Knowledge

Indigestion

Source 📝

732: 740:
positively. A negative test warrants discussing additional treatments, like proton pump inhibitors, with your doctor. An upper GI endoscopy may also be recommended. In older patients (60 or older), an endoscopy is often the next step in finding out the cause of newly onset indigestion regardless of the presence of alarm symptoms. However, for all patients regardless of age, an official diagnosis requires symptoms to have started at least 6 months ago with a frequency of at least once a week over the last 3 months.
356:" or a burning sensation in the chest as a result of inappropriate relaxation of the lower esophageal sphincter at the site where the esophagus connects to the stomach. It is often treated with proton pump inhibitors. If left untreated, the chronic damage to the esophageal tissues poses a risk of developing cancer. A meta-analysis showed risk factors for developing GERD included age equal to or greater than 50, smoking, the use of non-steroid anti-inflammatory medications, and obesity. 772:. PPIs and H2-RAs are often first-line therapies for treating dyspepsia, having shown to be better than placebo medications. Anti-depressants, notably tricyclic antidepressants, have been tested on patients who do not respond to traditional therapies with some benefits, though the research is of poor quality and adverse affects are noted. 222:
There may be abdominal tenderness, but this finding is nonspecific and is not required to make a diagnosis. However, there are physical exam signs that may point to a different diagnosis and underlying cause for a patient's reported discomfort. A positive Carnett sign (focal tenderness that increases
797:
Proton pump inhibitors (PPIs) were found to be better than placebo in a literature review, especially when looking at long-term symptom reduction. H2 receptor antagonists (H2-RAs) have similar effect on symptoms reduction when compared to PPIs. However, there is little evidence to support prokinetic
868:, and candy sugar), may be as beneficial as conventional therapies when treating dyspepsia symptoms. However, it is important to note that herbal products are not regulated by the FDA and therefore it is difficult to assess the quality and safety of the ingredients found in alternative medications. 722:
The pathophysiology for indigestion is not well understood; however, there are many theories. For example, there are studies that suggest a gut-brain interaction, as patients who received an antibiotic saw a reduction in their indigestion symptoms. Other theories propose issues with gut motility, a
739:
A diagnosis for indigestion is based on symptoms, with a possible need for more diagnostic tests. In younger patients (less than 60 years of age) without red flags (e.g., weight loss), it is recommended to test for H. pylori noninvasively, followed by treatment with antibiotics in those who test
780:
A lifestyle change that may help with indigestion is a change in diet, such as a stable and consistent eating schedule and slowing the pace of eating. Additionally, there are studies that support a reduction in the consumption of fats may also alleviate dyspepsia. While some studies suggest a
876:
Indigestion is a common problem and frequent reason for primary care physicians to refer patients to GI specialists. Worldwide, dyspepsia affects about a third of the population. It can affect a person's quality of life even if the symptoms within themselves are usually not life-threatening.
877:
Additionally, the financial burden on the patient and healthcare system is costly - patients with dyspepsia were more likely to have lower work productivity and higher healthcare costs compared to those without indigestion. Risk factors include NSAID-use, H. pylori infection, and smoking.
331:
Psychosomatic and cognitive factors are important in the evaluation of people with chronic dyspepsia. Studies have shown a high occurrence of mental disorders, notably anxiety and depression, amongst patients with dyspepsia; however, there is little evidence to prove causation.
150:. Functional indigestion (previously called non-ulcer dyspepsia) is indigestion without evidence of underlying disease. Functional indigestion is estimated to affect about 15% of the general population in western countries and accounts for a majority of dyspepsia cases. 327:
is unlikely to be detected on endoscopy but can be broken down into two subtypes, epigastric pain syndrome (EPS) and post-prandial distress syndrome (PDS). In addition, indigestion could be caused by medications, food, or other disease processes.
157:(a procedure whereby a camera attached to a flexible tube is inserted down the throat and into the stomach) is recommended to further assess and find a potential cause. In patients younger than 60 years of age, testing for the bacteria 832:, has a history of use as a secondary treatment for dyspepsia. While multiple studies show that it is more effective than placebo, there are multiple concerns about the side effects surrounding the long-term use of these medications. 318:
Indigestion is a diagnosis related to a combination of symptoms that can be attributed to "organic" or "functional" causes. Organic dyspepsia should have pathological findings upon endoscopy, like an ulcer in the stomach lining in
709:
increases the risk of developing chronic dyspepsia. Post-infectious dyspepsia is the term given when dyspepsia occurs after an acute gastroenteritis infection. It is believed that the underlying causes of post-infectious
481:
heartburn. More than 70% of people have no obvious organic cause for their symptoms after evaluation. Symptoms may arise from a complex interaction of increased visceral afferent sensitivity, gastric delayed emptying
2206:
Enck, Paul; Azpiroz, Fernando; Boeckxstaens, Guy; Elsenbruch, Sigrid; Feinle-Bisset, Christine; Holtmann, Gerald; Lackner, Jeffrey M.; Ronkainen, Jukka; Schemann, Michael; Stengel, Andreas; Tack, Jan (2017-11-03).
2980: 2965: 2599: 1355:
Flier, SN; S, Rose (2006). "Is functional dyspepsia of particular concern in women? A review of gender differences in epidemiology, pathophysiologic mechanism, clinical presentation and management".
969: 417:
may not lead to complete improvement of a patient's dyspepsia. However, a recent systemic review and meta-analysis of 29 studies published in 2022 suggests that successful treatment of
2314:
Ford, Alexander C.; Moayyedi, Paul; Black, Christopher J.; Yuan, Yuhong; Veettil, Sajesh K.; Mahadeva, Sanjiv; Kengkla, Kirati; Chaiyakunapruk, Nathorn; Lee, Yeong Yeh (2020-09-16).
2550:
Pittayanon, Rapat; Yuan, Yuhong; Bollegala, Natasha P; Khanna, Reena; Leontiadis, Grigorios I; Moayyedi, Paul (2018-10-18). Cochrane Upper GI and Pancreatic Diseases Group (ed.).
1063:
Zajac, P; Holbrook, A; Super, ME; Vogt, M (March–April 2013). "An overview: Current clinical guidelines for the evaluation, diagnosis, treatment, and management of dyspepsia".
662:
may improve symptoms. Additionally, some people may experience dyspepsia when eating certain spices or spicy food as well as foods like peppers, chocolate, citrus, and fish.
3902: 530:, eating too quickly, eating high-fat foods, eating during stressful situations, or drinking too much alcohol or coffee. Many medications cause dyspepsia, including 723:
hypersensitivity of gut viscera, and imbalance of the microbiome. A genetic predisposition is plausible, but there is limited evidence to support this theory.
4373: 1212: 115:
earlier than expected when eating. Indigestion is relatively common, affecting 20% of people at some point during their life, and is frequently caused by
3080: 748:
Functional and organic dyspepsia have similar treatments. Traditional therapies used for this diagnosis include lifestyle modification (e.g., diet),
789:
diet or diet low/free from certain complex sugars and sugar alcohols has also been shown to be potentially beneficial in patients with indigestion.
3584: 1860:
Stanghellini, Vincenzo; Chan, Francis K. L.; Hasler, William L.; Malagelada, Juan R.; Suzuki, Hidekazu; Tack, Jan; Talley, Nicholas J. (May 2016).
498:. In some people, it appears before the onset of gut symptoms; in other cases, anxiety develops after onset of the disorder, which suggests that a 1142: 163:
and if positive, treatment of the infection is recommended. More details about how indigestion is diagnosed and treated can be found below.
3179: 1614:
Eusebi, Leonardo H.; Ratnakumaran, Raguprakash; Yuan, Yuhong; Solaymani-Dodaran, Masoud; Bazzoli, Franco; Ford, Alexander C. (March 2018).
3218: 781:
correlation between dyspepsia and celiac disease, not everyone with indigestion needs to refrain from gluten in their diet. However, a
650:. Studies have shown that wheat and dietary fats can contribute to indigestion and suggest foods high in short-chain carbohydrates ( 3073: 1950: 518:
Defined by post-prandial fullness or early satiation that interferes with daily life, without any evidence of organic disease.
3446: 2703: 2629:"Efficacy of herbal treatments for functional dyspepsia: A systematic review and meta-analysis of randomized clinical trials" 1118: 3358: 3098: 1400:"Limited Value of Alarm Features in the Diagnosis of Upper Gastrointestinal Malignancy: Systematic Review and Meta-analysis" 1710:"Efficacy of Helicobacter pylori eradication therapy for functional dyspepsia: updated systematic review and meta-analysis" 974: 886: 535: 153:
In patients who are 60 or older, or who have worrisome symptoms such as trouble swallowing, weight loss, or blood loss, an
4368: 385: 1160: 3659: 3066: 571: 1272: 4331: 4178: 998: 1444:"Systematic review with meta-analysis: global prevalence of uninvestigated dyspepsia according to the Rome criteria" 4076: 2734:"Are psychological interventions effective in treating functional dyspepsia? A systematic review and meta‐analysis" 1442:
Barberio, Brigida; Mahadeva, Sanjiv; Black, Christopher J.; Savarino, Edoardo V.; Ford, Alexander C. (2020-07-28).
