Non-ulcer dyspepsia

　　Abdominal distension, early satiety, belching, and other symptoms are the most common in non-ulcer dyspepsia. Patients with non-ulcer dyspepsia may have severe symptoms such as abdominal distension, early satiety, and belching, or recurrent attacks, but generally will not have symptoms such as weight loss and anemia. Clinical classification can be reflux-like, motor disorder-like, ulcer-like, idiopathic dyspepsia, and aerophagia.

　　Non-ulcer dyspepsia often occurs with irritable bowel syndrome. Irritable bowel syndrome is a functional gastrointestinal disorder. The onset is often related to abnormal gastrointestinal motility. There are often obvious changes in defecation habits or stool characteristics, such as an increase in defecation frequency (diarrhea) or a decrease (constipation), or alternating diarrhea and constipation. It is also accompanied by symptoms such as abdominal pain and distension. The course is prolonged and recurrent, symptoms are long-lasting and困扰 patients, affecting the quality of life, causing great psychological and economic burden.

　　Abdominal distension, early satiety, belching, and other symptoms are the most common in non-ulcer dyspepsia. Patients with non-ulcer dyspepsia may have severe symptoms such as abdominal distension, early satiety, and belching, or recurrent attacks, but generally will not have symptoms such as weight loss and anemia. Clinical classification can be reflux-like, motor disorder-like, ulcer-like, idiopathic dyspepsia, and aerophagia.

　　Patients with non-ulcer dyspepsia should avoid greasy and刺激性 foods in their diet, quit smoking and drinking, develop good living habits, avoid overeating and excessive eating before bedtime; they can adopt the method of eating small meals more frequently; strengthen physical exercise; pay special attention to maintaining a cheerful mood and a good mental state.

　　1. Small and frequent meals:Dietary habits should be small and frequent meals, avoiding large meals or eating too much, or deliberately skipping a meal without eating.

　　2. Reduce provocative foods:Avoid oily and spicy foods, carbonated beverages, caffeine, and alcohol. Avoid drinking caffeinated beverages more than three times a day.

　　3. Have time to eat comfortably during meals:Avoid rushing into work immediately after finishing a meal.

　　4. Avoid inhaling too much air:Avoid smoking, eating too fast, chewing gum, and drinking carbonated beverages.

　　5. Avoid lying down immediately after eating:Wait at least 2 hours after eating before lying down.

　　6. Maintain a healthy weight:Excess weight can put pressure on the abdomen, push up the stomach, and cause acid reflux to the esophagus.

　　7. Learn and practice relaxation techniques:Relaxation breathing, meditation, and progressive muscle relaxation are all helpful in relieving stress.

　　8. Proper schedule:Balance the time between rest and activity.

　　9Have leisure time every day:Find a few minutes of time that is exclusively yours..

　　10. Have a proper pace of life:Do not try to do too many things at once.

　　Non-ulcer dyspepsia should undergo blood routine, urine routine, liver function, and X-ray examination, etc., as follows:

　　1. Blood routine, urine routine, stool routine.

　　2. Liver function, kidney function.

　　3. Viral hepatitis immunological examination.

　　4. X-ray examination, B-ultrasound examination.

　　5. Electrolyte and inorganic element test.

　　6. Gastric juice test.

　　7. Cardiovascular examination.

　　8. Endoscopy: Endoscopy can detect ulcers, erosions, tumors, and other organic lesions.

　　9. Radioisotope (isotope) examination.

　　In addition to general treatment, non-ulcer dyspepsia patients should also pay attention to dietary adjustment.

　　1. Small and frequent meals:Dietary habits should be small and frequent meals, avoiding large meals or eating too much, or deliberately skipping a meal without eating;

　　2. Diet should be light and easy to digest:In daily diet, choose easily digestible foods such as soft rice, radish, spinach, pumpkin, tofu, eggs, white fish, lean meat, etc.; cooking methods should be light stir-frying or steaming.

　　3. Consume more fresh vegetables and fruits:Such as hawthorn, tomatoes, cabbage, apples, etc.;

　　4. Increase the intake of cereal foods:Such as Coix seed, mung bean, barley, corn,芡实,小米.

　　Non-ulcer dyspepsia patients can be treated at an outpatient clinic, and severe cases can be admitted to the hospital for treatment. Explain the condition, relieve tension and emotional distress, and provide sedatives as necessary, such as 0.5mg of Valium, taken orally, once a day. Enhance gastric motility (see peptic ulcer). Inhibit gastric acid secretion (see peptic ulcer). Treat Helicobacter pylori (see peptic ulcer). Protect the gastric mucosa (see peptic ulcer). Non-ulcer dyspepsia should adopt the following comprehensive measures according to the patient's condition during treatment:

　　First, psychological treatment

　　When patients learn that they have non-ulcerative dyspepsia, they should broaden their minds, not be frightened or anxious, and actively cooperate with the doctor to persist in regular treatment. Although non-ulcerative dyspepsia is difficult to be completely cured in a short period of time, it will never have serious adverse consequences, and it will not develop into gastric cancer. Patients with severe conditions can also choose to take regulating mental drugs under the guidance of a doctor, such as Amitriptyline, Clomipramine, Maprotiline (Ludipress), Fluoxetine, Clomipramine, Diazepam, Tocopherol, Fenarol, and Baiziyangxinwan, etc.

　　Second, gastrointestinal motility drugs This class of drugs

　　1. Metoclopramide (also known as Domperidone): This drug can enhance gastrointestinal motility, promote gastric emptying, and thus regulate or restore the normal activity of the gastrointestinal tract of patients, allowing food to enter the duodenum smoothly. This is very effective for eliminating the symptoms caused by non-ulcerative dyspepsia.

　　2. Prucalopride (also known as Cisapride): This drug is a new generation of gastrointestinal motility agent, with the same effect as Metoclopramide, but its efficacy is 3 to 4 times higher than that of Metoclopramide, so it has become the best and preferred gastrointestinal motility agent for non-ulcerative dyspepsia patients in clinical practice.

　　3. Antinausea (also known as Metoclopramide): This drug is an old gastrointestinal motility agent. Non-ulcerative dyspepsia patients can also choose this drug when they do not have Metoclopramide or Prucalopride.

　　Third, symptomatic treatment

　　1. Non-ulcerative dyspepsia patients with upper abdominal pain can be treated with Bromopride, Probenecid, Belladonna tablets, Atropine, or 654-2.

　　2. If there are symptoms of abdominal distension and belching, drugs such as dimethyl silicone oil or anti-bloating tablets can be used for treatment.

　　3. If there are symptoms of nausea and vomiting, drugs such as vitamin B or Tumeten can be used for treatment.

　　4. If there are symptoms of heartburn and acid regurgitation, drugs such as Gastrobin, ranitidine, famotidine, Losec, or cimetidine can be used for treatment.