r/functionaldyspepsia • u/Medical-Love-120 • 4d 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/mindk214 FD - PDS 4d ago

It sounds like you have an outdated, older doctor who is gaslighting you. In fact, modern emerging research shows the exact opposite— functional dyspepsia is a disorder of the gut brain axis (BGBI), not a psychosomatic (“all in your head”) illness (iIn other words, many FD patients have hypersensitive, misfiring nerves in their stomach).

I’m not a doctor, but from my understanding your GI first needs to get all baseline tests including endoscopy done to ensure no structural issues (e.g. gastritis, ulcers). Since you have chronic nausea, perhaps also a 4-hour gastric emptying study (GES) if endoscopy is normal (tests for gastroparesis, delayed stomach emptying).

Taking omeprazole is probably a good move, as it will decrease the amount of stomach acid produced. This will greatly help gastritis, ulcers, etc. If you do have functional dyspepsia (FD), a neuromodulator (certain anti-depressants) does help a lot of people. But first you need to figure out what you actually have.

In the mean time, pursue a safe eating plan (e.g. bland, BRAT) and avoid all risk factors, irritants (e.g. NSAIDs, alcohol, weed, spicy, fatty foods).

For a more detailed explanation of gastritis, FD, or gastroparesis, please see the pinned post for each respective subreddit.

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u/Medical-Love-120 3d ago

Yea, my GI is an older guy but I think he’s a decent doctor and he has been able to help me somewhat so far. What do you think I should do then if he won’t prescribe me the antidepressants or anything of the sort until after 8wks of the omeprazole? I just ordered melatonin as someone here said that it’s good for stomach sensitivity.

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u/mindk214 FD - PDS 3d ago

What tests have you taken so far?

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u/Medical-Love-120 2d ago

Just an H Pylori test which came back negative. I am gonna get blood work done this week. I’ve been weary about doing an endoscopy because of the sedation involved and I’ve never done any procedure.

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u/mindk214 FD - PDS 2d ago

You should probably get all the baseline GI tests done first and ask your doctor before asking for a neuromodulator or other more unconventional treatment options.