1251: 921:"Effectiveness of management strategies for uninvestigated dyspepsia: systematic review and network meta-analysis" 4217: 3829: 3812: 3317: 3312: 3189: 809:, eradication of H. pylori, duodenal and gastric ulcers, and NSAID-induced ulcer healing and prevention, but not 510:
Defined by stomach pain and/or burning that interferes with daily life, without any evidence of organic disease.
349: 116: 4071: 4027: 3921: 3743: 3342: 1271:
Ford, Alexander C.; Mahadeva, Sanjiv; Carbone, M. Florencia; Lacy, Brian E.; Talley, Nicholas J. (2020-11-21).
1708:
Ford, Alexander C.; Tsipotis, Evangelos; Yuan, Yuhong; Leontiadis, Grigorios I.; Moayyedi, Paul (2022-01-12).
4282: 4128: 2065:
Duncanson KR, Talley NJ, Walker MM, Burrows TL (2017). "Food and functional dyspepsia: a systematic review".
4037: 3556: 3164: 714:
and post-infectious dyspepsia may be similar and represent different aspects of the same pathophysiology.
502:
disorder may be a possible cause. Although benign, these symptoms may be chronic and difficult to treat.
490:
categorize it into two subtypes by symptom: epigastric pain syndrome and post-prandial distress syndrome.
3251: 2683: 559: 176:
Patients experiencing indigestion likely report one, a combination of, or all of the following symptoms:
2627:
Heiran, Alireza; Bagheri Lankarani, Kamran; Bradley, Ryan; Simab, Alireza; Pasalar, Mehdi (2021-12-01).
3617: 3546: 3147: 806: 2438:
Pinto-Sanchez, Maria Ines; Yuan, Yuhong; Hassan, Ahmed; Bercik, Premysl; Moayyedi, Paul (2017-11-21).
3890: 3846: 3799: 3605: 3223: 2149:
Tan, V. P. Y.; Liu, K. S. H.; Lam, F. Y. F.; Hung, I. F. N.; Yuen, M. F.; Leung, W. K. (2017-01-23).
208: 4236: 3916: 3551: 3509: 3322: 3197: 3184: 3154: 3125: 2995: 711: 679: 2844:
Esterita, Tasia; Dewi, Sheilla; Suryatenggara, Felicia Grizelda; Glenardi, Glenardi (2021-06-18).
2787:
Esterita, Tasia; Dewi, Sheilla; Suryatenggara, Felicia Grizelda; Glenardi, Glenardi (2021-06-18).
2495:
Huang, Xinyi; Oshima, Tadayuki; Tomita, Toshihiko; Fukui, Hirokazu; Miwa, Hiroto (November 2021).
4161: 3938: 3679: 3471: 3130: 1616:"Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: a meta-analysis" 919:
Eusebi, Leonardo H; Black, Christopher J; Howden, Colin W; Ford, Alexander C (11 December 2019).
570:
receptor antagonists), antihypertensive medications (angiotensin converting enzyme inhibitors,
269:
Alarm features are thought to be associated with serious gastroenterologic disease and include:
4241: 3965: 3948: 3332: 3208: 3159: 3120: 3090: 2262:
Milivojevic, Vladimir; Rankovic, Ivan; Krstic, Miodrag N.; Milosavljevic, Tomica (2021-06-14).
2151:"Randomised clinical trial: rifaximin versus placebo for the treatment of functional dyspepsia" 695: 292: 287: 3035: 1211:
van Kerkhoven LA, van Rossum LG, van Oijen MG, Tan AC, Laheij RJ, Jansen JB (September 2006).
348:
is an inflammation of the esophagus, most commonly caused by gastroesophageal reflux disease (
4173: 4092: 4081: 4042: 3970: 3273: 753: 2845: 1816: 988: 4212: 4156: 3977: 3873: 3456: 3451: 3285: 3203: 3169: 810: 647: 495: 487: 474: 469: 434: 410: 377: 324: 320: 139: 127: 1986: 1331: 8: 4306: 4116: 4009: 3992: 3953: 3926: 3878: 3721: 3698: 3691: 3640: 3612: 3534: 3529: 3524: 3441: 3058: 2984: 2496: 2316:"Systematic review and network meta-analysis: efficacy of drugs for functional dyspepsia" 687: 405: 159: 4318: 4183: 4166: 4151: 4138: 4121: 3987: 3622: 3514: 3486: 3420: 3246: 3142: 3107: 2928: 2883: 2826: 2769: 2732:
Rodrigues, David M; Motomura, Douglas I; Tripp, Dean A; Beyak, Michael J (2021-06-16).
2709: 2695: 2664: 2576: 2551: 2532: 2472: 2439: 2412: 2377: 2351: 2244: 2188: 2090: 2047: 1978: 1792: 1767: 1745: 1651: 1596: 1539: 1479: 1380: 1308: 1243: 1136: 1045: 947: 920: 575: 499: 238:. Tenderness to palpation over the right upper quadrant, or Murphy's sign, may suggest 203: 57: 2989: 2846:"Association of Functional Dyspepsia with Depression and Anxiety: A Systematic Review" 2789:"Association of Functional Dyspepsia with Depression and Anxiety: A Systematic Review" 2682:
Kanfer, Isadore; Patnala, Srinivas (2021-01-01), Henkel, Ralf; Agarwal, Ashok (eds.),
1288: 731: 4296: 4277: 3650: 3006: 2932: 2920: 2915: 2902: 2887: 2875: 2867: 2830: 2818: 2810: 2773: 2761: 2753: 2713: 2699: 2668: 2656: 2648: 2581: 2536: 2524: 2516: 2477: 2459: 2417: 2399: 2355: 2343: 2335: 2293: 2285: 2236: 2228: 2192: 2180: 2172: 2131: 2082: 2039: 2031: 1982: 1970: 1931: 1923: 1889: 1881: 1839: 1797: 1749: 1737: 1729: 1690: 1682: 1643: 1635: 1588: 1580: 1543: 1531: 1523: 1483: 1471: 1463: 1419: 1372: 1368: 1312: 1300: 1292: 1247: 1235: 1213:"Upper gastrointestinal endoscopy does not reassure people with functional dyspepsia" 1193: 1180: 1124: 1114: 1037: 1032: 1015: 994: 952: 683: 611: 478: 438: 300: 45: 2094: 2051: 1768:"Role of the Duodenum in the Pathogenesis of Functional Dyspepsia: A Paradigm Shift" 1384: 1049: 4343: 4263: 4258: 4248: 4110: 3982: 3910: 3728: 3635: 3630: 3560: 3519: 3327: 3292: 2910: 2857: 2800: 2745: 2691: 2640: 2571: 2567: 2563: 2508: 2467: 2455: 2451: 2407: 2389: 2327: 2275: 2248: 2220: 2162: 2121: 2074: 2023: 1962: 1873: 1831: 1787: 1779: 1721: 1655: 1627: 1600: 1570: 1515: 1455: 1411: 1364: 1284: 1227: 1185: 1175: 1072: 1027: 942: 932: 821: 782: 675: 671: 655: 634:. Common herbs have also been shown to cause indigestion, like white willow berry, 607: 50: 2512: 4301: 4231: 4097: 4032: 3997: 3868: 3733: 3669: 3571: 3490: 3481: 3431: 3371: 3256: 3233: 3000: 1877: 1558: 1415: 706: 691: 615: 4338: 4253: 3807: 3780: 3645: 3580: 3576: 3466: 3436: 3011: 1725: 1631: 1559:"Pathophysiology of Functional Gastrointestinal Disorders: A Holistic Overview" 1519: 1399: 1076: 825: 430: 108: 2497:"Meta-Analysis: Placebo Response and Its Determinants in Functional Dyspepsia" 1110:
Current diagnosis & treatment. Gastroenterology, hepatology, and endoscopy
735:
Simplified diagram of how indigestion is diagnosed and treatment(s) determined
4362: 4271: 4224: 4017: 3960: 3943: 3855: 3600: 3427: 3302: 3268: 3213: 2924: 2871: 2814: 2757: 2652: 2520: 2463: 2403: 2394: 2339: 2289: 2232: 2176: 2035: 1927: 1885: 1733: 1686: 1639: 1584: 1527: 1503: 1467: 1296: 1128: 841: 769: 757: 563: 543: 483: 460:
proteins) or infections may induce dyspepsia symptoms in a subset of people.
239: 235: 3046: 2974: 2255: 2110:"Systematic review with meta-analysis: post-infectious functional dyspepsia" 2010:
Duncanson, K. R.; Talley, N. J.; Walker, M. M.; Burrows, T. L. (June 2018).
