Why Is My Stomach Always Upset? What Patients Should Know About Functional Dyspepsia
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- Опубликовано: 2 авг 2024
- Do you often experience stomach discomfort and don’t know why? In this episode, we learn about a condition called functional dyspepsia, which may be the reason for your tummy troubles. Dr. Scott Gabbard, a Gastroenterologist at the Cleveland Clinic and Chairman of the American College of Gastroenterology’s Patient Care Committee, explains functional dyspepsia, a term used for recurring upset stomach symptoms with no clear cause.
Dr. Gabbard helps us understand the symptoms, treatment options and ongoing management of this condition. Since patients often misinterpret their symptoms for other indigestion disorders such as GERD, Dr. Gabbard also offers tips for effectively communicating with healthcare providers about our symptoms so that we get an accurate diagnosis.
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Disclaimer: The sole purpose of the Gastro Girl podcast is to provide educational and informational content. Gastro Girl, Inc., American College of Gastroenterology, The Gastro Girl Podcast, host, Jacqueline Gaulin, and any and all guests appearing on any Gastro Girl podcast episode [Collectively the Service Provider] do not provide any medical advice and the Information will not be so construed or used as medical advice. Using, accessing and/or listening to the Gastro Girl Podcast and/or providing personal or medical information to the Service Provider does not create a clinician-patient relationship between the Service Provider and you or your patients. Nothing contained in this or any Gastro Girl Podcast episode is intended to create a clinician-patient relationship, and you will not rely on anything contained in any podcast episode in diagnosing or treating yourself or anyone else.
THE INFORMATION CONTAINED IN THESE PODCAST EPISODES IS PROVIDED FOR EDUCATIONAL PURPOSES ONLY AND IS NO WAY INTENDED TO DIAGNOSE, CURE OR TREAT ANY MEDICAL OR OTHER CONDITION. PLEASE CONTACT YOUR HEALTHCARE PROVIDER WITH ANY QUESTIONS RELATED TO YOUR HEALTH AND WELLBEING. If YOU ARE EXPERIENCING A HEALTH Emergency Please CALL 911
I wish we had such doctors in Canada he's well knowledgeable
I’ve been diagnosed with FD after dealing with 2 years of nausea and losing 20 lbs. It initially started after going through a very stressful time in my life. The link between gut and brain is true for me although I’ve now have gallbladder issues. What really got rid of my nausea is eliminating all saturated fat from my diet and keeping the good fats low.
I’m starting an antidepressant, very low-dose, to treat my functional dyspepsia. I have been very resistant to taking it. But this morning when I saw my G.I. again, I finally agreed to it. This episode truly, truly, truly helped me understand why an antidepressant would work. My G.I. did tell me it’s a brain gut issue but I did not understand that the nerves were so sensitive. It explains so much! Thank you to both of you for putting this out there. I have been suffering with this for most of my life. I am 54 years old. I also suffer from almost daily migraines. The majority of what I experience is extreme bloating originating under my left rib cage, yes, nine months pregnant looking and wrapping to my back with such intense pain. I have tried herbal remedies with only modest improvement. I am very hopeful! 🙏
Thank you for your feedback. We are pleased to hear you found this episode helpful. Yes, the brain-gut connection is very powerful and the gut is called the "second brain." Hope you find some relief soon! Here are some resources that address the brain-gut connection that you may find helpful:
The Benefits of Diaphragmatic Breathing
education.giondemand.com/courses/benefits-diaphragmatic-breathing
Understanding and Managing Chronic Pain from Digestive Distress
education.giondemand.com/courses/understanding-managing-chronic-pain-digestive-distress
Kindfulness: How the Practices of Mindfulness and Self-Compassion Build Resilience
education.giondemand.com/courses/kindfulness-mindfulness-self-compassion
Stress and Your Gut: Why it Matters in Digestive Conditions
education.giondemand.com/courses/stress-and-your-gut-digestive-conditions
Two of our partners also offer helpful resources:
Nerva App (gut-directed hypnotherapy)
try.nervaibs.com/giondemand/
Trellus Health
trellushealth.com/giondemand
@@GastroGirl thank you!! 🙏
I just wanted to update. I started trazodone 12.5mg/night and it has been a game changer, the improvements I see and feel are incredible. It’s about one week. GI said about 6 weeks for meds to take complete effect. I was extremely resistant to the idea. I am so thankful for trazodone and for this video!! ❤
@@MariaMoleEpic I am so happy to hear you are feeling better! Thank you for the update!
