Question 1

What is functional dyspepsia?

Accepted Answer

Dyspepsia is another word for indigestion.

Question 2

What are the symptoms of dyspepsia ?

Accepted Answer

People with chronic indigestion often report feelings of stomach pain, over-fullness and bloating during and after eating. Other common symptoms include acid reflux, heartburn and excessive burping, nausea, vomiting and loss of appetite.

Question 3

What does functional mean ?

Accepted Answer

A functional disorder is an ongoing problem with your bodily functions that can’t be explained by physical causes. You have symptoms, and doctors can observe those symptoms, but they can’t find any mechanical reason for them. Gastrointestinal diseases are often “functional” rather than structural. Doctors don’t always understand why they occur. It may be that the brain and nerves are involved.

Question 4

How common is Dyspepsia ?

Accepted Answer

Dyspepsia is very common which is seen in 20-30% of Indian population.

Question 5

What risk factors contribute to functional dyspepsia?

Accepted Answer

You may be more likely to experience functional dyspepsia if you:
 • Have      a history of anxiety or depression.
 • Have      a history of abuse.
 • Have      a history of H. pylori infection.
 • Use      NSAIDs.
 • Smoke      or use tobacco products.

Question 6

Can dyspepsia and IBS same ?

Accepted Answer

Both are different as they involve different parts of G.I. system but both share same pathophysiology and can co exist in same patient.

Question 7

What are the tests for Dyspepsia (INDIGESTION) or Gastritis ?

Accepted Answer

Upper G.I. endoscopy is done to rule out Helicobacter Pylori infection and other structural causes of indigestion. Other tests include ruling out wheat intolerance, lactose intolerance, pancreatitis, gall stones and diabetes.

Question 8

stones and diabetes.
What is H. Pylori infection ?

Accepted Answer

Helicobacter pylori infection is gram negative bacteria which is seen in 90% of Indian population with pathogenic strains cause dyspepsia and gastritis. Infection occurs during childhood from contaminated food or water. Symptoms have late onset as it is slow growing bacteria.

Question 9

How is H. pylori tested and treated ?

Accepted Answer

H. pylori is tested using endoscopy by RUT (rapid urease testing ) or biopsy , UREA BREATH TEST ( UBT) and stool test. At Gastro 360 , we have advanced laser endoscopy which can detect infection by endoscopic appearance and also  Urea Breath test (13C UBT) to rule out infection in children , pregnant and sick patients.

Question 10

Does H. pylori need to be treated ?

Accepted Answer

H. pylori is treated only if it is detected by various tests . H. pylori can present with resistance to various antibiotics.

Question 11

Is H. pylori dangerous ?

Accepted Answer

H. pylori is a common bacteria and is not considered dangerous which can be eradicated. If left untreated it may lead to stomach or duodenal ulcer and cancer in very few patients.

Question 12

When is H. pylori suspected ?

Accepted Answer

H. pylori can be suspected if there is chronic malnutrition , malabsorption , vitamin B12 deficiency , iron deficiency, thrombocytopenia (low platelets) and skin conditions like urticaria.

Question 13

How is belching diagnosed ?

Accepted Answer

Belching is diagnosed by taking proper history and other investigations like upper G.I. endoscopy.

Question 14

Why does excess burping happen ?

Accepted Answer

Excess burping or Belching can happen because of acid reflux, indigestion, H. pylori infection, anxiety, recent weight gain, tight clothes, sedentary lifestyle, excess smoking and excess talking.

Question 15

How is burping treated ?

Accepted Answer

Burping is treated by finding the reason and treating. Diaphragmatic breathing helps in reducing burps. Burping is NOT DANGEROUS

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