Sunday, January 15, 2006

flatulent dyspepsia syndrome

A frequent cause of dyspepsia (impairment of digestion) and abdominal pain without any organic cause has become increasingly recognized in recent years. This condition is usually called flatulent dyspepsia syndrome and is characterized by upper abdominal pain usually in or radiating from the left hypochondrium (abdomen) and is often accompanied by a feeling of fullness, with nausea and frequent eructation (belching) of air. Flatulent dyspepsia syndrome is seen frequently in the elderly and is thought to be caused by excessive swallowing of air, which is secondary to stress or anxiety. The condition is often worse after meals and in the evening. There may also be a sensation of churning in the stomach. This condition is usually precipitated by anxiety or stress. The treatment of this condition is symptomatic. A treatment that is used often is five to 10 mg of metoclopramide given before meals. Treatment of the underlying psychological upset may also be necessary.
Brocklehurst, J. C. Textbook of Geriatric Medicine and Gerontology. New York: Churchhill Livingstone, 1985.

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