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Functional indigestion
Last reviewed: 23.04.2024
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Functional indigestion is a violation of motor and / or secretory function that occurs with the phenomena of gastric dyspepsia and pain syndrome without signs of anatomical changes (AV Frolkis, 1991). However, P. P. Myagkova (1995) believes that morphological examination of the gastric mucosa may lead to reversible changes (especially histochemical or electron microscopic method). Functional disorders of the stomach include functional (non-ulcer) dyspepsia, aerophagia, habitual vomiting, pilorospasm.
Functional (non-ulcer) dyspepsia is a symptomatic complex that includes pain or discomfort, a feeling of overflow in the epigastric region (whether or not associated with eating, exercise), early satiety, bloating, nausea, vomiting, heartburn or regurgitation, intolerance to fatty foods, but careful examination of the patient does not reveal any organic damage (peptic ulcer, chronic gastritis, duodenitis, stomach cancer, reflux esophagitis (Tytgar, 1992) .If these clinical symptoms functional dyspepsia last more than 3 months, it is designated chronic.
Functional non-ulcer dyspepsia
Aerophagia is a functional indigestion characterized by ingestion of air. Normally, without swallowing, the upper esophageal sphincter is closed. During food, it opens, and together with food, a certain amount of air is always swallowed (to each sip about 2-3 cm3 of air). In this regard, in the stomach there is normally up to 200 ml of air ("air", "gas" bubble), which then enters the intestines and is absorbed there.
Habitual vomiting occurs with hysteria, neurasthenia and is caused by neural-reflex disorders of the motor function of the stomach in appearance, smell, taste of a certain food. It increases in case of disturbing situations and is more frequent in young women.
Pylorospasm is a spastic contraction of the pylorus, observed in persons suffering from neuroses. In this case, there is intense pain in the epigastric region, abundant vomiting with acidic contents of the stomach, palpation of the abdomen determines pain in the epigastrium on the right, sometimes it is possible to palpate the spastically reduced pylorus. When fluoroscopy of the stomach determines the delay in evacuating the contrast from the stomach, you can see the spastic contractions of the pylorus. The diagnosis is confirmed with fibrogastroscopy.
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