785:
can relieve the symptoms in some patients without celiac disease. Lastly, a
4146: 4058: 3931: 3834: 3785: 3770: 3765: 3761: 3674: 3499: 3415: 3307: 3297: 3263: 2879: 2822: 2765: 2660: 2628: 2585: 2528: 2481: 2421: 2347: 2297: 2240: 2208: 2184: 2135: 2086: 2043: 2011: 1974: 1935: 1911: 1893: 1861: 1843: 1801: 1741: 1709: 1694: 1670: 1647: 1615: 1592: 1535: 1475: 1423: 1376: 1304: 1239: 1197: 1041: 956: 829: 194: 1835: 1231: 1108: 654:) may be associated with dyspepsia. This suggests reducing or consuming a 4326: 4088: 4066: 3897: 3817: 3461: 3362: 3115: 3030: 2224: 1671:"Diagnosis and Treatment of Peptic Ulcer Disease and H. pylori Infection" 1189: 1161:"Review article: current and emerging therapies for functional dyspepsia" 802: 659: 599: 539: 345: 306: 2376:
Duboc, Henri; Latrache, Sofya; Nebunu, Nicoleta; Coffin, Benoit (2020).
4102: 3775: 3753: 3398: 3337: 3041: 2862: 2805: 2788: 2733: 1613: 1443: 861: 845: 765: 603: 591: 587: 547: 527: 2957: 2749: 2331: 2280: 2263: 2261: 2167: 2150: 2126: 2109: 2078: 2027: 1966: 1575: 1459: 937: 4052: 4022: 3885: 3863: 3716: 3567: 3541: 3403: 3393: 3280: 3241: 3174: 2644: 1783: 857: 595: 555: 453: 365: 353: 279: 154: 135: 120: 96: 88: 2315: 3686: 3664: 3376: 2626: 1210: 844:
concluded that herbal remedies, like menthacarin (a combination of
619: 579: 551: 449: 224: 183: 143: 104: 92: 20: 130:", but making the diagnosis can prove challenging for physicians. 3738: 3504: 3408: 3380: 2843: 2786: 2205: 865: 849: 749: 643: 631: 623: 531: 491: 189: 112: 2901:
Tsukanov, V. V.; Vasyutin, A. V.; Tonkikh, Ju. L. (2020-10-22).
1859: 4204: 3822: 3708: 2969: 2903:"Modern aspects of the pathogenesis and treatment of dyspepsia" 853: 786: 651: 639: 635: 457: 232: 147: 100: 1107:
Greenberger, Norton; Blumberg, R.S.; Burakoff, Robert (2016).
582:), neuropsychiatric medications (cholinesterase inhibitors ), 3654: 3384: 2549: 2437: 1504:"Functional Dyspepsia: Diagnostic and Therapeutic Approaches" 1441: 583: 567: 486:) or impaired accommodation to food. Diagnostic criteria for 2064: 2009: 391: 2731: 1106: 627: 228: 223:
with abdominal wall contraction and palpation) suggests an
19:"Dyspepsia" redirects here. For the Negativland album, see 3088: 1707: 824:(medications focused on increasing gut motility), such as 2375: 1910:
Mounsey, Anne; Barzin, Amir; Rietz, Ashley (2020-01-15).
368:
include peptic ulcer disease, infection, or medications.
2684:"Chapter 7 - Regulations for the use of herbal remedies" 513: 380:(PUD). PUD is most commonly caused by an infection with 376:
Gastric and duodenal ulcers are the defining feature of
2900: 1557:
Holtmann, Gerald; Shah, Ayesha; Morrison, Mark (2017).
1270: 2494: 2264:"Dyspepsia-challenge in primary care gastroenterology" 1062: 701: 126:
Indigestion is subcategorized as either "organic" or "
2378:"The Role of Diet in Functional Dyspepsia Management" 2313: 1502:
Sayuk, Gregory S.; Gyawali, C. Prakash (2020-09-01).
918: 2947: 2793:
Journal of Gastrointestinal and Liver Diseases: JGLD
2107: 2012:"Food and functional dyspepsia: a systematic review" 1556: 993:(1. Aufl. ed.). New York: Springer. p. 2. 614:-B inhibitors), weight-loss medications (orlistat), 2058: 1154: 1152: 798:agents are an appropriate treatment for dyspepsia. 550:), bronchodilators (theophylline), diabetes drugs ( 1909: 521: 2440:"Proton pump inhibitors for functional dyspepsia" 1912:"Functional Dyspepsia: Evaluation and Management" 1761: 1759: 505: 452:micro-inflammation caused by an altered duodenal 4360: 1905: 1903: 1149: 134:is the result of an underlying disease, such as 526:Acute, self-limited dyspepsia may be caused by 2850:Journal of Gastrointestinal and Liver Diseases 1808: 1756: 1669:Fashner, Julia; Gitu, Alfred C. (2015-02-15). 801:Currently, PPIs are FDA indicated for erosive 444: 231:dermatomal distribution of pain may suggest a 3074: 2681: 2148: 1900: 280:progressive difficulty swallowing (dysphagia) 4374:Diseases of oesophagus, stomach and duodenum 3180:Esophagogastric junction outflow obstruction 2607:Centers for Medicare & Medicaid Services 2101: 1948: 1501: 1016:"Guidelines for the management of dyspepsia" 2444:The Cochrane Database of Systematic Reviews 1668: 1013: 424: 3219:Esophageal intramural pseudodiverticulosis 3081: 3067: 2738:Journal of Gastroenterology and Hepatology 2320:Alimentary Pharmacology & Therapeutics 2155:Alimentary Pharmacology & Therapeutics 1814: 1765: 1448:Alimentary Pharmacology & Therapeutics 1141:: CS1 maint: location missing publisher ( 805:, gastroesophageal reflux disease (GERD), 227:involving the abdominal wall musculature. 2914: 2861: 2804: 2575: 2471: 2411: 2393: 2279: 2166: 2125: 1791: 1574: 1179: 1031: 946: 936: 2016:Journal of Human Nutrition and Dietetics 1158: 914: 912: 910: 908: 906: 904: 902: 730: 421:modestly improves indigestion symptoms. 2600:"Proton Pump Inhibitors: Use in Adults" 2556:Cochrane Database of Systematic Reviews 2108:Futagami S, Itoh T, Sakamoto C (2015). 1056: 986: 835: 463: 371: 4361: 2552:"Prokinetics for functional dyspepsia" 1354: 674:that may involve dyspepsia, including 352:). It is defined by the sensation of " 4203: 3447:Small intestinal bacterial overgrowth 3062: 2433: 2431: 2371: 2369: 2367: 2365: 2309: 2307: 2005: 2003: 1855: 1853: 1497: 1495: 1493: 1437: 1435: 1433: 1397: 1326: 1324: 1322: 899: 598:-norepinephrine-reuptake inhibitors ( 514:Post-prandial distress syndrome (PDS) 276:progressive unintentional weight loss 266:in gastrointestinal (GI) literature. 166: 2907:Meditsinskiy Sovet = Medical Council 2690:, Academic Press, pp. 189–206, 2501:American Journal of Gastroenterology 1266: 1264: 1102: 1100: 1098: 1096: 1094: 1092: 1090: 1088: 1086: 665: 536:nonsteroidal anti-inflammatory drugs 413:is controversial, and treatment for 335: 1014:Talley NJ, Vakil N (October 2005). 792: 702:Post-infectious causes of dyspepsia 13: 2696:10.1016/b978-0-12-815565-3.00007-2 2428: 2362: 2304: 2000: 1850: 1815:Talley NJ, Ford AC (Nov 5, 2015). 