating problem for patients but unfortunately, few proven effective treatments exist. The cause of this condition is unknown, but several theories exist including an over production of gastric acid, failure of the stomach to relax appropriately (especially after eating), and an increased sensitivity of the digestive system to various stimuli such as air or temperature. Different approaches to treatment include use of acid suppressing medications, treatment of a bacteria that can inhabit the stomach (H. pylori), use of medications that can facilitate movement of food through the upper gastrointestinal tract and improve gastric relaxation (zelnorm), and use of medications that can alter the perception of pain (elavil).

Some patients, despite our best efforts, never get full relief of their discomfort. Fortunately this condition is not life threatening but merely a nuisance. It is important to make sure that other conditions that can mimic nonulcer dyspepsia such as celiac sprue, gastroparesis, peptic ulcers, pancreatic disease, gallbladder disease, and possibly bacterial overgrowth are ruled out before assuming someone has nonulcer dyspepsia.

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    Suites 150 & 200
    Indianapolis, IN 46237

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