I've had 5 GI Dr the 5th thinks it bile acid and functional dispepsia. The put me on deloxitine. I've lost 35 pds very thin. Majored burning tightness now anxiety after 4 yrs every day started after GB removal 3/17/20. Now on powder for 2 wks to see if they helps. Maybe the M and B meds would be better. What do you think pain is bad all day long age 65. I have had ever test done CT ultra sound MRI scopes stool and blood test. Do you think ultra sound some day will cure it like Parkinson's tremors.
I have just been diagnosed with FD and this has given me a far better understanding of my symptoms and remedies. I have both symptoms the stomach pain and the feeling full quickly limiting food intake. Thank you so much for such a thorough explanation.
Thank you for your feedback! Hope you feel better soon!
A great podcast so much information.
Totally a CRUX of all the information on the internet about functional gi disorder .
This is the BEST Description and information I’ve been able to find. I’ve been struggling for so long and I can move forward with a way to describe my issues and find appropriate help. THANK YOU.
Thank you for the feedback. We are happy to hear this information was helpful!
wow, this is so well explained. thanks!
Thank you for your feedback!
Excellent guest and interview!!
Thank you for your feedback.
Majorly helpful! Thank you!
Thank you for your feedback.
This makes a bunch of sense.
My gastroenterologist has diagnosed me with FD and recommended a low dose of nortriptyline. Although I’ve been hesitant to start this treatment, the herbal remedies I’ve tried so far haven’t been effective. I’ve decided to give the antidepressant a chance, in the hope that it will restore my health to its normal state. Thank you for the informative podcast!
Thank you for your comments and feedback. I hope you are feeling better. Let us know how you're doing! xoxo JG
@30:32 for some they make pain and burning worse. Maybe if slow motility already an issue? @30:49 Iberoghast? Vagus nerve therapy vs acupuncture?
Why are so many GI doctors insisting on doing a scope to check for H Pylori?
Ugh talk about wasting money
I've been to 5 gi docs. The 5 th thinks I have bile acid and put me on powder for D just a few days ago. I had my GB removed 3/17/20 4 years ago when pain started every day unto now. I am never hungry no appetite have to make myself eat it hurts to walk around getting very thin. Newest GI doc thinks it is dypepesia also. Pain clinic put me on 40 deloxitine I got off lyrica. I've have had many test stool, blood, mri, ct ,ultra sound and scope work all come back normal except gastritis and hiatal hernia. I'm 65 pain is upper burning and tighness hurts to back hard to walk around. Lost 45 pds wt 132 5'6. It hurts to eat. Do you think Busburon and Mirtazpine would be better? You seem to know your stuff other 4 docs did not want to give diagnosis or correct meds. Docs just send me to pain clinic. Maybe the 5th will be different. I hope they can cure this soon or lower the pain level to 1 or 2 .Thankyou
I was given 10mg of amitriptyline and it took all of my symptoms from a 10 to 3 and I was severely ill and unable to eat with chronic nausea and vomiting and severe bloating and after the med it all stopped! I don’t want to take this forever. I’ve been on it a year. Is it possible for functional dyspepsia to go away? I have fibromyalgia and chronic fatigue syndrome and had hysterectomy fir endometriosis 5 years ago along with chronic migraines and b12 deficiency. I’m a mess and I do all the right healthy things and being monitored by Mayo Clinic and the best doctors and it’s still such a struggle. I take LDN for my fibromyalgia and do al the natural supplements and lifestyle and healthy diet and physical therapy and more and even went to therapy and my therapist is like you are very mentally healthy you are just learning how to live in chronic pain. Only the lord knows what is actually going on with my body. Thank you for this video
Yes amitriptyline 10mg I have taken it for two weeks and 75% burning sensation have gone but still I have functional dyspepsia and bloating and I want it to go forever and feel normal again.
@@Sushant_saurabhyou from India
@@jayeshparmar615 yes bro
I have a sister-friend with bilateral Vestibular neuropathy defined as bilateral loss of homeostasis balance that is connected to her vegus nerves to her stomach. I truly believe she has FD secondary to bilateral Vestibular neuropathy.
Interesting, One suggestion is to encourage her to see a gastroenterologist for an accurate diagnosis and related treatment options. Thank you for sharing.
