Dyspepsia is a disease caused by gastric motility disorder, including gastroparesis and esophageal reflux disease with gastric peristalsis. Symptoms are intermittent epigastric discomfort or pain, fullness, heartburn (acid reflux), belching, etc. Often because of chest tightness, early satiety, abdominal distension and other discomfort, I don't want to eat or eat as little as possible, and it is not easy to fall asleep at night, and I often have nightmares after sleeping. When I went to the hospital for examination, except for mild gastritis under gastroscope, other examinations such as B-ultrasound, X-ray radiography and blood biochemical examination showed no abnormal performance. There are many reasons for indigestion, including chronic inflammation of stomach and duodenum, which makes the normal peristalsis of esophagus, stomach and duodenum out of balance. The patient's mental unhappiness, long-term depression or sudden violent stimulation may all be caused. Gastroparesis is caused by diabetes, primary anorexia nervosa and gastrectomy. The elderly have decreased digestive function and are easily affected by emotions. Sometimes the food is slightly rough or cold, and the food is too much and greasy. It is worth emphasizing that mild dyspepsia, which is generally treated at home, is mostly caused by bad mood, too intense work, cold weather or eating too much indigestible food, with only mild symptoms such as epigastric discomfort, fullness and heartburn. Classification of dyspepsia: Dyspepsia is mainly divided into functional dyspepsia and organic dyspepsia. Functional dyspepsia-having the above dyspeptic symptoms, but no obvious digestive organ diseases or systemic diseases were found after examination. This kind of indigestion has the highest incidence and most people have experienced it. The causes of the disease are mainly related to mental and psychological factors, such as mood fluctuation, sleep state, poor rest, alcohol and tobacco stimulation, etc. Organic dyspepsia: after examination, it can be clearly identified as an organ lesion, such as liver disease, biliary tract disease, pancreatic disease, diabetes, etc. For this kind of patients, the treatment is mainly aimed at the etiology, supplemented by digestive enzymes or improving gastric motility to alleviate dyspeptic symptoms. Therefore, after the symptoms of indigestion appear, it should be checked in time. First of all, it is necessary to confirm whether there are other diseases. Second, choose off-site 1. Western medicine power drugs: domperidone (domperidone), cisapride digestive enzyme Aspergillus oryzae pancreatin tablets (Kangbishen), dried yeast, pancreatin, lactase (epigenetic) antacid ranitidine, omeprazole (effective for abdominal pain symptoms) and other dimethicone tablets (Xiao Zhong tablets). 2. Chinese patent medicines Chaihu Shugan Pill, Xiangsha Zhi Zhu Pill, hawthorn pill, Jiawei Baohe Pill, Muxiang Shunqi Pill, Xiangsha Yangwei Pill, Jiawei Zuojin Pill, Wenweishu Capsule, Yangweishu Capsule, Qizhiweitong Granule, Su Wei Granule, Massa Medicata Fermentata (Liuqu Tea) and Liuweian Powder. Third, conditioning matters 1. Life should be regular, sleep should be regular, do a good job of self-psychological conditioning, eliminate ideological concerns, pay attention to controlling emotions, and be broad-minded. 2. Quit smoking and avoid spicy and cold food. Go to the hospital for a check-up to see if the stomach upset is caused by diabetes or hypothyroidism. When to see a doctor 1. Non-ulcerative dyspepsia is a benign disease and patients can still eat it. Just because eating regularly will aggravate the feeling of fullness and chest tightness in the stomach, I don't want to eat more. When symptoms are not obvious, it is better to eat. Although the patient has been uncomfortable for a long time, his weight has not dropped significantly. If there is stomach discomfort and obvious progressive emaciation, you should go to the hospital for gastroscopy in time to see if it is a tumor or other organic lesions. 2. If epigastric pain persists and is closely related to eating, it is regular rhythmic pain. Once eating, epigastric pain will be significantly aggravated, and gastric and duodenal ulcers may occur. You should go to the hospital for further examination in time. [What is dyspepsia] Dyspepsia is actually the general term for all stomach discomfort. The symptoms of indigestion indicate that the digestive process has been disturbed for some reason. Dyspepsia can be accidental or chronic. Accidental dyspepsia can be caused by overeating, drinking too much and taking painkillers such as aspirin frequently. Eating when you are nervous, or eating unaccustomed can also lead to it. Chronic persistent dyspepsia can be caused by nervous system factors, or by some organic diseases such as chronic gastritis, gastric and duodenal ulcer, chronic hepatitis and other consumptive diseases. Patients often have dyspepsia after cholecystectomy. For whatever reason, food stays in the stomach for too long because the stomach lacks motivation and can't work normally. [What are the symptoms of dyspepsia] Loss of appetite, abdominal distension after meals, abdominal oppression and/or abdominal pain can radiate to the chest, sigh, heartburn, mild nausea and vomiting, and thick and greasy tongue coating. [How to treat dyspepsia] Consulting a doctor to diagnose