Dyspepsia - the collective term for a designation of subjective displays of digestive disturbances, including a pain, gravity, feeling of overflow in an anticardium, fast saturation, a burning sensation, a nausea, a vomiting, an eructation, a heartburn, a regurgitation, an anorexia, and sometimes and an abdominal pain, a meteorism, diarrheas and constipations. Last years as a dyspepsia suggest to understand only a pain or the sensation of a dyscomfort localized by the patient in an anticardium is closer to a median line. The sensation of a dyscomfort includes gravity, pressure in an anticardium, a nausea, early saturation. Distinguish an organic and functional (not ulcerative) dyspepsia.
Etiology. The reason of an organic dyspepsia can be a peptic ulcer, a tumour of a stomach, a cloelithiasis, a chronic pancreatitis, etc. If at inspection these diseases are excluded, and attributes of a dyspepsia are kept during 12 weeks within a year, the syndrome of a functional dyspepsia is diagnosed. Taped at some patients with a functional dyspepsia attributes of a gastritis cannot explain a clinical symptomatology as at the majority of complaints sick of a chronic gastritis in general is not present. In a parentage of a functional dyspepsia can play a role personal features of the patient promoting formation of an asthenic condition with frequent episodes of alarm, and also to abusing alcohol, smoking, disturbance of quality and a diet. The important role in a pathogenesis of a functional dyspepsia is played with disturbances of a motility of a stomach and a duodenum. Frustration of ability of a fundal department of a stomach to a relaxation after reception of nutrition cause feeling of early saturation, a nausea, a vomiting; at normal function of a stomach by the reason of a functional dyspepsia there can be a hypersensibility of receptors of a wall of a stomach to a stretching.