I'm trying to get in to see a GI doctor soon. I've had digestive issues since November 2022. I was diagnosed with gastritis back in 2018 from stress, but what I have now doesn't feel like my normal gastritis flare-ups. I still have an appetite, but eating makes me feel too full no matter the amount. I also have stabbing pains, bloating, burning, and gas. I've been to the doctor and the ER for it multiple times, but they can't seem to find a cause for the issues. I won't mention this to the GI doctor when I do finally see them, but I will explain my symptoms. If this is my problem, then it should be an easier healing process for me because I'm already on busprone for my anxiety. I had no idea it helped stomach issues. My psychiatrist also wants to start me on Mirtazapine because of the amount of weight loss I've had. I can't take Ppis or H2 blockers because I'm also on zoloft and it doesn't mix well with them. I really enjoyed watching this. I don't want to self diagnose but I have a lot of the symptoms you listed so its given me peace of mind to think my issues could be something less severe then gastritis or gallbladder issues. I've had too many test run that have came out normal. I was at a loss for what my problems could be. Now I might have an idea.
Thank you for sharing your story. A gastroenterologist is the specialist who most likely will be able to accurately diagnose your symptoms. Glad to hear you aren't self-diagnosing :) Have you tried any stress-management tools? Check out these education video from GI Psychologist Dr., Megan Riehl on GI OnDEMAND education.giondemand.com/courses/benefits-diaphragmatic-breathing
education.giondemand.com/courses/stress-and-your-gut-digestive-conditions
And this one from Dr. Mark Weisberg education.giondemand.com/courses/understanding-managing-chronic-pain-digestive-distress
Hello, I'm here to help, and I'm going to tell you the core of the problem that's causing the Abdominal issues, low Stomach Acid, the feeling Full after small meals, the stomach burning, Acid reflux, Peptic Ulcers, the stabbing pain, and so on, is something called Cholangitis, which we are never told, because they don't know. Our Stomach issues, due to a blockage within the Biliary Tree, Bile becomes restricted( High Bilirubin), and Cholesterol becomes elevated, and it becomes an issue with the Liver, Gallbladder, Spleen, stomach, and Intestines, and so on. All this is a sign of Gallstones, and the proper procedure is an ERCP, which is only performed by a Gastroenterologist, a powerful, non surgical method to remove them all, from blocking your flow within the abdominal system. Stop all Fried Foods, stop using cooking oil, yes omega 3s and 6 Oils, or any, no matter how healthy they appear, stop butter, Bacon, and anything with grease, because this provokes the already clogged Gallbladder, and to try and secret Bile, while being blocked, and causing it to spasm... Only boil and bake, and add a little Sea Salt.
I have functional dyspepsia when i feel this so much pain comes up from my chest its hard to breath
Functional Dyspepsia, is a term that is used, when they do not know what's going on... I'm going to tell you what's wrong; the core of the problem that's causing the low Stomach Acid, the feeling Full after small meals, the stomach burning, Acid reflux, Peptic Ulcers, and so on, is something called Cholangitis, which we are never told, because they don't know. Our Stomach issues, are due to a blockage within the Biliary Tree, Bile becomes restricted( High Bilirubin), and Cholesterol becomes elevated, and it becomes an issue with the Liver, Gallbladder, Spleen, stomach, and Intestines, and so on. All this is a sign of Gallstones, and the proper procedure is an ERCP, which is only performed by a Gastroenterologist, a powerful, non surgical method to remove them all, from blocking your flow within the abdominal system. Stop all Fried Foods, stop using cooking oil, yes omega 3s and 6 Oils, or any, no matter how healthy they appear, stop butter, Bacon, and anything with grease, because this provokes the already clogged Gallbladder, and to try and secret Bile, while being blocked, and causing it to spasm... Only boil and bake, and add a little Sea Salt.
I have FD right after I healed from Covid !
Same, it's horrible isn't it. Have you improved any?
how do i tell this apart from ibs
Hi Stephanie, great question.
"IBS (irritable bowel syndrome) is another functional disorder, like functional dyspepsia. They even have similar nicknames. Functional dyspepsia has been called “irritable stomach syndrome,” and IBS has been called “nervous stomach”. However, IBS is really concerned with the bowels, especially the large intestine or colon. Functional dyspepsia symptoms are more involved with the stomach and the upper small intestine. FD pain is more of a burning sensation in the upper GI tract, while IBS pain is more like cramping in the bowels due to constipation or diarrhea." SOURCE: Cleveland Clinic. my.clevelandclinic.org/health/diseases/22248-functional-dyspepsia
Please consult your healthcare provider for a definitive diagnosis and treatment plan. We do not provide medical advice just evidence-based information and resources so individuals can be better informed. Hope this helps, xoxo JG
I have dealing with this progressively for years. My doctor assumed that i had GERD and gave me acid reflux medicine and it didn't really help. Im still nauseous everyday, in constant pain in my abdomen, my upper abdomen is sensitive to touch, and im bloated all the time, and i get full half way through a meal. My doctor gave me a bunch a test and everything has come back normal. It is really frustrating.
what kind of test he gave you ?
