Dyspepsia

Clinic

• Also known as Indigestion or upset stomach, is a condition of impaired digestion.
• Symptoms may include upper abdominal fullness, heartburn, nausea, belching, or upper abdominal pain. People may also experience feeling full earlier than expected when eating. Indigestion is relatively common, affecting 20% of people at some point during their life, and is frequently caused by gastroesophageal reflux disease (GERD) or gastritis.

Signs / Symptoms

• Upper abdominal Pain / Discomfort
• Bloating
• Early satiety
• Postprandial fullness
• Nausea / Vomiting
• Anorexia
• Regurgitation
• Belching

Alarm symptoms

• Chronic gastrointestinal bleeding
• Progressive unintentional weight loss
• Progressive difficulty swallowing (dysphagia)
• Persistent vomiting
• Iron deficiency anemia
• Vitamin B₁₂ deficiency (Pernicious anemia)
• Epigastric mass

Entities

• Esophagitis
• Gastritis

Related disease

• Peptic Ulcer Disease
• H.pylori infection
• Pancreatobiliary Disease
• Duodenal micro-inflammation

Functional Dyspepsia

• Epigastric Pain Syndrome (EPS): Defined by stomach pain and/or burning that interferes with daily life, without any evidence of organic disease.
• Post-Prandial Distress Syndrome (PDS): Defined by post-prandial fullness or early satiation that interferes with daily life, without any evidence of organic disease.
• Food, herb, or drug intolerance

Remedies

Banerji protocols
First line	Ars C3 15 min before food or three doses daily Lyc C200 one dose every 2 nights
Second line	Bism C6 for vomiting immediately after food (three doses daily) Nat-p C30 two doses daily
Third line	Condurango C30 two doses daily esp in esophageal obstruction Nux-v C30 two doses daily

Tissue Salt Remedies

• CP
• SIL