Indigestion that last for days? Find out when to seek medical advice

Most of us get indigestion from clock time to time. It may be an occasional trouble due to overindulgence, possibly after a large or hot meal. But for some, it ‘s a regular annoyance. How can you avoid it, and when should you worry ? The aesculapian term for indigestion is ‘dyspepsia ‘ – this includes several different types of abdominal trouble caused by problems with your digestive tract .

Symptoms of indigestion

indigestion covers a multitude of symptoms. The most common is annoyance – typically a cauterize annoyance in your upper berth abdomen, or travelling behind your sternum. however, indigestion can besides cause :

  • Nausea or being sick.
  • Bloating of your tummy.
  • Belching.
  • Feeling full quickly when you eat.
  • Heartburn.

Causes of indigestion

indigestion is normally caused by ignition in your stomach. This is frequently due to an surfeit of stomach acidic, which your body produces to digest food. If this acid refluxes into your esophagus, it can cause heartburn – burn trouble behind your sternum, sometimes accompanied by a bitter liquid rising into your talk. In the UK, one in three adults suffer from heartburn and one in six get it at least doubly a workweek. other causes include :

Ulcers

peptic ulcers include ulcers in your stomach and the duodenum – the first part of the catgut after your stomach .

Hiatus hernia

Hiatus hernia occurs when the crown share of the stomach pushes up into the chest pit, and it often causes heartburn .

Your medication

Medicines are a coarse induce of indigestion. Some of the most probably culprits include :

  • Aspirin.
  • Anti-inflammatory tablets (taken for muscle pains, arthritis, etc – they include medicines like ibuprofen, diclofenac and naproxen).
  • Bisphosphonates (tablets taken daily, weekly or monthly to prevent osteoporosis, or ‘thinning’ of the bones).
  • Some antibiotics (especially erythromycin).
  • Digoxin.
  • Steroid tablets.
  • Iron tablets.
  • Calcium antagonists (used for high blood pressure or sometimes angina).

If your indigestion starts, or becomes worse, concisely after you start taking one of these medicines, see your GP. They may be able to change your pill – or the time you take it – to stop indigestion from occurring .

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Medicines that can help

We ‘ve come a long way in the treatment of indigestion, heartburn and peptic ulcers, and it ‘s all down to advances in medicines. When I was a checkup scholar, it was fairly coarse for people to need operating room to control their symptoms – these days tablets like PPIs ( their names all goal in ‘ -azole ’ – omeprazole, lansoprazole, esomeprazole, etc ) keep acid under manipulate a lot better.

sometimes a microbe called Helicobacter pylorus can make indigestion worse. Your doctor may perform a breath, toilet or blood test for this and if necessary, give you a one-week naturally of treatment with three different tablets to get rid of it. This does n’t constantly work and it involves taking several tablets a day and much having to avoid even a sip of alcohol for a week, but it can greatly reduce the chance of symptoms returning .

When to worry

indigestion and heartburn are rarely due to a unplayful cause, but there are some ‘red flags ‘ or warning signs which should be checked out by a doctor. They include :

  • Severe pain which doesn’t settle with remedies from your pharmacist or doctor.
  • Being off your food or losing weight for no obvious reason.
  • Food sticking when you swallow, or severe pain on swallowing.
  • Vomiting up blood or black ‘coffee grounds’.
  • Blood in your poo, especially if it’s dark red and mixed in with the poo (rather than being on the paper or in the pan) or passing black, tarry poos.
  • Feel generally unwell (which can be down to anaemia) or tired.
  • Persistent bloating that lasts for three weeks or longer (which could in rare cases be caused by ovarian cancer).

Further investigation

If you get any of these symptoms, if you have a past history of peptic ulcer or a condition called Barrett ‘s esophagus, or if you develop dogged indigestion or reflux ( particularly with system of weights passing ) over the long time of 55, your repair may recommend further investigations. There are two independent investigations .

Gastroscopy

One is a gastroscopy – a little compromising metro is passed down your throat, sometimes under sedation, to look inside your pot. This is done as a day case in hospital but you ‘ll need person to take you home afterwards .

Colonoscopy

The other, done where an abnormality of the lower intestine is suspected, is a colonoscopy. You take medicines at home to empty your bowels wholly, then go in angstrom a day casing to hospital and have a little flexible tube passed up from your bottom to examine your large intestine .

Preventing indigestion

There ‘s much that you can do to relieve or prevent your symptoms happening the first place. In heartburn, lying down often brings on the problem because the acid does n’t have to travel against gravity up into your esophagus. Propping the head of the bed up on a copulate of bricks may help.

therefore besides can losing weight unit, avoiding besotted belts or trousers and staying away from big meals or eating besides near to bedtime. For other indigestion, you may find that some foods like peppermint, tomatoes, alcohol or piquant foods are well avoided. Your pharmacist can advise on short-run remedies or a course of tablets to relieve the misery. It ‘s worth reading our article on probiotics besides, to see if they might be worth trying .

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