What kinda test?
I'm also suffering from Functional dyspepsia from 4 years . Taking medicines but not responding
Does it bother your chest? I have chest discomfort
But i was diagnosed with functional dyspepsia
@@yugensolivagante296 I also suffer from it
I never feel hungry...and persistent feverish feeling..
@@avneeshyadav8734 do u get bloated a lot? I have excessive bloating. Happens a lot and the air from my stomach would go to my chest and travel around the body and causes discomfort pain.
@@yugensolivagante296 suffering from loss of appetite
I'm suffering from FD for 4 years. It really hurts in my stomach
Have you seen a gastroenterologist?
@@GastroGirl GIs are useless when it comes to stuff like this
@@GastroGirl gastros are fkn useless
I never feel hungry..
I am suffering from functional dyspepsia since 10 years..
Have you seen a gastroenterologist? Another suggestion is to work with a registered dietitian with GI expertise who can help make sure you're getting adequate nutrition. Thank you for sharing.
@@GastroGirl I have seen more than 12 gastro doctors but there is no appetite at all....
@@GastroGirl plz tell my case to doctor Douglas.... rome foundation...
Since I can't come to America and also I belong to a poor family...
@@avneeshyadav8734 here is his website drossmancare.com/
@@avneeshyadav8734
Any MD you consult with in USA as a patient for personal medical advice will charge you a fee. There’s sadly many millions of poor families there too. Best of luck.
F.D suffering 5yrs
Doing any better
It's a terrible disease tbh. Living in constant pain makes quality of life basically non-existent and there is no real treatment...
tray cannabis to ease your pain substancially
My FD was diagnosed on january. They gave me antacid (liquid), famotidine, paracetamol.
After some time, I felt chest discomfort(heavy feeling/feeling something is there). It made me anxious and I was scared, anxious as well for a month. Simultaneously, my body was cold. My arms, my legs, my chest, my neck and my face felt cold. But not at the same time. Sometimes just the chest and my back. Sometimes my left leg.
My neck sometimes feels like tight and I have migraines that travels on either both sides. I felt liquid travelling in my head. After i took anti depressants that the gave me. It stopped (the travelling liquid).
Now i feel discomfort (a bit of pain) on my lower back on both sides, my chest,back and arms are cold. Sometimes, i feel a burning sensation on my stomach and sometimes on my left back and on my chest (a bit).
I would also feel like my heartbeat increased when i needed to do no 2 back then. But that was back in february.
For the past few days my chest feels uncomfortable and my heartbeat decreased by 10bpm. Usually, heartbeat is around 70-100 when im resting or moving a bit.
But now when i rest its at 60-70 and when i sleep its usually 60+ but now its 50+.
What im concerned is that if it this weakening of my heart muscle or symptoms of heart attack. Bc I checked heart attack symptoms. I do feel discomfort on my chest, arms, jaw, legs, cold chest, migraines.
The doctors havent been able to diagnose me properly.
My GGT was high back then as well as my uric acid on january.
Thank you for sharing. We cannot offer medical advice on your specific case but highly encourage you to speak with your doctor (s) and seek second/alternative opinion from another doctor if you are still not getting the answers you need or symptom relief. Have you seen a cardiologist?
@@GastroGirl yeah, they said its not cardiac related based from my ecg and blood test results. I feel like cardiac related issues can't always be detected by those 2. I'm not a doctor but yeah. I just want them to scan my body and tell what's wrong with me. I want an mri but they said it's not a cardiac problem so my next appointments are months ahead. Long wait.
@@yugensolivagante296 Try to keep track of all your symptoms, what you are eating, drinking, any supplements, stress levels, etc, each day. It takes work but if you jot these down daily and keep a notebook you may begin to see some patterns and this will be very helpful to your doctors, Also, friendly reminder, please make sure to call 911 if you ever feel you are in crisis or emergency health situation.
You might also be a vaccin injured..