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Indigestion

Also known as Dyspepsia

Dyspepsia (from the Greek δυσ- dys- and πέψις pepsis "digestion"), also known as indigestion, is a condition of impaired digestion. It is a medical condition characterized by chronic or recurrent pain in the upper abdomen, upper abdominal fullness and feeling full earlier than expected when eating. It can be accompanied by bloating, belching, nausea, or heartburn. Dyspepsia is a common problem and is frequently caused by gastroesophageal reflux disease (GERD) or gastritis. In a small minority it may be the first symptom of peptic ulcer disease (an ulcer of the stomach or duodenum) and occasionally cancer. Hence, unexplained newly onset dyspepsia in people over 55 or the presence of other alarming symptoms may require further investigations.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with indigestion, 74% report having sharp abdominal pain, 63% report having burning abdominal pain, and 55% report having nausea. The symptoms that are highly suggestive of indigestion are burning abdominal pain, upper abdominal pain, heartburn, and stomach bloating, although you may still have indigestion without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with indigestion often receive hematologic tests, complete blood count, urinalysis, glucose measurement, electrolytes panel, kidney function tests, electrocardiogram and intravenous fluid replacement .

Common Medications

The most commonly prescribed drugs for patients with indigestion include esomeprazole (nexium), aluminum hydroxide / magnesium hydroxide, atropine / hyoscyamine / phenobarbital / scopolamine, sucralfate (carafate), hyoscyamine (a-spas), simethicone (degas), sodium phosphate / sodium phosphate, monobasic, amoxicillin/clarithromycin/lansoprazole, chlordiazepoxide / clidinium, bismuth subsalicylate (pepto-bismol), charcoal / simethicone, calcium carbonate / famotidine / magnesium hydroxide and cisapride .

Who is at risk?

Groups of people at highest risk for indigestion include race/ethnicity = other.

Age

< 1 years
0.1x
1-4 years
0.4x
5-14 years
0.9x
15-29 years
1.1x
30-44 years
1.1x
45-59 years
1.1x
60-74 years
1.2x
75+ years
0.9x

Sex

Male
0.8x
Female
1.1x

Race/Ethnicity

Black
0.9x
Hispanic
1.3x
White
0.9x
Other
1.7x
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