1490: 1430: 1319: 717: 572:Angiotensin II receptor antagonist 180:upper abdominal pain or discomfort 14: 4385: 4332:Spontaneous bacterial peritonitis 4179:Exocrine pancreatic insufficiency 2943: 1261: 1083: 273:chronic gastrointestinal bleeding 245: 4077:Secondary sclerosing cholangitis 2916:10.21518/2079-701x-2020-15-40-46 1369:10.1111/j.1572-0241.2006.01015.x 1181:10.1111/j.1365-2036.2006.03005.x 1159:Saad RJ, Chey WD (August 2006). 1033:10.1111/j.1572-0241.2005.00225.x 574:), cholesterol-lowering agents ( 3318:Gastric antral vascular ectasia 3313:Portal hypertensive gastropathy 3190:Gastroesophageal reflux disease 2894: 2837: 2780: 2725: 2675: 2620: 2592: 2543: 2488: 2213:Nature Reviews. Disease Primers 2199: 2142: 1942: 1701: 1662: 1607: 1550: 1391: 1348: 871: 860:, and jollab (a combination of 522:Food, herb, or drug intolerance 200:nausea with or without vomiting 117:gastroesophageal reflux disease 4072:Primary sclerosing cholangitis 3922:Hepatic veno-occlusive disease 3744:Solitary rectal ulcer syndrome 2568:10.1002/14651858.CD009431.pub3 2456:10.1002/14651858.CD011194.pub3 1204: 1007: 990:Dyspepsia in clinical practice 980: 963: 816: 762:-receptor antagonists (H2-RAs) 506:Epigastric pain syndrome (EPS) 340: 1: 4129:Sphincter of Oddi dysfunction 2513:10.14309/ajg.0000000000001397 1289:10.1016/S0140-6736(20)30469-4 892: 456:, reactions to foods (mainly 242:or gallbladder inflammation. 111:. People may also experience 91:. Symptoms may include upper 87:, is a condition of impaired 4038:Postcholecystectomy syndrome 3557:Intestinal pseudoobstruction 3165:Esophageal motility disorder 2688:Herbal Medicine in Andrology 2274:(3). S. Karger AG: 270–275. 1949:Ford AC, Moayyedi P (2013). 1878:10.1053/j.gastro.2016.02.011 1416:10.1053/j.gastro.2006.04.029 1065:Osteopathic Family Physician 975:Dorland's Medical Dictionary 743: 726: 359: 142:(an ulcer of the stomach or 7: 1766:Jung HK, Talley NJ (2018). 880: 560:Alpha-glucosidase inhibitor 445:Duodenal micro-inflammation 171: 10: 4390: 4369:Digestive disease symptoms 4023:Gallstone / Cholelithiasis 3547:Functional colonic disease 3343:Zollinger–Ellison syndrome 1862:"Gastroduodenal Disorders" 1772:J Neurogastroenterol Motil 1726:10.1136/gutjnl-2021-326583 1720:(10): gutjnl–2021–326583. 1632:10.1136/gutjnl-2016-313589 1520:10.1007/s40265-020-01362-4 1077:10.1016/j.osfp.2012.10.005 807:Zollinger-Ellison syndrome 467: 18: 4317: 4196: 4137: 4051: 4008: 3854: 3845: 3798: 3752: 3707: 3593: 3480: 3370: 3357: 3232: 3224:Acute esophageal necrosis 3106: 3097: 3021: 2951: 1916:American Family Physician 1675:American Family Physician 887:Functional bowel disorder 66: 56: 44: 36: 31: 3323:Gastric dumping syndrome 3198:Laryngopharyngeal reflux 3185:Diffuse esophageal spasm 2395:10.3389/fpsyt.2020.00023 2114:Aliment. Pharmacol. Ther 1168:Aliment. Pharmacol. Ther 1113:(3 ed.). New York. 680:congestive heart failure 494:is also associated with 425:Pancreatobiliary disease 313: 217: 3939:Alcoholic liver disease 3472:Bile acid malabsorption 3416:Peptic (duodenal) ulcer 2382:Frontiers in Psychiatry 987:Duvnjak, Marko (2011). 775: 3949:Hepatic encephalopathy 3333:Buried bumper syndrome 3264:Peptic (gastric) ulcer 3148:Mallory–Weiss syndrome 3091:human digestive system 2209:"Functional dyspepsia" 1817:"Functional Dyspepsia" 1398:Vakil, Nimish (2006). 1273:"Functional dyspepsia" 754:proton-pump inhibitors 736: 696:chronic kidney disease 670:There are a number of 288:Iron deficiency anemia 4174:Pancreatic pseudocyst 4043:Porcelain gallbladder 3155:Zenker's diverticulum 2633:Phytotherapy Research 2069:(Systematic Review). 1836:10.1056/NEJMra1501505 1363:(12 Suppl): S644–53. 1232:10.1055/s-2006-944661 734: 642:, chaste tree berry, 477:is a common cause of 3978:Hepatorenal syndrome 3917:Budd–Chiari syndrome 3874:Autoimmune hepatitis 3699:Intestinal adhesions 3457:Short bowel syndrome 3286:Functional dyspepsia 3204:Esophageal stricture 3170:Nutcracker esophagus 2225:10.1038/nrdp.2017.81 1283:(10263): 1689–1702. 1020:Am. J. Gastroenterol 836:Alternative medicine 811:functional dyspepsia 606:), Parkinson drugs ( 496:functional dyspepsia 488:functional dyspepsia 475:Functional dyspepsia 470:Functional dyspepsia 464:Functional dyspepsia 435:chronic pancreatitis 411:functional dyspepsia 378:peptic ulcer disease 372:Peptic ulcer disease 325:Functional dyspepsia 321:peptic ulcer disease 140:peptic ulcer disease 128:functional dyspepsia 62:Upper abdominal pain 4117:Choledocholithiasis 3988:Metabolic disorders 3954:Acute liver failure 3927:Portal hypertension 3879:Alcoholic hepatitis 3722:Radiation proctitis 3641:Mesenteric ischemia 3613:Gastroenterocolitis 3442:Blind loop syndrome 3252:MĂ©nĂ©trier's disease 3160:Barrett's esophagus 688:hyperparathyroidism 393:Helicobacter pylori 284:persistent vomiting 132:Organic indigestion 4292:Undefined location 4283:Grynfeltt–Lesshaft 4184:Pancreatic fistula 4167:Pancreatic abscess 4122:Biliary dyskinesia 4093:Mirizzi's syndrome 3594:Large and/or small 3274:Dieulafoy's lesion 3143:Boerhaave syndrome 3022:External resources 2863:10.15403/jgld-3325 2806:10.15403/jgld-3325 2268:Digestive Diseases 1563:Digestive Diseases 1357:Am J Gastroenterol 1332:"Rome IV Criteria" 737: 658:, low-fat, and/or 167:Signs and symptoms 93:abdominal fullness 4356: 4355: 4352: 4351: 4192: 4191: 3794: 3793: 3651:Bowel obstruction 3353: 3352: 3056: 3055: 2750:10.1111/jgh.15566 2705:978-0-12-815565-3 2507:(11): 2184–2196. 2332:10.1111/apt.16072 2281:10.1159/000517668 2168:10.1111/apt.13945 2127:10.1111/apt.13006 2079:10.1111/jhn.12506 2028:10.1111/jhn.12506 1967:10.1136/bmj.f5059 1576:10.1159/000485409 1514:(13): 1319–1336. 1460:10.1111/apt.16006 1120:978-1-259-25097-2 938:10.1136/bmj.l6483 684:diabetes mellitus 672:systemic diseases 666:Systemic diseases 612:monoamine oxidase 439:pancreatic cancer 364:Common causes of 336:Organic dyspepsia 301:Pernicious anemia 236:polyradiculopathy 74: 73: 26:Medical condition 4381: 4344:Pneumoperitoneum 4201: 4200: 4111:Common bile duct 3993:Wilson's disease 3983:Peliosis hepatis 3852: 3851: 3729:Proctalgia fugax 3636:Abdominal angina 3561:Ogilvie syndrome 3510:Pseudomembranous 3368: 3367: 3328:Gastric volvulus 3293:Pyloric stenosis 3104: 3103: 3089:Diseases of the 3083: 3076: 3069: 3060: 3059: 2949: 2948: 2937: 2936: 2918: 2898: 2892: 2891: 2865: 2841: 2835: 2834: 2808: 2784: 2778: 2777: 2744:(8): 2047–2057. 