the causes of dyspepsia and improve digestive function is helpful to treat the cause and eliminate temporary discomfort. While treating the etiology, over-the-counter digestive therapy can be applied. Family treatment measures for indigestion ● Detection of gastric acid deficiency Gastric acid is the direct cause of indigestion. You can do a gastric acid self-test. Take a tablespoon of apple vinegar or lemon juice. If this can make heartburn disappear, then you need more hydrochloric acid (you can drink pure apple juice and water for dinner). If this makes the symptoms worse, it means that you have too much hydrochloric acid, so don't take any more enzymes containing hydrochloric acid. ● Maintain a balanced diet rich in cellulose, such as fresh fruits and vegetables and whole grains. Chew slowly, don't wolf it down. ● taboo. Avoid refined sugar, bread, cakes, macaroni, dairy products, caffeine, oranges and fruits, tomatoes, green peppers, carbonated drinks, potato chips, junk food, fried food, spicy food, red meat, beans and cola. Reduce salt intake. Processed food, junk food and all dairy products will stimulate excessive secretion of mucous membrane, leading to indigestion in protein. Control the consumption of peanuts, lentils and soybeans. They contain an enzyme inhibitor. ● Pay attention to food collocation. Protein is not a good match with starch, vegetables and fruits. It is best not to use milk for three meals. The combination of sugar and protein or starch is not conducive to digestion. ● For flatulence, pancreatin can be used for flatulence in the upper digestive system, and trace minerals can be used for flatulence in the lower digestive system. Acid generator is ineffective for exhaust and flatulence. When there is too much gas production, a fresh lemon can be squeezed into juice, and about 1. 14 heated water can be added as enema to balance the pH value in the body. If the exhaust in the body lasts for several days, it can be enema with Lactobacillus bifidus, which will be relieved within a few hours (see Chapter 8 of the next volume). ● The indigestion caused by taking acidophilic bacteria can also be improved by acidophilic bacteria, because the lack of these benign bacteria is the most common indigestion factor. Open 10 capsules or use spoon powder formula. People who are allergic to milk crystals can switch to products without milk. Acidophiles are also quite safe enemas with few problems. You may feel slight discomfort, but it will subside after about 1 hour. ● Acidic eye drink: add a spoonful of pure apple vinegar and a glass of water, and sip it at dinner to help digestion. Drinking a glass of lemonade before getting up in the morning has the effect of treating and clearing blood. Taking charcoal tablets is quite effective in absorbing gas in the body, but it will interfere with drugs and nutrients. Do not take it for a long time. ● Drinking rice soup, rice soup and barley porridge is effective for flatulence, exhaust and heartburn. Use 5 parts of water and 1 part of grain (rice or barley) and boil 10 minute. Cover the pot and stew for another 50 minutes. Filter, cool and drink several times a day. Exercise, such as brisk walking and gymnastics, is good for digestion. ● Fasting If the feces stink and the anus is burning during defecation, a fasting plan can be implemented. (Please see Chapter 8 of Book 2: Fasting). This is usually a sign that the colon contains toxic substances. ● Supplement nutrition ① Add 1 tbsp high-fiber glucose manna honey or ABc direct oxygen reactor to fruit juice or water, take it when you get up in the morning and drink it quickly to avoid fiber hardening. It can clean the colon and help the formation of feces. ② Aloe juice 1/4 cups, used on an empty stomach, one cup in the morning and one cup before going to bed. It is beneficial to digestive tract diseases such as heartburn. ② Take 2 tablets of protein lyase or pancreatin for dinner and 1 tablet for snacks. Improve exhaust and flatulence. ④ Use acidophilic bacteria half an hour before meals. It is necessary for normal digestion. Use products that do not contain milk ingredients. ⑤ Eat two garlic capsules with meals. Help digestion and eliminate harmful bacteria in the intestine. ⑥ Vitamin B group is 100 mg when eating. Vitamin B is necessary for normal digestion. ⑦ Alfalfa dosage should conform to the product description. Supplement vitamin X and trace minerals. Take comprehensive digestive enzymes with meals. If you have burns or ulcers, avoid using products containing hydrochloric acid. The treatment of dyspepsia should be 1. Develop good living habits. Pay attention to the rules of eating and living, do not smoke, do not overeat, and avoid eating indigestible food and drinking all kinds of gas-producing drinks. 