Why the majority of diagnoses gastritis are actually functional dyspepsia

Functional dyspepsia is quite often equated to gastritis, but it is not one and too. To make the diagnosis gastritis, it is necessary to conduct a number of researches, without it in any way. The patient is sent to a fibrogastroduodenoskopiya (FGDS), a biopsy, the analysis by a calla and biochemical blood test.

Functional dyspepsia, as appears from the name, is a malfunction in digestive tract which is followed by unpleasant symptoms. The patient usually feels belly-ache, heartburn, swelling, a meteorizm. To make the diagnosis functional dyspepsia, it is enough to gastroenterologist to communicate to the patient and to perform inspection. Laboratory inspection can not find dyspepsia because the disease, as a rule, proceeds without the injuries of a gastrointestinal tract seen for endoscopy. And meanwhile, they are, just incredibly small.

However, the situation when functional dyspepsia is combined with other gastrointestinal disease is frequent. Well, as though the fracture of the leg was followed by a rupture of sheaves. It is more difficult case because then diseases strengthen each other. Respectively, and damages to digestive tract will be pronounced (erosion, ulcers). To exclude pathology with similar clinical manifestations, doctors appoint careful inspection with FGDS, ultrasonography, koprogrammy and blood test. It turns out that anyway – at suspicion of gastritis, an ulcer or only of functional dyspepsia the doctor will send you to additional laboratory researches. It is necessary that to be sure – you broke function and nothing any more.

Functional dyspepsia and stress.
Why after all the gastroenterologist is necessary?

From where can functional dyspepsia take from the healthy person? (though FD, of course, calls into question the concept "healthy person"). It is the investigation of a way of life. If you incorrectly and irregularly eat, smoke, like to drink, often have a stress, then sooner or later will face manifestations of functional dyspepsia. The matter is that against the background of these factors mucous begins to become covered by small cracks (invisible to endoscopy), to pass dangerous bacteria and toxins, and you begin to feel pain, swelling, gas generation, heartburn and other symptoms.

I will separately tell about a stress. There is a natural question – to what doctor to run? To the psychotherapist or gastroenterologist? Perhaps, that to both. But it is better for first to choose the gastroenterologist. Because the emotional pressure provokes functional dyspepsia, and further FD develops under the laws. So only one normalization of psychological state not to manage any more.

Kinds of functional dyspepsia. Treatment

Functional dyspepsia happens two types:
• the postprandialny distress syndrome (PDS), it is dismotorny option;
• the epigastralny pain syndrome (EPS), it is yazvennopodobny option.

By names it is simple to understand how each kind of dyspepsia is shown. Dismotorny it is characterized by violation of motility, so the person experiences early saturation, and after a meal – feeling of overpopulation. The Yazvennopodobny option reminds stomach ulcer: it is shown by belly-aches on an empty stomach and severe heartburn.

Proceeding from a set of symptoms, also treatment of functional dyspepsia is appointed. If the feeling sick reason – in violation of motility, then it is necessary to restore it by means of prokinetik (itomed). If the yazvennopodobny option takes place, it is necessary to apply antisekretorny medicines (omeprazol, pantoprazol, etc.). Gastroenteroprotektor with rebamipidy are in either case shown (rebagit) – for restoration of integrity of a mucous membrane of digestive tract.

And, of course, the indispensable condition of treatment is an elimination of a source of a problem: normalization of food and emotional state (antidepressants can be required), refusal of addictions and a qualitative dream.

Author:
Sas Evgeny Ivanovich is a gastroenterologist, the hepatologist, the doctor of medical sciences, professor, the leading researcher of research center of the St. Petersburg state pediatric medical university.