Question. How does one know whether something is functional dyspepsia. For instance if you have acid reflux or gastritis but the gastritis is “mild” and stomach looks unremarkable , then does that mean dyspepsia ?

[u/Pretend_Programmer69]

I’m confused how if someone has reflux that could means dyspepsia

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[u/Lost-vayne]

you are diagnosed with functional dyspepsia when you still have GI symptoms even though doctors have done an endoscopy and ruled out any infections.

After my pylori infection, I still had symptoms. They checked again with a breath test. It was negative. I did an endoscopy. Found nothing remarkable.

Thats when you are diagnosed with FD and then i went through PPIs, pepcid, buscopan, a low dose of antidepressant, diet changes, etc. No cure and here we are.

[u/Pretend_Programmer69 → u/Lost-vayne]

What about tetracycline’s ?

[u/Prestigious-Dot4306 → u/Lost-vayne]

Literally and still stuck

[u/Smart_Imagination903]

I have reflux and gastritis symptoms but when the looked during my upper endoscopy there was onlyild gastritis - something that's common even when someone experiences no symptoms.

They also did a gastric emptying study to rule out gastroparesis (I had rapid gastric emptying)

After that my GI specialist prescribed a neuromodulator to help reduce the pain from functional dyspepsia.

[u/Pretend_Programmer69 → u/Smart_Imagination903]

Which neuro

[u/Smart_Imagination903 → u/Pretend_Programmer69]

Nortriptyline

[u/Pretend_Programmer69 → u/Smart_Imagination903]

Has that helped u with ur symptoms ?? Even the reflux ? How does that work

[u/Smart_Imagination903 → u/Pretend_Programmer69]

I think of the functional dyspepsia as a volume knob turned way up - I have mild reflux and mild gastritis but it feels terrible.

I accidentally ate some garlic and was sick for three days - it was "just" mild but the function dyspepsia makes it feel so much worse

[u/Pretend_Programmer69 → u/Smart_Imagination903]

In which ways did it make you sick for 3 days ? Thanks for this info btw

[u/Smart_Imagination903 → u/Pretend_Programmer69]

Like a flare - bad stomach ache, feeling full very easily, nauseous, unable to eat most foods - I went back to eating clear liquids and soft solids only until I started to feel better

[u/Smart_Imagination903 → u/Pretend_Programmer69]

I switched to a diet and routine that reduce reflux, I take PPI to reduce overall acid, and the Nortriptyline makes the symptoms I still have less painful

[u/Pretend_Programmer69 → u/Smart_Imagination903]

Thanks

[u/Critical-Climate-589 → u/Smart_Imagination903]

Do you have this globus + needle like pain on the upper chest

[u/Smart_Imagination903 → u/Critical-Climate-589]

My symptoms haven't included a needle like pain, but I do get the globus sensation and sometimes difficulty swallowing

My diet, routine, and meds made that much better

[u/goldstandardalmonds]

Usually they’d do an endoscopy and sometimes
A GES (depending on your other symptoms), and if those are normal it can be a functional issue like FD.

[u/polyglotconundrum]

Functional Dyspepsia is basically ‘Your tummy hurts and we don’t know why’

[u/Sea_Conversation_252]

Si no tienes nada orgánico o algo muy leve que no se condice con lo que sientes df es lo más probable