Dyspepsia

Dyspepsia is a violation of digestion of different origin. There are gastric and intestinal dyspepsia. The term "gastric dyspepsia combines symptoms such as heartburn, belching, regurgitation, nausea, vomiting, hiccup. They are observed not only in various diseases of the stomach, but in diseases of other organs and systems (Central nervous system, endocrine system, liver, bilious ways, kidneys and other). Intestinal dyspepsia - syndromes that occur in functional and organic lesions of the intestine. There are fermentation and putrefaction dyspepsia.
Fermentative dyspepsia caused by the arrival of a significant number of carbohydrates in the colon with insufficient digestion and absorption in the small intestine (excess consumption of carbohydrates, not fermented drinks, kvass, young beer). Clinical symptoms: bloating, rumbling, transfusion, colicky pain, calmed down after discharge gas without smell. Chair up to 2-4 times a day, defecation abundant, light yellow color with a sour smell and sour reaction, containing gas bubbles. When microscopy is the large number of starch grains.
Putrid dyspepsia caused by hypersecretion protein-rich intestinal juice, which is a substrate of the food in the colon and partly to the small intestine. Hypersecretion is called by the introduction of food excessive amounts of animal protein, inflammatory processes in the gut, allergic reactions. Clinical symptoms: bloating, sometimes persistent diarrhea (chair 10-14 times a day). Defecation dark color with a putrid odor, alkaline reaction. The phenomenon can be observed intoxication: headache, fever, malaise. Microscopic examination of faeces found a lot of undigested muscle fibers. Often there is a combination of both kinds of dyspepsia. Intestinal dyspepsia can accompany diseases of the stomach, pancreas, liver.
Treatment for gastric dyspepsia should be directed at the underlying disease; for intestinal dyspepsia is mainly diet (see clinical nutrition, Diet, Diarrhea, Tables of clinical nutrition). Of medicines applied with success adsorbents: a mixture of Calcium carbonicum, Calcium phosphoricum, Bolus alba in equal amounts to 0.5 - 1 teaspoon 2-3 times a day after meals. At low exocrine pancreatic function is useful long-term courses (up to 2-3 months). treatment by Pancreatin 1-2 g after a meal 3 times a day, and when gastric secretory deficiency - Abominog 1 tab. 3 times a day in the beginning of a meal followed by a reception 15-20 drops diluted hydrochloric acid (in 1/2 glass of water). In spastic pains administered in normal doses antispastic funds (platifillin, atropine, belladonna, papaverine, gastropod). The composition of intestinal flora normalize the use of milk products.

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