What is indigestion?
Dyspepsia is a symptom caused by gastric peristalsis, not a disease, which occurs in about 20% people every year. Generally speaking, after food is ingested into the stomach from the mouth, the stomach will digest the food through mechanical peristalsis and the chemical way of secreting digestive enzymes, that is, the stomach muscles relax and let the food enter, while the stomach wall muscles contract and peristalsis to help the food digest into chyme and mix it with digestive enzymes evenly, and then push the chyme to the duodenum below the stomach. However, if the stomach muscles don't relax and don't let food in when eating, or the stomach wall muscles move abnormally, the food can't be digested normally, and it stays in the stomach for a long time, which makes us feel full and uncomfortable. This symptom may be indigestion.
Symptoms of indigestion
? I felt full before I finished eating.
? Feel bloating after eating.
? There is a pain or burning sensation between the upper abdomen (under the ribs) and the navel (different from gastroesophageal reflux and gastric ulcer)
? Feel sick or burp easily.
Possible causes of indigestion in life
? Eat too fast, or eat too much at once.
? Eat high-fat and spicy food.
? Smoking, drinking and drinking coffee.
? Life is too stressful.
? Use certain drugs
Classification of dyspepsia
Dyspepsia is divided into two categories, one quarter of people are organic dyspepsia and three quarters are functional dyspepsia.
? Organic dyspepsia: The main possible reasons are peptic ulcer, gastroesophageal reflux, use of non-steroidal anti-inflammatory drugs (NSAID), Helicobacter pylori or gallstones.
? Functional dyspepsia: usually the cause is unknown.
Drug treatment of dyspepsia
Drugs to relieve dyspepsia include gastrointestinal peristalsis, histamine blockers or hydrogen ion pump blockers, and sometimes antacids are used as appropriate. According to the causes of indigestion, there are different choices and combinations.
? Intestinal peristalsis promoter
The function is to promote gastrointestinal movement, make food leave the stomach as soon as possible, reduce abdominal distension or abdominal pain, and then reduce the feeling of nausea and vomiting. Primperam, D.M.P, Mopride, please come back as soon as possible if you have severe muscle stiffness and involuntary movement during use.
? Histamine blocker (H2 blocker)
Mainly to block the gastric acid secretion in the previous step, reducing gastric acid secretion can reduce indigestion or flatulence caused by stomach injury when gastric acid secretion is excessive, but the effect is not immediate, and it must be taken on time to have an effect. Our hospital has ranitidine and valizine.
? Hydrogen ion pump inhibitor
These drugs are the last step to inhibit gastric acid secretion and have a comprehensive effect on gastric acid secretion. However, like histamine receptor blockers, it will not show immediate effect, and it needs multiple doses to achieve stable efficacy. The efficacy of these drugs is easily influenced by food, so it is recommended to take them before meals. The products of our hospital are nexium, take pron, Pariet, Dexilant D.R Among them, Nexium and Takepron can be dissolved after soaking in water, which is suitable for patients with tube irrigation. The other two are special dosage forms, which cannot be dissolved after soaking in water and are not suitable for grinding, because grinding will destroy its active ingredients.
? Acid generator
Acidifier contains many metal ions, such as sodium (Na), calcium (Ca), magnesium (Mg) and aluminum (al), which can immediately neutralize stomach acid and relieve the feeling of stomachache. They are commonly known as "stomach medicines". Among them, the stomach medicine containing sodium needs special care when used in patients with heart disease, hypertension and kidney disease; Stomach drugs containing calcium are more prone to flatulence; Stomach medicine containing magnesium has laxative effect, while stomach medicine containing aluminum is more prone to constipation. Therefore, magnesium and aluminum are often combined into compound stomach medicine, so that the side effects cancel each other out. (e.g. Yiwei tablet (Iwell), Lederscon tablet and Slocaine tablet with anesthetic and analgesic effects).
Precautions for taking medicine
? If the symptoms do not improve after a period of use, you should see a doctor.
? Usually you can take it after chewing, but please don't chew acetaminophen tablets (including anesthesia and analgesia) to avoid oral numbness caused by drug residues.
? Acidifiers interact with some antibiotics, so it is necessary to pay special attention to the interval between taking them or avoid using them together. Therefore, if you need to use them at the same time, you should consult a doctor or pharmacist first.
Can you eat digestive enzymes to reduce indigestion?
A normal and healthy person, the body will naturally secrete enough digestive enzymes, and there is no need for additional supplementation. Unless there are pancreatic-related diseases or the elderly, the lack of digestive enzymes caused by it is a meaningful supplement. There are many digestive enzyme products on the market, most of which are in vitro tests, which are not equal to the effects produced in vivo. Their effectiveness has yet to be proved. I suggest that you carefully consider when buying.
Maintenance of daily life
Taking advantage of changes in life can reduce the occurrence of symptoms, including not smoking or drinking; Reduce the intake of caffeinated drinks, carbonated drinks and sex foods; Eat a little more meals to slow down the eating speed; Sufficient meal time, don't do other things while eating, and avoid strenuous exercise after meals; Record foods that are easy to cause indigestion in life and reduce consumption; Don't eat before going to bed. When sleeping, raise your head with a pillow or other things so that your head is higher than your body. Get enough sleep, reduce the pressure of life ... and so on.
Whether you go to a pharmacy to buy stomach medicine or use it through a doctor's prescription, if you still don't get better after taking it for a period of time, or if your condition deteriorates (such as gastrointestinal bleeding or black stool), please see a doctor as soon as possible. In addition, if you have bought stomach medicine or are taking other medicines, please inform your doctor when you see a doctor to avoid repeated use or drug interaction. Remind you that changing diet and living habits is the fundamental way to solve gastrointestinal discomfort, and a good stomach can lead a good life every year.