What should I do if I have indigestion and dry heaving?

Written by Si Li Li
Gastroenterology
Updated on December 22, 2024
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Symptoms of chronic indigestion and retching are mainly considered indicative of chronic gastritis. Common symptoms of chronic gastritis include upper abdominal bloating, belching, acid reflux, nausea, vomiting, poor appetite, indigestion, and heartburn. Gastroscope examination revealing mucosal congestion, edema, or erosion confirms the diagnosis of chronic gastritis. It is also advisable to undergo a Carbon-14 breath test to determine the presence of Helicobacter pylori infection. Helicobacter pylori has been confirmed as a major cause of chronic gastritis, peptic ulcers, and even gastric cancer. If Helicobacter pylori infection tests positive, a 14-day anti-Helicobacter pylori treatment is required, involving a proton pump inhibitor, two antibiotics, and a bismuth agent. Additionally, for chronic gastritis, acid suppression, gastric protection, enhancement of gastric motility, and mucosal repair treatments are also necessary. With standardized treatment, symptoms can disappear, and the disease can be effectively cured.

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Written by Yang Shuang
Cardiology
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How to regulate functional dyspepsia?

For functional dyspepsia, dietary attentions include consuming easily digestible foods such as noodles, steamed buns, dumplings, and soft-cooked rice. Try to avoid hard or difficult-to-digest foods, such as bones, and avoid acidic, spicy foods, and alcohol. Consume more fresh vegetables and fruits. For medical treatment, medications that promote gastrointestinal motility and aid in digesting food can be taken, such as supplements containing gastric protease. Eating smaller, more frequent meals is advisable, avoiding excessive consumption of fish and meat. Daily protein intake should be around 50 grams to meet the body's needs.

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Written by Wu Hai Wu
Gastroenterology
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Is functional dyspepsia hereditary?

Functional dyspepsia is not a hereditary disease and does not have a genetic component. Functional dyspepsia refers to indigestion caused by the dysfunction of the stomach and intestines without any obvious organic diseases. The main symptoms include dull pain in the upper abdomen, which can manifest as burning or bloating pain. There are also symptoms such as acid reflux, belching, heartburn, diarrhea, vomiting, and sometimes the passage of mucus stools. Generally, it does not lead to purulent or bloody stools, nor does it cause fever or severe urgency after defecation, among other symptoms.

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Written by Ren Zheng Xin
Gastroenterology
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Harm of Functional Dyspepsia

Functional dyspepsia is very common in life, especially among adolescents, which can lead to a further decrease in appetite. Food accumulates in the gastrointestinal tract for a long time, making it difficult to move downwards, causing stomach and intestinal bloating. Over time, it affects the appetite, and the patient's mental and nutritional status will be impacted. It is necessary to use some digestive aids and drugs that promote gastrointestinal motility in a timely manner. Attention should also be paid to dietary adjustments, eating regular meals in fixed quantities, and eating more soft, easily digestible food. Try to eat less raw, cold, or spicy food. (Please use medication under the guidance of a doctor)

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Written by Wu Hai Wu
Gastroenterology
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Is functional dyspepsia related to chronic cholecystitis?

Functional dyspepsia sometimes has a certain relationship with chronic cholecystitis. Patients with chronic cholecystitis generally experience upper abdominal pain after eating greasy food, accompanied by symptoms such as belching and abdominal distension. Functional dyspepsia can also exhibit similar symptoms, such as acid reflux, belching, and heartburn, indicating a certain connection between functional dyspepsia and chronic cholecystitis. Once a patient develops chronic cholecystitis, they can follow medical advice to use anti-inflammatory and gallbladder-benefitting tablets for treatment, or use Jin Dan tablets or gallstone relief tablets. Meanwhile, patients with indigestion can also consider using medications that regulate intestinal flora for treatment.

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Written by Yao Li Qin
Pediatrics
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One-year-old baby with indigestion

If a one-year-old baby has indigestion, first we should pay attention to the child's diet to see if it is normal. A one-year-old child should ideally have three main meals a day and then drink about 500ml of milk or formula. If the child's diet is inappropriate, or the child has little physical activity, or due to illness, etc., these can lead to indigestion. In such cases, we first need to adjust the dietary structure, offering the child light and easily digestible food, and avoid foods that are too fatty or too sweet. Additionally, some medications for treating indigestion can be administrated to the child, such as gastric protease granules, multi-enzyme tablets, pediatric fel nigrum extract, etc. For children who also have abnormal stool, probiotics can be given to help regulate their digestion.