2729: 2723: 2722: 2721: 2720: 2679: 2673: 2672: 2645:10.1002/ptr.7333 2624: 2618: 2617: 2615: 2614: 2604: 2596: 2590: 2589: 2579: 2562:(10): CD009431. 2547: 2541: 2540: 2492: 2486: 2485: 2475: 2435: 2426: 2425: 2415: 2397: 2373: 2360: 2359: 2311: 2302: 2301: 2283: 2259: 2253: 2252: 2203: 2197: 2196: 2170: 2146: 2140: 2139: 2129: 2105: 2099: 2098: 2062: 2056: 2055: 2007: 1998: 1997: 1995: 1994: 1985:. Archived from 1946: 1940: 1939: 1907: 1898: 1897: 1872:(6): 1380–1392. 1866:Gastroenterology 1857: 1848: 1847: 1821: 1812: 1806: 1805: 1795: 1784:10.5056/jnm18060 1763: 1754: 1753: 1705: 1699: 1698: 1666: 1660: 1659: 1611: 1605: 1604: 1578: 1554: 1548: 1547: 1499: 1488: 1487: 1439: 1428: 1427: 1404:Gastroenterology 1395: 1389: 1388: 1352: 1346: 1345: 1343: 1342: 1328: 1317: 1316: 1268: 1259: 1258: 1256: 1250:. Archived from 1217: 1208: 1202: 1201: 1183: 1165: 1156: 1147: 1146: 1140: 1132: 1104: 1081: 1080: 1060: 1054: 1053: 1035: 1011: 1005: 1004: 984: 978: 967: 961: 960: 950: 940: 916: 793:Acid suppression 783:gluten-free diet 676:coronary disease 608:Dopamine agonist 500:gut-driven brain 79:, also known as 51:Gastroenterology 29: 28: 4389: 4388: 4384: 4383: 4382: 4380: 4379: 4378: 4359: 4358: 4357: 4348: 4313: 4302:Internal hernia 4188: 4133: 4098:Biliary fistula 4056: 4047: 4033:Adenomyomatosis 4028:Cholesterolosis 4004: 3998:Hemochromatosis 3869:Viral hepatitis 3841: 3790: 3748: 3734:Rectal prolapse 3703: 3670:Fecal impaction 3660:Intussusception 3623:Crohn's disease 3589: 3572:Toxic megacolon 3484: 3482:Large intestine 3476: 3421:Curling's ulcer 3374: 3372:Small intestine 3361: 3349: 3257:Gastroenteritis 3228: 3093: 3087: 3057: 3052: 3051: 3017: 3016: 2960: 2946: 2941: 2940: 2899: 2895: 2842: 2838: 2785: 2781: 2730: 2726: 2718: 2716: 2706: 2680: 2676: 2625: 2621: 2612: 2610: 2602: 2598: 2597: 2593: 2548: 2544: 2493: 2489: 2450:(3): CD011194. 2436: 2429: 2374: 2363: 2312: 2305: 2260: 2256: 2204: 2200: 2147: 2143: 2106: 2102: 2067:J Hum Nutr Diet 2063: 2059: 2008: 2001: 1992: 1990: 1947: 1943: 1908: 1901: 1858: 1851: 1830:(19): 1853–63. 1819: 1813: 1809: 1764: 1757: 1706: 1702: 1667: 1663: 1612: 1608: 1555: 1551: 1500: 1491: 1440: 1431: 1396: 1392: 1353: 1349: 1340: 1338: 1336:Rome Foundation 1330: 1329: 1320: 1269: 1262: 1254: 1215: 1209: 1205: 1163: 1157: 1150: 1134: 1133: 1121: 1105: 1084: 1061: 1057: 1026:(10): 2324–37. 1012: 1008: 1001: 985: 981: 968: 964: 917: 900: 895: 883: 874: 838: 819: 795: 778: 761: 746: 729: 720: 718:Pathophysiology 707:Gastroenteritis 704: 692:thyroid disease 668: 616:corticosteroids 524: 516: 508: 472: 466: 447: 427: 401: 374: 362: 343: 338: 316: 296: 248: 220: 174: 169: 27: 24: 17: 12: 11: 5: 4387: 4377: 4376: 4371: 4354: 4353: 4350: 4349: 4347: 4346: 4341: 4339:Hemoperitoneum 4336: 4335: 4334: 4323: 4321: 4315: 4314: 4312: 4311: 4310: 4309: 4304: 4299: 4288: 4287: 4286: 4285: 4280: 4267: 4266: 4261: 4256: 4251: 4246: 4245: 4244: 4239: 4228: 4227: 4222: 4221: 4220: 4209: 4207: 4198: 4194: 4193: 4190: 4189: 4187: 4186: 4181: 4176: 4171: 4170: 4169: 4164: 4159: 4154: 4143: 4141: 4135: 4134: 4132: 4131: 4126: 4125: 4124: 4119: 4106: 4105: 4100: 4095: 4086: 4085: 4084: 4079: 4074: 4063: 4061: 4049: 4048: 4046: 4045: 4040: 4035: 4030: 4025: 4020: 4014: 4012: 4006: 4005: 4003: 4002: 4001: 4000: 3995: 3985: 3980: 3975: 3974: 3973: 3968: 3958: 3957: 3956: 3951: 3941: 3936: 3935: 3934: 3929: 3924: 3919: 3907: 3906: 3905: 3895: 3894: 3893: 3883: 3882: 3881: 3876: 3871: 3860: 3858: 3849: 3843: 3842: 3840: 3839: 3838: 3837: 3827: 3826: 3825: 3820: 3810: 3808:Blood in stool 3804: 3802: 3796: 3795: 3792: 3791: 3789: 3788: 3783: 3781:Anal dysplasia 3778: 3773: 3768: 3758: 3756: 3750: 3749: 3747: 3746: 3741: 3736: 3731: 3726: 3725: 3724: 3713: 3711: 3705: 3704: 3702: 3701: 3696: 3695: 3694: 3684: 3683: 3682: 3672: 3667: 3662: 3657: 3648: 3646:Angiodysplasia 3643: 3638: 3627: 3626: 3625: 3615: 3610: 3609: 3608: 3597: 3595: 3591: 3590: 3588: 3587: 3581:Diverticulosis 3577:Diverticulitis 3574: 3565: 3564: 3563: 3554: 3544: 3539: 3538: 3537: 3532: 3527: 3522: 3517: 3512: 3502: 3496: 3494: 3478: 3477: 3475: 3474: 3469: 3467:Milroy disease 3464: 3459: 3454: 3449: 3444: 3439: 3437:Tropical sprue 3434: 3425: 3424: 3423: 3413: 3412: 3411: 3406: 3401: 3390: 3388: 3365: 3359:Lower GI tract 3355: 3354: 3351: 3350: 3348: 3347: 3346: 3345: 3335: 3330: 3325: 3320: 3315: 3310: 3305: 3300: 3295: 3290: 3289: 3288: 3278: 3277: 3276: 3271: 3261: 3260: 3259: 3254: 3249: 3238: 3236: 3230: 3229: 3227: 3226: 3221: 3216: 3211: 3206: 3201: 3195: 3194: 3193: 3187: 3182: 3177: 3172: 3162: 3157: 3152: 3151: 3150: 3145: 3135: 3134: 3133: 3128: 3123: 3112: 3110: 3101: 3099:Upper GI tract 3095: 3094: 3086: 3085: 3078: 3071: 3063: 3054: 3053: 3050: 3049: 3038: 3026: 3025: 3023: 3019: 3018: 3015: 3014: 3003: 2992: 2977: 2961: 2956: 2955: 2953: 2952:Classification 2945: 2944:External links 2942: 2939: 2938: 2893: 2856:(2): 259–266. 2836: 2799:(2): 259–266. 2779: 2724: 2704: 2674: 2639:(2): 686–704. 2619: 2591: 2542: 2487: 2427: 2361: 2303: 2254: 2198: 2161:(6): 767–776. 2141: 2100: 2073:(3): 390–407. 2057: 2022:(3): 390–407. 1999: 1941: 1899: 1849: 1807: 1778:(3): 345–354. 1755: 1700: 1681:(4): 236–242. 1661: 1626:(3): 430–440. 1606: 1549: 1489: 1454:(5): 762–773. 1429: 1410:(2): 390–401. 1390: 1347: 1318: 1260: 1257:on 2011-07-27. 