Aklan State University

School of Arts and Sciences

Bachelor of Science in Nursing
Banga, Aklan

Name: Lourenz S. Bontia Date: February 14, 2016

Dyspepsia

Definition:
Dyspepsia is pain or an uncomfortable feeling in the upper or middle part of the
stomach that can cause symptoms of bloating, heartburn, nausea, vomiting and belching.
Dyspepsia is often caused by a stomach ulcer or acid reflux. Dyspepsia is also a term used to
describe non-ulcer stomach pain or signs and symptoms of indigestion without an obvious
cause.i
Signs and Symptoms:ii

Belly pain or discomfort.

Bloating.
Feeling uncomfortably full after eating.
Nausea.
Loss of appetite.
Heartburn.
Burping up food or liquid (regurgitation).
Burping.

Pathophysiology:

Functional dyspepsia (or 'non-ulcer') is usually defined as chronic or intermittent upper

abdominal symptoms for which no organic cause can be found. Division of functional dyspepsia
into subgroups such as reflux-like, ulcer-like, dysmotility-like and non-specific dyspepsia has
been proposed, but lacks a scientific basis. Gastric acid hypersecretion, Helicobacter pylori-
associated gastritis, gastric and small intestinal motor disorders, psychological and
neurohormonal factors all might play a role in the pathogenesis. The heterogeneity of the
underlying abnormalities makes it unlikely that one single treatment modality will ever be
beneficial to all patients. In general practice, a therapeutic trial, with either a prokinetic or an
acid secretion inhibiting drug, is usually carried out before diagnostic procedures are performed
to exclude organic abnormalities. In the choice of the initial therapy, some guidance can be
derived from the prominent symptoms. In a study in 30 H. pylori-negative patients with
functional dyspepsia ranitidine (150 mg bid) significantly reduced the severity of heartburn. The
effect was most pronounced in patients of the reflux-like subgroup.iii

Recommended Diet:ii

Foods to avoid Foods to eat

Chocolate Bananas and apples

Alcohol Buttermilk
Peppermint and spearmint Yogurt
Coffee Water

Spicy foods Low-fat sweets (no chocolate or mint)

Tomatoes Cottage cheese

Oranges Fruits

Meal Plan:iv

Meal Food Choices

Breakfast 25 pcs black raisins
1 glass milk
Lunch 1 bowl of freshly prepared steamed vegetable
2 or 3 whole-wheat tortilla
1 glass buttermilk
Snacks 1 glass carrot juice
Dinner 1 large bowl of fresh green vegetable salad
with lemon juice dressing
Bean sprouts
Cottage cheese
1 glass buttermilk
i Hamilton, D. (2015, September 9). Dyspepsia Diet. Retrieved February 15, 2016, from
LIVESTRONG.COM: http://www.livestrong.com/article/264760-dyspepsia-diet/

ii Dyspepsia. (n.d.). Retrieved February 15, 2016, from webMD: http://www.webmd.com/digestive-

disorders/tc/dyspepsia-topic-overview

iii Jebbink, H. (n.d.). Pathophysiology and treatment of functional dyspepsia. Retrieved February
15, 2016, from PubMed: http://www.ncbi.nlm.nih.gov/pubmed/8016577

iv Dyspepsia Diet. (n.d.). Retrieved February 15, 2016, from Diet Health Club:
http://www.diethealthclub.com/health-issues-and-diet/dyspepsia/diet.html