Monday, April 6

A rumbling tummy can often be traced back to what you ate – or what proportion you had.

ALSO mentioned AS dyspepsia or indigestion , indigestion broadly describes discomfort within the upper abdomen. it is also an umbrella term used for several different symptoms – in order that what you or somebody else might imagine of as indigestion can vary widely.


“Indigestion may be a very subjective term that folks use, and it’s actually not really a medical symptom, per se,” says Dr. Ketan Shah, a gastroenterologist at MemorialCare Saddleback center in Laguna Hills, California. “But people use the term to explain various sensations usually after eating – sensations like a sour stomach or burning within the upper abdominal area or some nausea, regurgitation, heartburn, belching, bloating.”

Other symptoms of indigestion may include gas and a “growling,” rumbling or gurgling stomach.

Indigestion may be a common problem. And when indigestion is infrequent – as is most frequently the case – it’s going to be uncomfortable, but it’s generally not a cause for concern.

In cases when an individual has frequent indigestion, however – like several times weekly or maybe daily – it might be a symbol of an underlying medical problem. So it’s worth talking together with your doctor about frequent indigestion , or if symptoms persist for quite a few weeks. confirm to supply specifics on exactly what you are feeling and therefore the symptoms you’re experiencing to assist your health provider better understand what is going on on.

Also, seek prompt medical attention if you experience any of those symptoms with indigestion:

Vomiting frequently or bloody vomiting.
Black, tarry stool.
Swallowing is difficult or painful.
Unexplained weight loss.
Belly pain or discomfort even once you haven’t eaten.
Severe abdomen pain.
Shortness of breath.
[ SEE: 10 Tips for Avoiding Acid Reflux. ]

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Causes of Indigestion

A rumbling tummy can often be traced back to what you ate – or what proportion you had.

“Fatty, fried, cheesy, processed foods, fast foods – those are all things that might be common causes of indigestion,” says Dr. Leena Khaitan, a gastrointestinal surgeon at University Hospitals Cleveland center and professor of surgery at Case Western Reserve University School of drugs . Overeating – or having an outsized volume of food, beyond what you’d normally eat – also can cause indigestion, Khaitan says.

Everything from lifestyle – like diet or whether an individual smokes, drinks an excessive amount of or is feeling stress – to certain medications – like antibiotics and aspirin – also can cause indigestion.

In some instances, underlying health conditions could also be responsible for an indigestion . Among those possible causes of indigestion are:

Acid reflux, or gastroesophageal acid reflux disease (GERD).
Anxiety and depression.
Peptic ulcers, or sores that develop within the lining of the stomach or upper a part of the tiny intestine.
Bacterial infection with Helicobacter pylori, or H. pylori.
Irritable bowel syndrome.
Inflammation of the stomach lining called gastritis.
Gastroparesis, when food is delayed in leaving your stomach.
Stomach cancer.
It’s easy to leap to worst-case-scenario conclusions about what could be responsible for frequent indigestion. However, experts means , serious causes like stomach cancer are rare. Nevertheless, confirm to be medically evaluated for any concerns.

[ SEE: 7 Ways Pain is usually Misdiagnosed. ]
Easing an indigestion

Oftentimes the only approach to indigestion is that the most effective: Avoid any offending foods. If you experience indigestion whenever you’ve got nutriment , as an example , skip the drive-through meals – which is perhaps a healthier move anyway.

Over-the-counter antacids, like Tums, Rolaids, Maalox and Mylanta, can help, Shah notes. He adds that “sometimes over-the-counter, anti-reflux medications like Zantac or Pepcid” also can help with acid reflux symptoms. But these short-term fixes are just that. “If it occurs frequently, then it really should be evaluated,” he says.

Lifestyle remains tends to be the initial focus to ease indigestion. “We usually first advise patients to form certain lifestyle modifications. the only most vital lifestyle modification for acid reflux is to reduce and to take care of a healthy weight,” Shah says.

Among other suggested changes, he notes patients also are advised to:

Eat smaller but more frequent meals.
Avoid lying down soon after a meal.
Minimize certain foods that precipitate acid reflux, like chocolate, peppermint, caffeine and alcohol.
Avoid smoking.
If lifestyle changes aren’t enough to ease symptoms, medications could also be prescribed. “If these lifestyle modifications are ineffective, then we frequently start a daily acid reflux medication, like a histamine-2 blocker, like Zantac or Pepcid, or a proton pump inhibitor, like Prilosec or Prevacid, Nexium, Protonix,” Shah says.

With any medication it is vital to think about risks and stop to the medications when they’re not needed. That’s been highlighted within the case of proton pump inhibitors, highly effective medicines that nonetheless are shown to boost risks for everything from vitamin deficiency to heart and renal disorder with long-term use.

Surgery for GERD

In some cases, a surgery could also be recommended to treat GERD. One, called the transoral incisionless fundoplication procedure, is completed through a patient’s mouth, using an endoscope, a versatile tube with a camera thereon . “The top of the stomach is wrapped round the esophagus to elongate and reconstruct the valve between the esophagus and stomach, which may ease reflux and indigestion and permit many patients to discontinue their daily anti-reflux medications,” says Shah, who performs the procedure.

It’s done under general anaesthesia while the patient is asleep. The approach is analogous to more conventional anti-reflux surgeries just like the Nissen fundoplication, but the TIF procedure is minimally invasive, so there’s less risk. Rarely, the TIF procedure may cause other more serious issues like bleeding and infection.

“Though traditional anti-reflux surgeries like the Nissen fundoplication are very effective, they’re also known to possess a high rate of long-term side effects, including difficulty swallowing (26%), bloating (36%) and increased flatulence (65%),” Shah says. In contrast, the speed of side effects is low for the TIF procedure (2%).

[ SEE: 10 Seemingly Innocent Symptoms you should not Ignore. ]
Stomach Ulcers

In other instances, frequent indigestion could also be caused by a stomach ulcer. the 2 commonest causes of stomach ulcers are H. pylori bacteria and therefore the long-term use of nonsteroidal, anti-inflammatory medications such ibuprofen, naproxen and aspirin. Respectively, these issues are often addressed by treating the bacteria with antibiotics or by modifying NSAID use. confirm to always keep your doctor within the loop about medications you are taking , including OTC drugs.

The most important thing isn’t to ignore indigestion that happens frequently, experts remind.

“People got to realize that when symptoms persist like that, that’s not normal,” Khaitan says. So don’t resign yourself to frequent indigestion. For those that do have acid reflux, clinicians reiterate that it is vital to recollect that drugs – including those appropriated the counter to supply immediate relief – aren’t long-term solutions or meant to be taken on an ongoing basis. Instead, talk with a doctor who regularly treats conditions like GERD to debate other treatment options as required .

How to Survive Acid Reflux
Woman with throat sore is holding her aching throat – body pain concept
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Michael O. Schroeder, Staff Writer

Michael O. Schroeder has been a health editor at U.S. News since 2015. He writes health … READ MORE


Leena Khaitan, MD, MPH; Ketan Shah, MD, MBA

Tags: health, patients, patient advice, gastroenterology, indigestion, GERD, ulcer


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