1203: 1148: 1119: 1082: 1055: 1006: 999: 979: 962: 897: 896: 894: 891: 890: 889: 882: 879: 873: 870: 837: 834: 826:metoclopramide 818: 815: 794: 791: 777: 774: 770:antiflatulents 759: 745: 742: 728: 725: 719: 716: 703: 700: 667: 664: 564:amylin analogs 523: 520: 515: 512: 507: 504: 468:Main article: 465: 462: 454:gut microbiota 446: 443: 431:cholelithiasis 429:These include 426: 423: 400: 390: 373: 370: 361: 358: 342: 339: 337: 334: 315: 312: 311: 310: 304: 294: 290: 285: 282: 277: 274: 256:alert features 252:Alarm features 250:Also known as 247: 246:Alarm symptoms 244: 219: 216: 215: 214: 211: 206: 201: 198: 192: 186: 181: 173: 170: 168: 165: 109:abdominal pain 72: 71: 68: 64: 63: 60: 54: 53: 48: 42: 41: 38: 34: 33: 25: 15: 9: 6: 4: 3: 2: 4386: 4375: 4372: 4370: 4367: 4366: 4364: 4345: 4342: 4340: 4337: 4333: 4330: 4329: 4328: 4325: 4324: 4322: 4320: 4316: 4308: 4305: 4303: 4300: 4298: 4295: 4294: 4293: 4290: 4289: 4284: 4281: 4279: 4276: 4275: 4274: 4273: 4269: 4268: 4265: 4262: 4260: 4257: 4255: 4252: 4250: 4247: 4243: 4240: 4238: 4235: 4234: 4233: 4230: 4229: 4226: 4223: 4219: 4216: 4215: 4214: 4213:Diaphragmatic 4211: 4210: 4208: 4206: 4202: 4199: 4195: 4185: 4182: 4180: 4177: 4175: 4172: 4168: 4165: 4163: 4160: 4158: 4155: 4153: 4150: 4149: 4148: 4145: 4144: 4142: 4140: 4136: 4130: 4127: 4123: 4120: 4118: 4115: 4114: 4113: 4112: 4108: 4107: 4104: 4101: 4099: 4096: 4094: 4090: 4087: 4083: 4080: 4078: 4075: 4073: 4070: 4069: 4068: 4065: 4064: 4062: 4060: 4054: 4050: 4044: 4041: 4039: 4036: 4034: 4031: 4029: 4026: 4024: 4021: 4019: 4018:Cholecystitis 4016: 4015: 4013: 4011: 4007: 3999: 3996: 3994: 3991: 3990: 3989: 3986: 3984: 3981: 3979: 3976: 3972: 3969: 3967: 3964: 3963: 3962: 3961:Liver abscess 3959: 3955: 3952: 3950: 3947: 3946: 3945: 3944:Liver failure 3942: 3940: 3937: 3933: 3930: 3928: 3925: 3923: 3920: 3918: 3915: 3914: 3913: 3912: 3908: 3904: 3901: 3900: 3899: 3896: 3892: 3889: 3888: 3887: 3884: 3880: 3877: 3875: 3872: 3870: 3867: 3866: 3865: 3862: 3861: 3859: 3857: 3853: 3850: 3848: 3844: 3836: 3833: 3832: 3831: 3828: 3824: 3821: 3819: 3816: 3815: 3814: 3811: 3809: 3806: 3805: 3803: 3801: 3797: 3787: 3784: 3782: 3779: 3777: 3774: 3772: 3769: 3767: 3763: 3760: 3759: 3757: 3755: 3751: 3745: 3742: 3740: 3737: 3735: 3732: 3730: 3727: 3723: 3720: 3719: 3718: 3715: 3714: 3712: 3710: 3706: 3700: 3697: 3693: 3690: 3689: 3688: 3685: 3681: 3678: 3677: 3676: 3673: 3671: 3668: 3666: 3663: 3661: 3658: 3656: 3652: 3649: 3647: 3644: 3642: 3639: 3637: 3633: 3632: 3628: 3624: 3621: 3620: 3619: 3616: 3614: 3611: 3607: 3604: 3603: 3602: 3601:Enterocolitis 3599: 3598: 3596: 3592: 3586: 3582: 3578: 3575: 3573: 3569: 3566: 3562: 3558: 3555: 3553: 3550: 3549: 3548: 3545: 3543: 3540: 3536: 3533: 3531: 3528: 3526: 3523: 3521: 3518: 3516: 3513: 3511: 3508: 3507: 3506: 3503: 3501: 3498: 3497: 3495: 3492: 3488: 3483: 3479: 3473: 3470: 3468: 3465: 3463: 3460: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3438: 3435: 3433: 3429: 3428:Malabsorption 3426: 3422: 3419: 3418: 3417: 3414: 3410: 3407: 3405: 3402: 3400: 3397: 3396: 3395: 3392: 3391: 3389: 3386: 3382: 3378: 3373: 3369: 3366: 3364: 3360: 3356: 3344: 3341: 3340: 3339: 3336: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3309: 3306: 3304: 3303:Gastroparesis 3301: 3299: 3296: 3294: 3291: 3287: 3284: 3283: 3282: 3279: 3275: 3272: 3270: 3269:Cushing ulcer 3267: 3266: 3265: 3262: 3258: 3255: 3253: 3250: 3248: 3245: 3244: 3243: 3240: 3239: 3237: 3235: 3231: 3225: 3222: 3220: 3217: 3215: 3214:Megaesophagus 3212: 3210: 3207: 3205: 3202: 3199: 3196: 3191: 3188: 3186: 3183: 3181: 3178: 3176: 3173: 3171: 3168: 3167: 3166: 3163: 3161: 3158: 3156: 3153: 3149: 3146: 3144: 3141: 3140: 3139: 3136: 3132: 3129: 3127: 3124: 3122: 3119: 3118: 3117: 3114: 3113: 3111: 3109: 3105: 3102: 3100: 3096: 3092: 3084: 3079: 3077: 3072: 3070: 3065: 3064: 3061: 3048: 3044: 3043: 3039: 3037: 3033: 3032: 3028: 3027: 3024: 3020: 3013: 3009: 3008: 3004: 3002: 2998: 2997: 2993: 2991: 2987: 2986: 2982: 2978: 2976: 2972: 2971: 2967: 2963: 2962: 2959: 2954: 2950: 2934: 2930: 2926: 2922: 2917: 2912: 2909:(15): 40–46. 2908: 2904: 2897: 2889: 2885: 2881: 2877: 2873: 2869: 2864: 2859: 2855: 2851: 2847: 2840: 2832: 2828: 2824: 2820: 2816: 2812: 2807: 2802: 2798: 2794: 2790: 2783: 2775: 2771: 2767: 2763: 2759: 2755: 2751: 2747: 2743: 2739: 2735: 2728: 2715: 2711: 2707: 2701: 2697: 2693: 2689: 2685: 2678: 2670: 2666: 2662: 2658: 2654: 2650: 2646: 2642: 2638: 2634: 2630: 2623: 2608: 2601: 2595: 2587: 2583: 2578: 2573: 2569: 2565: 2561: 2557: 2553: 2546: 2538: 2534: 2530: 2526: 2522: 2518: 2514: 2510: 2506: 2502: 2498: 2491: 2483: 2479: 2474: 2469: 2465: 2461: 2457: 2453: 2449: 2445: 2441: 2434: 2432: 2423: 2419: 2414: 2409: 2405: 2401: 2396: 2391: 2387: 2383: 2379: 2372: 2370: 2368: 2366: 2357: 2353: 2349: 2345: 2341: 2337: 2333: 2329: 2325: 2321: 2317: 2310: 2308: 2299: 2295: 2291: 2287: 2282: 2277: 2273: 2269: 2265: 2258: 2250: 2246: 2242: 2238: 2234: 2230: 2226: 2222: 2218: 2214: 2210: 2202: 2194: 2190: 2186: 2182: 2178: 2174: 2169: 2164: 2160: 2156: 2152: 2145: 2137: 2133: 2128: 2123: 2120:(2): 177–88. 2119: 2115: 2111: 2104: 2096: 2092: 2088: 2084: 2080: 2076: 2072: 2068: 2061: 2053: 2049: 2045: 2041: 2037: 2033: 2029: 2025: 2021: 2017: 2013: 2006: 2004: 1989:on 2014-12-21 1988: 1984: 1980: 1976: 1972: 1968: 1964: 1960: 1956: 1952: 1945: 1937: 1933: 1929: 1925: 1921: 1917: 1913: 1906: 1904: 1895: 1891: 1887: 1883: 1879: 1875: 1871: 1867: 1863: 1856: 1854: 1845: 1841: 1837: 1833: 1829: 1825: 1818: 1811: 1803: 1799: 1794: 1789: 1785: 1781: 1777: 1773: 1769: 1762: 1760: 1751: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1719: 1715: 1711: 1704: 1696: 1692: 1688: 1684: 1680: 1676: 1672: 1665: 1657: 1653: 1649: 1645: 1641: 1637: 1633: 1629: 1625: 1621: 1617: 1610: 1602: 1598: 1594: 1590: 1586: 1582: 1577: 1572: 1568: 1564: 1560: 1553: 1545: 1541: 1537: 1533: 1529: 1525: 1521: 1517: 1513: 1509: 1505: 1498: 1496: 1494: 1485: 1481: 1477: 1473: 1469: 1465: 1461: 1457: 1453: 1449: 1445: 1438: 1436: 1434: 1425: 1421: 1417: 1413: 1409: 1405: 1401: 1394: 1386: 1382: 1378: 1374: 1370: 1366: 1362: 1358: 1351: 1337: 1333: 1327: 1325: 1323: 1314: 1310: 1306: 1302: 1298: 1294: 1290: 1286: 1282: 1278: 1274: 1267: 1265: 1253: 1249: 1245: 1241: 1237: 1233: 1229: 1226:(9): 879–85. 1225: 1221: 1214: 1207: 1199: 1195: 1191: 1190:2027.42/74835 1187: 1182: 1177: 1174:(3): 475–92. 