Q My endoscopy is clean, but my stomach is always bloated and my epigastric area feels stuffy. What exactly is functional dyspepsia?
A It is a condition where digestive symptoms repeat even without clear abnormalities like ulcers or inflammation in the stomach. It arises from a combination of delayed gastric emptying, gastric accommodation disorder where the stomach doesn't expand well during meals, and visceral hypersensitivity where sensation has become heightened.
Detailed Answer
Functional dyspepsia is a disorder arising from disturbed stomach 'function' rather than structural damage. Delayed gastric emptying where food stays in the stomach for a long time, gastric accommodation disorder where the stomach doesn't expand smoothly during meals, and visceral hypersensitivity that reacts sensitively even to mild stimuli act in combination. To this may be added an imbalance of the gut-brain axis where stress affects the stomach's nerves, and lining changes from Helicobacter infection. So even when nothing clearly shows on endoscopy, bloating and epigastric stuffiness persist tenaciously.
Korean Medicine Clinic Perspective
At the clinic we focus on "why the stomach has stopped moving on time and become sensitive." We emphasize restoring the lowered gastric motility and disturbed digestive rhythm to revive a stomach environment where the same food is digested comfortably.
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