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Treatment for functional dyspepsia involves addressing the predominant symptom or symptoms with a realistic discussion of the limitations of available therapies to manage expectations, as well as providing reassurance that there is no structural cause for the symptoms and an explanation of the pathophysiology and natural history of the disorder.
For patients with irritable bowel syndrome (IBS) and functional abdominal pain (FAP), hypnotherapy reduces pain intensity and frequency. [30] BART therapies monitor the physiological changes occurring with thoughts, feelings, and emotions. These therapies aim to teach patients how to visualize the effects of the interventions they are undergoing.
IBS can be caused by stress, bacterial infections, genetics or poorly digested food, "but most patients with IBS cannot name a clear inciting factor," says Dr. David Levinthal, a ...
While the causes of IBS are still unknown, it is believed that the entire gut–brain axis is affected. [30] [31] Recent findings suggest that an allergy triggered peripheral immune mechanism may underlie the symptoms associated with abdominal pain in patients with irritable bowel syndrome. [32] IBS is more prevalent in obese patients. [33]
IBS has no cure. Treatment is mainly about managing symptoms and avoiding triggers—such as stress, gastrointestinal infections, imbalanced gut bacteria (dysbiosis), and certain foods that can ...
Functional dyspepsia is a common cause of chronic heartburn. More than 70% of people have no obvious organic cause for their symptoms after evaluation. [13] Symptoms may arise from a complex interaction of increased visceral afferent sensitivity, gastric delayed emptying (gastroparesis) or impaired accommodation to food.
“It can cause severe short-lived symptoms, but typically resolves quickly without treatment,” says Pratima Dibba, MD, a board-certified gastroenterologist practicing in New York City.
Early satiation may be described by patients with gastroparesis as a loss of appetite or disappearance of appetite while eating. Early satiety is the sensation of stomach fullness that occurs shortly after beginning to eat and is out of proportion to the meal. [10] Bloating is a highly subjective feeling of increased abdominal pressure.