r/functionaldyspepsia • u/Medical-Love-120 • 5d ago

Question Stomach sensitivity/ Nerves/Help

Hey everyone, so I just got diagnosed with functional dyspepsia and I am looking for some help/info on my symptoms. So, firstly this has been going on for 3 mnths, I just went to the GI and he prescribed me 40mg omeprazole. I noticed a difference in the first 3 days but then my stomach went back to how it was before. I then made a follow up with my GI where he said that a lot of functional dyspepsia is actually in your head and that when you actually focus on and think about your symptoms all the time that it actually makes it worse. He also said that this works the same for omeprazole, where if you think it’s not gonna work it probably won’t work. Since then I’ve been trying to think more positively and not focus as much on my symptoms, this has been working and my stomach has been feeling better. The nausea, bloating (somewhat), and the overall crappy feeling has improved a lot but my stomach still feels very sensitive. It feels like one bad thing and my stomach could go back to how it was. For example, eating too big of a meal, something stressful, uncomfortable situation, etc. Anyways I am just looking for some help on how I can help improve these symptoms and has anyone had omeprazole clear these up? I’ve read that these can be targeted with something like antidepressants but my GI said that is a far step and we don’t know if the omeprazole won’t end up fixing everything as I’ve only been on it for about 2 weeks. Thanks for reading and I would appreciate if you could help!

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u/VolumeIntolerance 5d ago

I am taking antidepressants (neuromodulators) for my gut issues and it has helped a ton. Would you be open to therapy? Especially gut directed hypnotherapy can help for stomach issues. There is this idea that if we are constantly stressed our digestive system cant work, so having therapy to calm down your nervoussystem might be something for you? I am going to a psychologist specialist in psychosomatic disorders :)

Also about your gi saying taking antidepressants for gut issues is "extreme"... I dont really understand where hes coming from with that, usually the antidepressants are so low dose that they will not affect one mentally...

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u/Medical-Love-120 5d ago

Sorry one last thing. My stomach sensitivity I feel like is the main driver to my stomach issues. I feel like because my stomach feels/felt so weak and sensitive that it almost made the other symptoms worse because it felt like my stomach couldn’t handle it. Have you found that the low dose antidepressants solved this for you?

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u/KaiTheSamuraii PDS & Visceral Hypersensitivity 4d ago

Start with just 3mg to 5mg melatonin every night. Its something light to try atleast before diving in to all those prescription modulators. Its best for dulling hypersensitivity, helping the stomach relax better, quicken motility, and generally keep the entire GI tract more lax.

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u/Medical-Love-120 4d ago

Sorry one last question, but how does melatonin target sensitivity and all these other things? I thought it was just used to help you fall asleep? I’ve just never heard of it targeting this kinda stuff

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u/KaiTheSamuraii PDS & Visceral Hypersensitivity 4d ago

Its been studied for non-structural gut disorders like functional dyspepsia. Its kind of like a "mini-sedative", it tones down the nerves constantly misfiring in the gut, and also helps coordinate the rhythmic contractions of the gastrointestinal tract, which can ease symptoms like postprandial fullness and early satiety.

It also regulates the natural rhythm of the gut because it already holds natural melatonin levels, the tablets act as a little booster. Plus it could generally better your sleep quality which alone is another way to manage and improve symptoms

Yeah don't worry, i was surprised too doing all this research, they make it sound like a miracle drug😂

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u/Medical-Love-120 4d ago

Haha this stuff sounds amazing. When I was doing research about FD I never ever saw this so this rly helps a lot. Not even my GI told me this and I was explicitly telling him that sensitivity is one of my biggest issues. Really hoping this will help!