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Functional dyspepsia (indigestion)

Dyspepsia functionalis · Funkční dyspepsie (trávicí potíže)

What it is

Ongoing upper-belly pain, burning or early fullness with a normal endoscopy — the stomach senses and relaxes abnormally; about 1 in 10 adults, often with IBS and anxiety.

Symptoms & signs

  • Burning or pain in the upper belly
  • full after a small amount
  • bloating after meals
  • nausea
  • worse with stress

🚩 Get help if…

  • call 112 / 911 now Vomiting blood or black, tarry stools
  • see a doctor soon Weight loss without trying
  • see a doctor soon Trouble swallowing or persistent vomiting
  • see a doctor soon New indigestion after 55

Where it strikes

Medical treatment

  • Endoscopy if over 55 with weight loss or alarm signs
  • Test and treat Helicobacter pylori trials support
  • Proton pump inhibitor for 4–8 weeks — helps a minority trials support
  • Low-dose amitriptyline — trial benefit trials support
  • prokinetics in some countries
  • gut-directed psychological therapy

Natural & lifestyle

  • Smaller, low-fat meals
  • less alcohol and smoking
  • regular exercise

Emerging & experimental

  • Vagus nerve stimulation
  • drugs that relax the upper stomach

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Peppermint and caraway oil — helped in trials trials support
  • STW 5 (Iberogast) herbal mix — trial benefit; rare liver injury reported trials support
  • Acupuncture — trials mixed mixed evidence
  • Ginger — small studies of stomach emptying mixed evidence

ICD codes