2. Choose safe, effective and cheap drugs. In addition to gastrointestinal transport drugs, such as morpholine, digestive enzymes and drugs to promote bile secretion should be supplemented. Because bile is indispensable in the process of digestion, it can also cooperate with digestive enzymes to play a good role in digestion. In recent years, a new digestive enzyme compound azintamide enteric-coated tablets not only contains trypsin, pancreatic lipase, pancreatic amylase and so on. It also contains azintamide which can effectively promote bile secretion and dimethyl silicone oil which can eliminate abdominal flatulence. Clinical observation shows that the total effective rate is over 85% after 4 weeks, and there is no adverse reaction. When indigestion occurs, we should do the following: First, stop eating and implement "hunger therapy". Fasting for one or two meals as appropriate. On an empty stomach, you can drink light salt boiled water according to thirst, replenish water and salt in time, or drink sugar+salt water, because sugar is absorbed quickly and does not increase the gastrointestinal burden. If fasting is not necessary at all, eat less, or just eat digestible porridge and add some appetizers. This makes the gastrointestinal tract feel relaxed and comfortable, and indigestion is easy to correct. Eat less irritating food, cold food, coffee, chocolate, potatoes, sweet potatoes and acidic food. Eat less and eat more, avoid smoking and alcohol. Two, the appropriate use of digestive drugs, generally should be applied under the guidance of a specialist. If it is an over-the-counter drug, it can be used according to the drug instructions. Commonly used drugs are chlorpyrifos, which is a gastric motility drug, which can strengthen the emptying of food from the stomach and reduce bloating. Aspergillus oryzae pancreatin tablets (Kangbishen) can supplement digestive enzymes, promote food decomposition and enhance nutrient absorption; Lactic acid bacteria tablets can form a protective layer in the intestine, prevent the invasion of pathogenic bacteria and viruses, promote the secretion of gastric juice and enhance digestive function. Other Chinese medicines that help digestion, such as Massa Medicata Fermentata, Radix Aucklandiae, Fructus Crataegi, Fructus Hordei Germinatus, and Pericarpium Citri Tangerinae, can be used as appropriate. Third, for mild dyspepsia, or just a temporary feeling of fullness, you can take a walk after meals, gently massage your abdomen, and take part in physical exercise or manual labor after 1-2 hours to enhance the consumption of body heat and eliminate indigestion as soon as possible. After the symptoms of indigestion appear, you should avoid eating foods that are not easy to digest, such as meat, greasy food and seafood. It is also inappropriate to eat more desserts or ice cream. It is necessary to give priority to light food, maintain 1-2 days, remove indigestion food residues in gastrointestinal tract, and restore digestive function. Pay attention to indigestion-1. Eat less fried food: because this kind of food is not easy to digest, it will increase the burden on the digestive tract. Eating too much will cause indigestion and raise blood lipids, which is not good for the body. 2. Eat less pickled foods: These foods contain a lot of salt and some carcinogens, so it is not advisable to eat more. 3. Eat less cold and irritating foods: Cold and irritating foods have a strong stimulating effect on the digestive tract mucosa, which is easy to cause diarrhea or digestive tract inflammation. 4. Diet rule: Studies show that regular diet and regular quantification can form conditioned reflex and contribute to the secretion and digestion of digestive glands. 5. Regular and quantitative: eat moderately every meal, and have three meals a day at regular intervals. At the specified time, whether you are hungry or not, you should take the initiative to eat to avoid being too hungry or too full. 6. Appropriate temperature: The temperature of the diet should be "neither hot nor cold". 7. chew slowly: reduce the burden on the stomach. The more times food is chewed fully, the more saliva is secreted, which has a protective effect on gastric mucosa. 8. Drinking time: The best drinking time is before fasting in the morning 1 hour, every meal. Drinking water immediately after a meal will dilute the gastric juice, and soaking in rice will also affect the digestion of food. 9. Pay attention to cold protection: After the stomach catches cold, the function of the stomach will be damaged, so pay attention to the warmth of the stomach and don't catch cold. Maintenance method-1) Warm care: After it is cool in autumn, the temperature difference between day and night changes greatly. Pay attention to keep your stomach warm, add clothes in time, and cover your bedding at night to prevent your stomach from getting cold and aggravating your old illness. 2) Diet nursed back to health: The diet should be warm, soft, light, vegetarian and fresh, so as to be regular and quantitative, eat less and eat more meals, so that food and stomach acid are often neutralized in the stomach. 3) Taboo maintenance: Patients with stomach diseases should pay attention to taboos, avoid eating cold, too hot, too hard, too spicy and too sticky food, and avoid overeating, smoking and drinking. 4) Rest in peace: The occurrence and development of dyspepsia are closely related to people's mood and mentality. Therefore, we should pay attention to mental health, keep cheerful and emotional stability, and avoid the stimulation of bad emotions such as tension, anxiety and anger. At the same time, pay attention to the combination of work and rest to prevent excessive fatigue from affecting the recovery of stomach diseases. 5) Exercise health care: Gastrointestinal patients should combine their own signs, strengthen moderate exercise, improve the body's disease resistance, reduce disease recurrence and promote physical and mental health.