Flatulent dyspepsia is defined as stomach upset associated with the formation of gas in the stomach. Dyspepsia is also referred to as indigestion.
People of any age, including children, can experience dyspepsia. Men and women are affected equally, and according to the American Academy of Family Physicians, approximately 25 percent of the population experiences indigestion at least once a year.
Symptoms can include upper abdominal pain, often accompanied by bloating and/or a feeling of fullness, and even nausea. There may also be a sensation of churning in the stomach.
For many people, the most uncomfortable symptom of flatulent dyspepsia is the embarrassment of frequent belching or expulsion of gas from the anus. The condition is often worse after meals and in the evening.
There are many possible causes. Spicy, greasy, or fatty foods can lead to dyspepsia. Alcoholic, caffeinated or carbonated beverages may also contribute to indigestion. Overeating or eating too quickly can also be a cause. Food intolerances, such as lactose or gluten, can also lead to indigestion.
Flatulent dyspepsia is commonly seen in the elderly and is thought to be caused by excessive swallowing of air, which is secondary to stress or anxiety. Medications and certain medical conditions, such as gastroparesis or slow digestion, can also cause indigestion.
Other causes of dyspepsia include smoking, certain types of medications, such as antibiotics and nonsteroidal anti-inflammatory drugs (NSAIDs), and gastrointestinal (GI) disorders. Some examples of GI disorders are ulcers, Helicobacter pylori (H. pylori) infection, gastroesophageal reflux disease (GERD), delayed emptying of the stomach after eating, or inflammation or irritation of the pancreas. In some cases, flatulent dyspepsia may be associated with chronic inflammation of the gallbladder, with 95% of cases associated with gallstones.
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