1173: 1169: 1162: 1155: 1153: 1144: 1138: 1130: 1126: 1122: 1116: 1112: 1111: 1103: 1101: 1099: 1097: 1095: 1093: 1091: 1089: 1087: 1078: 1074: 1070: 1066: 1059: 1051: 1047: 1043: 1039: 1034: 1029: 1025: 1021: 1017: 1010: 1002: 1000:9781441917300 996: 992: 991: 983: 977: 976: 971: 966: 958: 954: 949: 944: 939: 934: 930: 926: 922: 915: 913: 911: 909: 907: 905: 903: 898: 888: 885: 884: 878: 869: 867: 863: 859: 856:, artichoke, 855: 851: 847: 843: 842:meta-analysis 833: 831: 827: 823: 814: 812: 808: 804: 799: 790: 788: 784: 773: 771: 767: 763: 755: 751: 741: 733: 724: 715: 713: 708: 699: 697: 693: 689: 685: 681: 677: 673: 663: 661: 657: 653: 649: 645: 641: 637: 633: 629: 625: 621: 617: 613: 609: 605: 601: 597: 593: 589: 585: 581: 577: 573: 569: 565: 561: 557: 553: 549: 545: 544:metronidazole 541: 537: 533: 529: 519: 511: 503: 501: 497: 493: 489: 485: 484:gastroparesis 480: 476: 471: 461: 459: 455: 451: 442: 440: 436: 432: 422: 420: 416: 412: 408: 407: 398: 394: 389: 387: 383: 379: 369: 367: 357: 355: 351: 347: 333: 329: 326: 322: 308: 305: 302: 298: 291: 289: 286: 283: 281: 278: 275: 272: 271: 270: 267: 265: 264:warning signs 261: 257: 253: 243: 241: 240:cholecystitis 237: 234: 230: 226: 212: 210: 209:regurgitation 207: 205: 202: 199: 196: 193: 191: 187: 185: 182: 179: 178: 177: 164: 162: 161: 156: 151: 149: 145: 141: 137: 133: 129: 124: 122: 118: 114: 110: 106: 102: 98: 94: 90: 86: 85:upset stomach 82: 78: 69: 65: 61: 59: 55: 52: 49: 47: 43: 39: 35: 30: 22: 16:Upset stomach 4291: 4270: 4147:Pancreatitis 4109: 4059:biliary tree 3932:Nutmeg liver 3909: 3835:Hematochezia 3786:Pruritus ani 3771:Anal abscess 3766:Anal fistula 3762:Anal fissure 3675:Constipation 3629: 3500:Appendicitis 3308:Gastroptosis 3298:Achlorhydria 3137: 3126:Eosinophilic 3040: 3029: 3005: 2994: 2979: 2964: 2906: 2896: 2853: 2849: 2839: 2796: 2792: 2782: 2741: 2737: 2727: 2717:, retrieved 2687: 2677: 2636: 2632: 2622: 2611:. Retrieved 2606: 2594: 2559: 2555: 2545: 2504: 2500: 2490: 2447: 2443: 2385: 2381: 2323: 2319: 2271: 2267: 2257: 2216: 2212: 2201: 2158: 2154: 2144: 2117: 2113: 2103: 2070: 2066: 2060: 2019: 2015: 1991:. Retrieved 1987:the original 1958: 1954: 1944: 1922:(2): 84–88. 1919: 1915: 1869: 1865: 1827: 1824:N Engl J Med 1823: 1810: 1775: 1771: 1717: 1713: 1703: 1678: 1674: 1664: 1623: 1619: 1609: 1569:(S1): 5–13. 1566: 1562: 1552: 1511: 1507: 1451: 1447: 1407: 1403: 1393: 1360: 1356: 1350: 1339:. Retrieved 1335: 1280: 1276: 1252:the original 1223: 1219: 1206: 1171: 1167: 1109: 1071:(2): 79–85. 1068: 1064: 1058: 1023: 1019: 1009: 989: 982: 973: 965: 928: 924: 875: 872:Epidemiology 839: 830:erythromycin 820: 800: 796: 779: 768:agents, and 747: 738: 721: 705: 669: 644:saw palmetto 525: 517: 509: 473: 448: 428: 418: 414: 404: 403:The role of 402: 396: 392: 381: 375: 363: 344: 330: 317: 268: 263: 259: 255: 251: 249: 221: 195:postprandial 175: 158: 152: 131: 125: 113:feeling full 84: 80: 76: 75: 4327:Peritonitis 4089:Cholestasis 4067:Cholangitis 4010:Gallbladder 3898:Fatty liver 3818:Hematemesis 3800:GI bleeding 3606:Necrotizing 3535:Lymphocytic 3530:Collagenous 3525:Microscopic 3462:Steatorrhea 3363:Enteropathy 3209:Inlet patch 3131:Herpetiform 3116:Esophagitis 3047:Indigestion 3031:MedlinePlus 2326:(1): 8–21. 970:"dyspepsia" 822:Prokinetics 817:Prokinetics 803:esophagitis 660:FODMAP diet 656:gluten-free 600:venlafaxine 540:antibiotics 399:) infection 346:Esophagitis 341:Esophagitis 107:, or upper 77:Indigestion 37:Other names 32:Indigestion 4363:Categories 4319:Peritoneal 4297:Incisional 4218:Congenital 4162:Hereditary 4139:Pancreatic 4103:Haemobilia 3776:Hemorrhoid 3754:Anal canal 3692:Infectious 3680:Functional 3515:Ulcerative 3399:Duodenitis 3338:Gastrinoma 3042:Patient UK 3007:DiseasesDB 2719:2022-01-27 2613:2022-01-27 1993:2014-12-21 1951:"Dysepsia" 1826:(Review). 1774:(Review). 1341:2022-01-19 1277:The Lancet 893:References 862:rose water 846:peppermint 766:prokinetic 604:duloxetine 592:sertraline 588:fluoxetine 548:macrolides 538:(NSAIDs), 528:overeating 307:epigastric 297:deficiency 119:(GERD) or 4307:Richter's 4264:Spigelian 4259:Obturator 4249:Umbilical 4082:Ascending 4053:Bile duct 3886:Cirrhosis 3864:Hepatitis 3847:Accessory 3717:Proctitis 3568:Megacolon 3542:Dysentery 3452:Whipple's 3404:Jejunitis 3394:Enteritis 3281:Dyspepsia 3242:Gastritis 3175:Achalasia 3108:Esophagus 2933:226340276 2925:2658-5790 2888:233868221 2872:1842-1121 2831:233868221 2815:1842-1121 2774:235379735 2758:0815-9319 2714:234186151 2669:244774488 2653:1099-1573 2537:237199057 2521:0002-9270 2464:1469-493X 2404:1664-0640 2356:221768794 2340:0269-2813 2290:0257-2753 2233:2056-676X 2219:: 17081. 2193:207052951 2177:0269-2813 2036:1365-277X 1983:220190440 1961:: f5059. 1928:1532-0650 1886:1528-0012 1750:245922275 1734:1468-3288 1687:1532-0650 1640:1468-3288 1585:0257-2753 1544:220656815 1528:1179-1950 1484:221344221 1468:0269-2813 1313:222254300 1297:0140-6736 1248:260135014 1220:Endoscopy 1137:cite book 1129:925478002 931:: l6483. 744:Treatment 727:Diagnosis 620:estrogens 596:serotonin 556:metformin 419:H. pylori 415:H. pylori 406:H. pylori 397:H. pylori 382:H. pylori 366:gastritis 360:Gastritis 354:heartburn 293:Vitamin B 260:red flags 229:Cutaneous 160:H. pylori 155:endoscopy 136:gastritis 121:gastritis 97:heartburn 89:digestion 81:dyspepsia 67:Frequency 46:Specialty 40:Dyspepsia 4237:Indirect 4232:Inguinal 3966:Pyogenic 3911:Vascular 3687:Diarrhea 3665:Volvulus 3631:Vascular 3570: / 3559: / 3520:Ischemic 3487:Appendix 3377:Duodenum 3247:Atrophic 3121:Candidal 2880:33951117 2823:33951117 2766:34105186 2661:34851546 2586:30335201 2529:34404084 2482:29161458 2422:32116840 2348:32936964 2298:34126614 2241:29099093 2185:28112426 2136:25348873 2095:22800900 2087:28913843 2052:22800900 2044:28913843 1975:23990632 1936:31939638 1894:27147122 1844:26535514 1802:29791992 1742:35022266 1695:25955624 1648:28232473 1593:29421808 1536:32691294 1476:32852839 1424:16890592 1385:27922893 1377:17177870 1305:33049222 1240:16981103 1198:16886913 1050:16499689 1042:16181387 957:31826881 881:See also 858:licorice 756:(PPIs), 750:antacids 648:feverfew 580:fibrates 552:acarbose 450:Duodenal 233:thoracic 225:etiology 213:belching 204:anorexia 197:fullness 184:bloating 172:Symptoms 144:duodenum 105:belching 58:Symptoms 21:Dispepsi 4278:Petit's 4254:Femoral 4157:Chronic 3971:Amoebic 3739:Anismus 3505:Colitis 3432:Coeliac 3409:Ileitis 3381:Jejunum 3234:Stomach 3138:Rupture 3001:D004415 2577:6516965 2473:6485982 2413:7012988 2249:4929427 1793:6034675 1656:3496003 1601:3556796 948:7190054 866:saffron 852:oils), 850:caraway 840:A 2021 787:FODMAPs 632:opioids 624:digoxin 532:aspirin 492:Anxiety 479:chronic 190:satiety 4272:Lumbar 4242:Direct 4225:Hiatus 4205:Hernia 4057:Other 3823:Melena 3709:Rectum 3192:(GERD) 3036:003260 2931:  2923:  2886:  2878:  2870:  2829:  2821:  2813:  2772:  2764:  2756:  2712:  2702:  2667:  2659:  2651:  2609:. 