Dyspepsia | Treatment

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How is dyspepsia treated?

Your treatment will depend on what is causing your dyspepsia, but medicine is the most common treatment.

If you have a stomach ulcer, it can be cured. You may need to take an acid-blocking medicine. If you have an infection in your stomach, you may also need to take an antibiotic.

If your doctor thinks that a medicine you're taking causes your dyspepsia, you might take another medicine.

A medicine that cuts down on the amount of acid in your stomach might help your pain. This medicine can also help if you have acid reflux disease.

Your doctor might want you to have an endoscopy if:

  • You still have stomach pain after you take a dyspepsia medicine for 8 weeks.
  • The pain goes away for a while but comes back again.

In an endoscopy, a small tube with a camera inside it is put into your mouth and down into your stomach. Then your doctor can look inside your stomach to try to find a cause for your pain.

Do the medicines for dyspepsia have side effects?

The medicines for dyspepsia most often have only minor side effects that go away on their own. Some medicines can make your tongue or stools black. Some may cause headaches, nausea or diarrhea.

If you have side effects that make it hard for you to take medicine for dyspepsia, talk to your family doctor. Your doctor may have you take a different medicine or may suggest something you can do to make the side effects less bothersome.

Remember to take medicines just the way your doctor tells you. If you need to take an antibiotic, take all of the pills, even when you start feeling better.

Can I do anything else to avoid dyspepsia?

You can do quite a bit to help yourself feel better:

  • If you smoke, stop smoking.
  • If some foods bother your stomach, try to avoid eating them.
  • Try to reduce the stress in your life.
  • If you have acid reflux, don't eat right before bedtime. Raising the head of your bed with blocks under two legs may also help.
  • Unless your doctor tells you otherwise, don't take a lot of anti-inflammatory medicines like ibuprofen (one brand: Motrin), aspirin, naproxen (brand name: Aleve) and ketoprofen (brand name: Orudis). Acetaminophen (brand name: Tylenol) is a better choice for pain, because it doesn't hurt your stomach.

Source

Evaluation and Management of Dyspepsia by OV Bazaldua, Pharm.D., and FD Schneider, M.D., M.S.P.H (American Family Physician October 15, 1999, http://www.aafp.org/afp/991015ap/1773.html)

Written by familydoctor.org editorial staff

Reviewed/Updated: 02/14
Created: 10/99

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