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10. Dyspeptic syndrome (indigestion)

REASONS: gastritis, gastric and duodenal ulcer, cholecystitis, biliary dyskinesia, gallstone disease, pancreatitis, hepatitis, cirrhosis of the liver, colitis, enteritis, tumors of the gastrointestinal tract, pancreas, dysbacteriosis, etc. It arises as a result of a violation of gastric and intestinal digestion, a disorder of the motor-evacuation function of the gastrointestinal tract, dysbiosis, etc.

SIGNS:

  1. impaired appetite;

  1. Bad taste in the mouth;

  1. Belching - throwing the contents of the stomach into the oral cavity (which is associated with insufficiency of the sphincter of the cardia). When the gaseous contents of the stomach get in, they speak of ―belching with air‖, if it contains food particles - ―belching with food‖, and with

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the formation of organic acids as a result of fermentation - ―belching with rancid oil‖.

  1. Heartburn - severe burning behind the sternum, which is associated with the ingestion of the contents of the stomach into the esophagus as a result of insufficiency of the cardiac sphincter;

  1. Nausea - occurs more often with diseases with reduced secretory function of the stomach, and is also associated with the intake of certain foods (fats);

  1. Vomiting - associated with increased tone of the vagus nerve, which is accompanied by severe secretory and motor disorders of the gastrointestinal tract. Its nature, the content of vomit and its quantity are of diagnostic value;

  1. Constipation occurs as a result of reflex dyskinesia of the intestine, due to an increase in the tone of the vagus nerve, nutritional features, restriction of motor activity, medications, hypersecretion;

  1. Diarrhea - is the result of a decrease in the acid-forming function of the stomach, pancreatic disease, a consequence of secondary vitamin deficiency, motor, inflammatory and functional intestinal diseases.

  1. Flatulence - increased flatulence in the intestines.

Dyspepsia, depending on the prevalence of dysfunction of a particular digestive organ, is schematically divided into clinical forms - gastric, intestinal, pancreatic and liver.

Gastric dyspepsia.

Symptom complex, including symptoms: a feeling of fullness, heaviness in the epigastrium, belching, heartburn, nausea, vomiting. Possible mechanisms: secretory insufficiency [function, impaired motility of the upper gastrointestinal tract.

Intestinal dyspepsia:

maldigestion - a violation of digestion in the small intestine;

malabsorption - malabsorption.

The symptom complex including symptoms: flatulence, rumbling and abdominal pain, constipation, diarrhea (see. Fermentative dyspepsia, putrefied dyspepsia). It is a sign of inflammation of the intestinal wall, impaired intestinal motility, insufficiency of a number of enzymes: enterokinase, sucrase, phosphatase, etc. It occurs in diseases of the intestine.

Fermentative dyspepsia (in violation of the digestion of carbohydrates).

Symptom complex, including symptoms: severe flatulence, cramping pains, diarrhea, worsening after a meal rich in carbohydrates, characteristic changes in the coprogram. A type of intestinal dyspepsia. It is observed with prolonged adherence to a carbohydrate diet.

Putrid dyspepsia (in violation of protein digestion).

Symptom complex, including symptoms: moderate flatulence, persistent abdominal pain, diarrhea, alternating with constipation, worsening after eating a protein-rich meal, characteristic changes in the coprogram. A type of intestinal dyspepsia. It is observed with prolonged adherence to a protein diet.

Malabsorption syndrome

REASONS: primary (hereditary deficiency of individual digestive enzymes)

Secondary (due to dysfunction and diseases of the stomach, intestines, digestive organs, endocrine and other systems, exposure to toxic, medicinal substances)

Symptom complex that develops due to lack of absorption of many food ingredients (proteins,

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carbohydrates, vitamins, trace elements). Symptoms: diarrhea, weight loss, up to cachexia, hypoproteinemic edema, creatorrhea, steatorrhea, amylorrhea, neuritis, hair loss. Syndromes: asthenic, polyhypovitaminosis, anemic.