2015 2584:  2574:  2535:  2527:  2519:  2480:  2470:  2462:  2420:  2410:  2402:  2388:: 23. 2354:  2346:  2338:  2296:  2288:  2247:  2239:  2231:  2191:  2183:  2175:  2134:  2093:  2085:  2050:  2042:  2034:  1981:  1973:  1934:  1926:  1892:  1884:  1842:  1800:  1790:  1748:  1740:  1732:  1693:  1685:  1654:  1646:  1638:  1599:  1591:  1583:  1542:  1534:  1526:  1482:  1474:  1466:  1422:  1383:  1375:  1311:  1303:  1295:  1246:  1238:  1196:  1127:  1117:  1048:  1040:  997:  955:  945:  854:ginger 694:, and 652:FODMAP 646:, and 640:ginkgo 636:garlic 630:, and 576:niacin 458:gluten 437:, and 188:early 148:cancer 146:), or 101:nausea 70:Common 4197:Other 4152:Acute 3903:MASLD 3856:Liver 3830:Lower 3813:Upper 3655:Ileus 3491:Colon 3385:Ileum 3200:(LPR) 3012:30831 2990:536.8 2929:S2CID 2884:S2CID 2827:S2CID 2770:S2CID 2710:S2CID 2665:S2CID 2603:(PDF) 2533:S2CID 2352:S2CID 2245:S2CID 2189:S2CID 2091:S2CID 2048:S2CID 1979:S2CID 1820:(PDF) 1746:S2CID 1652:S2CID 1597:S2CID 1540:S2CID 1508:Drugs 1480:S2CID 1381:S2CID 1309:S2CID 1255:(PDF) 1244:S2CID 1216:(PDF) 1164:(PDF) 1046:S2CID 584:SSRIs 568:GLP-1 388:use. 386:NSAID 314:Cause 262:, or 218:Signs 3585:SCAD 2996:MeSH 2985:9-CM 2921:ISSN 2876:PMID 2868:ISSN 2819:PMID 2811:ISSN 2762:PMID 2754:ISSN 2700:ISBN 2657:PMID 2649:ISSN 2582:PMID 2560:2018 2525:PMID 2517:ISSN 2478:PMID 2460:ISSN 2418:PMID 2400:ISSN 2344:PMID 2336:ISSN 2294:PMID 2286:ISSN 2237:PMID 2229:ISSN 2181:PMID 2173:ISSN 2132:PMID 2083:PMID 2040:PMID 2032:ISSN 1971:PMID 1932:PMID 1924:ISSN 1890:PMID 1882:ISSN 1840:PMID 1798:PMID 1738:PMID 1730:ISSN 1691:PMID 1683:ISSN 1644:PMID 1636:ISSN 1589:PMID 1581:ISSN 1532:PMID 1524:ISSN 1472:PMID 1464:ISSN 1420:PMID 1373:PMID 1301:PMID 1293:ISSN 1236:PMID 1194:PMID 1143:link 1125:OCLC 1115:ISBN 1038:PMID 995:ISBN 953:PMID 848:and 776:Diet 628:iron 350:GERD 309:mass 3891:PBC 3618:IBD 3552:IBS 2981:ICD 2975:K30 2966:ICD 2911:doi 2858:doi 2801:doi 2746:doi 2692:doi 2641:doi 2572:PMC 2564:doi 2509:doi 2505:116 2468:PMC 2452:doi 2408:PMC 2390:doi 2328:doi 2276:doi 2221:doi 2163:doi 2122:doi 2075:doi 2024:doi 1963:doi 1959:347 1955:BMJ 1920:101 1874:doi 1870:150 1832:doi 1828:373 1788:PMC 1780:doi 1722:doi 1714:Gut 1628:doi 1620:Gut 1571:doi 1516:doi 1456:doi 1412:doi 1408:131 1365:doi 1361:101 1285:doi 1281:396 1228:doi 1186:hdl 1176:doi 1073:doi 1028:doi 1024:100 972:at 943:PMC 933:doi 929:367 925:BMJ 828:or 712:IBS 594:), 409:in 384:or 83:or 4365:: 4055:/ 3653:: 3634:: 3430:: 3045:: 3034:: 3010:: 2999:: 2988:: 2973:: 2970:10 2927:. 2919:. 2905:. 2882:. 2874:. 2866:. 2854:30 2852:. 2848:. 2825:. 2817:. 2809:. 2797:30 2795:. 2791:. 2768:. 2760:. 2752:. 2742:36 2740:. 2736:. 2708:, 2698:, 2686:, 2663:. 2655:. 2647:. 2637:36 2635:. 2631:. 2605:. 2580:. 2570:. 2558:. 2554:. 2531:. 2523:. 2515:. 2503:. 2499:. 2476:. 2466:. 2458:. 2448:11 2446:. 2442:. 2430:^ 2416:. 2406:. 2398:. 2386:11 2384:. 2380:. 2364:^ 2350:. 2342:. 2334:. 2324:53 2322:. 2318:. 2306:^ 2292:. 2284:. 2272:40 2270:. 2266:. 2243:. 2235:. 2227:. 2215:. 2211:. 2187:. 2179:. 2171:. 2159:45 2157:. 2153:. 2130:. 2118:41 2116:. 2112:. 2089:. 2081:. 2071:31 2046:. 2038:. 2030:. 2020:31 2018:. 2014:. 2002:^ 1977:. 1969:. 1957:. 1953:. 1930:. 1918:. 1914:. 1902:^ 1888:. 1880:. 1868:. 1864:. 1852:^ 1838:. 1822:. 1796:. 1786:. 1776:24 1770:. 1758:^ 1744:. 1736:. 1728:. 1718:71 1716:. 1712:. 1689:. 1679:91 1677:. 1673:. 1650:. 1642:. 1634:. 1624:67 1622:. 1618:. 1595:. 1587:. 1579:. 1567:35 1565:. 1561:. 1538:. 1530:. 1522:. 1512:80 1510:. 1506:. 1492:^ 1478:. 1470:. 1462:. 1452:52 1450:. 1446:. 1432:^ 1418:. 1406:. 1402:. 1379:. 1371:. 1359:. 1334:. 1321:^ 1307:. 1299:. 1291:. 1279:. 1275:. 1263:^ 1242:. 1234:. 1224:38 1222:. 1218:. 1192:. 1184:. 1172:24 1170:. 1166:. 1151:^ 1139:}} 1135:{{ 1123:. 1085:^ 1067:. 1044:. 1036:. 1022:. 1018:. 951:. 941:. 927:. 923:. 901:^ 864:, 813:. 764:, 752:, 698:. 690:, 686:, 682:, 678:, 638:, 626:, 622:, 618:, 610:, 602:, 590:, 578:, 566:, 562:, 558:, 554:, 546:, 534:, 441:. 433:, 323:. 295:12 258:, 254:, 138:, 123:. 103:, 99:, 95:, 4091:/ 3764:/ 3583:/ 3579:/ 3493:) 3489:/ 3485:( 3387:) 3383:/ 3379:/ 3375:( 3082:e 3075:t 3068:v 2983:- 2968:- 2958:D 2935:. 2913:: 2890:. 2860:: 2833:. 2803:: 2776:. 2748:: 2694:: 2671:. 2643:: 2616:. 2588:. 2566:: 2539:. 2511:: 2484:. 2454:: 2424:. 2392:: 2358:. 2330:: 2300:. 2278:: 2251:. 2223:: 2217:3 2195:. 2165:: 2138:. 2124:: 2097:. 2077:: 2054:. 2026:: 1996:. 1965:: 1938:. 1896:. 1876:: 1846:. 1834:: 1804:. 1782:: 1752:. 1724:: 1697:. 1658:. 1630:: 1603:. 1573:: 1546:. 1518:: 1486:. 1458:: 1426:. 1414:: 1387:. 1367:: 1344:. 1315:. 1287:: 1230:: 1200:. 1188:: 1178:: 1145:) 1131:. 1079:. 1075:: 1069:5 1052:. 1030:: 1003:. 959:. 935:: 760:2 758:H 586:( 542:( 482:( 395:( 303:) 299:( 23:.

Index

Dispepsi
Specialty
Gastroenterology
Symptoms
digestion
abdominal fullness
heartburn
nausea
belching
abdominal pain
feeling full
gastroesophageal reflux disease
gastritis
functional dyspepsia
gastritis
peptic ulcer disease
duodenum
cancer
endoscopy
H. pylori
bloating
satiety
postprandial
anorexia
regurgitation
etiology
Cutaneous
thoracic
polyradiculopathy
cholecystitis

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