Dyspepsia: symptoms
Last reviewed: 23.04.2024
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Depending on the predominance in the clinical picture of the processes of decay or fermentation in the intestine, the putrefactive and fermentative forms of alimentary dyspepsia are conventionally isolated.
Putrefactive dyspepsia occurs mainly in the violation of digestion of proteins, fermentation - carbohydrates, while the nature of the intestinal microflora is significant. Putrefactive dyspepsia is manifested by a mild swelling of the abdomen, the escape of a small amount of gases with a typical fetid (putrefactive) odor, diarrhea. Exercises of dark color, also with putrefactive odor. Due to the formation of rotting products in the intestine and absorption, there are signs of general intoxication: weakness, headache, decreased appetite, mood, disability, neurocirculatory dystonia with angiospasm. When coprological examination, a sharply alkaline reaction of the stool is observed in connection with the formation of ammonia, expressed by the creator, with the predominant muscle fibers with preserved transverse striation. Sometimes an urine is detected in urine.
For fermentation dyspepsia characterized by pronounced flatulence, a sense of heaviness, rumbling, transfusion in the abdomen; the removal of a large number of gases is virtually odorless; paroxysmal, such as intestinal colic, abdominal pain, diminishing or disappearing after gas withdrawal, carboline intake, carminative tea, walking, knee-elbow position with a raised pelvis. A pathognomonic sign is a frequent, liquid, foamy stool with a sour smell. The color of the feces is light yellow, they contain undigested remnants of eaten food (fruits, vegetables, etc.), the reaction of the stool is sharply acidic. When microscopic examination of stool masses, many starch grains are detected both extracellularly and intracellularly, a considerable amount of fiber, crystals of organic acids, and representatives of iodophilic flora.
In addition to putrefactive and fermentation, fatty indigestion characterized by abundant diarrhea, polyphecia, the appearance of a light, "fatty" feces of a neutral or alkaline reaction is also recognized.
When coprological research reveals quite a few drops of neutral fat, especially the crystals of fatty acids and their insoluble salts - soaps (mainly the intestinal form of steatorrhoea).
In clinical practice, there is often a mixed type of alimentary dyspepsia in connection with the involvement in the pathological process along with the intestines of other parts of the digestive tract.
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