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	Alarm symptoms	Related disease
Upper abdominal Pain / Discomfort Bloating / Early satiety Postprandial fullness Nausea / Vomiting Anorexia Regurgitation /Belching	Chronic gastrointestinal bleeding Progressive unintentional weight loss Progressive difficulty swallowing (dysphagia) Persistent vomiting Iron deficiency anemia Vitamin B12 deficiency (Pernicious anemia) Epigastric mass	Peptic Ulcer Disease H.pylori infection Pancreatobiliary Disease Duodenal micro-inflammation IBD	Constipation Diarrhea Flatulence GERD IBS

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

		Main characters	Modalities / Triggers
Stomach Pain	Nux-v	Best Homeopathic remedy for various types of stomach problems Constipation. Constant urge but stool is Insufficient / Unsatisfactory. Heaviness / Weight in the stomach after eating.	Eating agg esp Coffee, Spicy food and Alcoholic drinks Stomach pain amel after passing stool.
	Coloc	Cramping type of stomach pains.	Amel from pressure or Bending double
	Mag-p	Various kinds like Cutting/ Cramping Sharp / Shooting pains	Amel with application of warmth on the stomach
Eating Fat	Puls	Complete absence of thirst. Loose stools: Changing nature of stool every time it is passed. (Opposite to Nux-v) Chilliness + Loose stool.	Fatty food (Ghee and butter) Pastries foods Ice creams
Bloated Abdomen	Chin	Useful for letting out gas from bloated abdomen Whole abdomen is full of gas. Painful flatulence Diarrhea + Extreme weakness.	Fruits: Diarrhea due to eating fruits
	Carb-v	Gas is present in upper abdomen and Headache due to excess gas in stomach. Abdomen is bloated and gets tense with gas.	Burps may give a slight relief.
	Lyc	Abdominal Distention after eating even a little Rolling of gas in stomach Burps cause burning in throat Craving for hot drinks. Gas in lower abdomen	Farinaceous (starchy)/ Flatulent food causes Acidity / GERD
Food Poisoning	Ars	Loose stool and stomach pain (Esp Extreme burning) Nauseas /Vomiting : Stomach does not tolerate any kind of Food/ Liquid. It is immediately vomited out as soon as it reaches the stomach.	Agg after eating or drinking anything.
Nauseas Vomitting
	Ip	Persistent and extreme nausea Nausea can be present alone or in addition to any gastric complaint.

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

Tissue Salt Remedies

• CP
• SIL