Yu kin gɛt bɛlɛ pen bak we yu de it? Yu nɔ ebul fɔ fɛn rizin? Lɛ wi tɔk bɔt (Functional Dyspepsia)!

Bɔku tɛm yu kin fil ful, yu bɛlɛ kin bɔn, ɔ yu kin jɔs fil bad afta yu dɔn it? Sɔntɛnde, yu nɔ kin ivin fɛn rizin fɔ dis, nɔto so? Ivin afta yu go to dɔktɔ ɛn du bɔku tɛst, dɛn kin se, "Yu nɔ sik." Bɔku pipul dɛn kin gɛt ɛkspiriɛns lɛk dis. Na dat wi kin kɔl ``Functional Dyspepsia'', na wan dijestiv disɔda we at fɔ fɛn klia kɔz fɔ.

Wetin na `(Functional Dyspepsia)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ``Functional Dyspepsia`` na wan kɔndishɔn we yu gɛt krɛse sik, bɔt dɛn nɔ go ebul fɔ fɛn ɛni klia kɔz. ``Dyspepsia`` na ɔda wɔd fɔ indigest. Na wan patɛn fɔ di sayn dɛm we kin apin togɛda afta yu it ɛn we yu de digest. ``Functional`` min se yu indigestion simptom dεm nכ kin bi fכ eni wan pan di usual fyzikal kכz dεm (lεk כlsa כ gastritis).

Yu sayn dɛm kin tan lɛk di wan dɛm wae gɛt peptik ɔlsa sik ɔr gastroesophageal reflux disease (GERD) . Bɔt, tɛst sho se na smɔl pipul dɛn nɔmɔ gɛt dɛn sik ya. Di ɔda wan dɛn gɛt wetin dɛn kɔl Functional Dyspepsia.

Imajin, yu motoka in injin de mek nɔys, bɔt di mɛkanik nɔ ebul fɔ fɛn ɛnitin we nɔ rayt. Ɔltin luk fayn frɔm do, bɔt sɔntin de we nɔ rayt.

Yu tink se difrɛn kayn dis de?

Functional Dyspepsia na mɔr wan sik pas wan sik. Dis min se di we aw i kin afɛkt ɛnibɔdi ɛn di sayn dɛm wae dɛn kin gɛt kin difrɛn. Dɔktɔ dɛn dɔn sheb am to tu men kayn dɛn:

1. Epigastric pain syndrome: Dɛn kin fil dis kayn pen mɔ na di ɔp pat na di bɛlɛ ɛn i kin tan lɛk at bɔn . Nɔto ɔltɛm i kin gɛt sɔntin fɔ du wit it. Sɔntɛnde, i kin apin pan ɛmti bɛlɛ. Dis na sɔm kayn tin we fiba di sayn dɛm fɔ GERD.

2. Postprandial distress syndrome: Dis na wan sik wae de mek yu bɛlɛ nɔr de fil fayn afta yu dɔn it. Fɔ ɛgzampul, fɔ fil ful ivin afta yu it smɔl (we yu satis kwik), yu kin fil ful, yu kin blo, ɛn yu bɛlɛ kin pen afta yu dɔn it. Dis kin fiba di sayn dɛm we de sho se pɔsin gɛt ɔlsa na di bɛlɛ.

Nɔto ɔlman fit insay ɛni wan pan dɛn tu kategori ya. Sɔm pipul kin gɛt miks pan ɔl tu, ɔr kin gɛt fɔ gɛt ɔl tu.

Wetin na di men sayn dɛm fɔ dis?

Wit ``Functional Dyspepsia'', yu kin gɛt wan ɔr mɔr pan dɛn sik ya:

• Pen na di ɔp pat na di bɛlɛ (epigastric pen): .Pen na di ɔpa bɛlɛ, jɔs dɔŋ di rib kech. dis εria dεn kכl am di ``epigastrium''. Dis na di say we yu bɛlɛ, pankrias, duodenum (di fɔs pat pan di smɔl intestinal), ɛn pat pan yu liva de.
• Bɛlɛ we dɔn blo: Na di filin we yu nɔ de fil fayn ɛn ful-ɔp na yu bɛlɛ afta yu dɔn it. Bɔrku tɛm dis kin gɛt fɔ du wit gas, blo, ɛn ɔda tin dɛm lɛk gas. I kin fil bak lɛk se yu bɛlɛ de pul.
• Fɔ ful-ɔp ɛn nɔ want fɔ it: Fɔ fil ful we yu de it, afta yu it, ɔ ivin afta yu nɔ it bɔku (we yu satis kwik kwik wan) . Sɔntɛnde, i kin mek i nɔ want fɔ it ivin bifo i it.
• Wan Bכn Sεns: Na bכn sεns na di chεst, we dεn kכl bak "at bכn", na kכmכn wit dεn simptom dεm ya we dεn nכ de it bכn. dis kin kכz fכ di bεlε asid we de kam כp yu εsophagus (acid reflux). Yu kin fil bak se yu de bɔn insay yu bɛlɛ.

Apat frɔm dis, yu kin si ɔda tin dɛn lɛk dɛn wan ya bak:

• We pɔsin de belch pasmak
• Nɔs ɔ gag
• If yu gɛt IBS (irritable bowel syndrome), yu simptom dɛm (e.g. fɔ muv yu bɔdi ɔltɛm ɔ yu kin gɛt kɔnstipɛshɔn) kin bɔku bak.
• Fɔ fil strɛs ɔr nɔr de fil fayn.

Wetin mek dis `(Functional Dyspepsia)` kin apin? Wetin na di tin dɛn we kin mek i apin?

Dɔktɔ dɛn kɔl "functional" disɔda na disɔda we nɔ gɛt dairekt, klia kɔz fɔ di simptom dɛm. Wan rizin fɔ dis kin bi di tayt kɔnekshɔn bitwin yu gut ɛn yu bren (gut-brain axis) . I tan lɛk se dɛn kayn prɔblɛm ya we de mek yu nɔ ebul fɔ wok fayn, gɛt fɔ du wit yu nervɔs sistɛm ɛn di we aw yu de si ɛn fil pen ɔr nɔr de fil fayn.

Pan ɔl we nɔto wan tin de we kin mek pɔsin gɛt ``Functional Dyspepsia'', sɔm tin dɛn kin mek i apin:

• Visceral hypersensitivity: Imajin se yu nervɔs sistɛm tu sɛnsitiv smɔl. Yu kin riak pan yu bɔdi we yu strɛs. Yu kin de tayt yu mɔsul dɛm we yu nɔ no, ɔ yu dijestiv sistɛm kin slo bikɔs ɔf strɛs. Yu kin rili fil bak to nɔmal tin dɛn we de apin insay yu ɔgan dɛn. Dis kin mek di digest fil nɔ fayn ivin we i de go fayn.
• di dizכrd dεm we de mek di digεstiv sistεm de muv:dis min se prכblεm de wit di we aw it de muv εn muv tru yu dijestiv sistεm (GI tract). Dis kin bi bak bikɔs yu bren ɛn di dijestiv sistɛm nɔ de tɔk fayn. Sɔntɛm di nerv ɛn mɔsul dɛn na yu dijestiv sistɛm nɔ de wok fayn. Dis kin mek di it stɔp na wan ples, ɔ di ɔgan dɛn nɔ kin rili rilaks ɛn nɔ alaw di it fɔ pas.
• Gut dysbiosis: we di maykroba dεm na yu gכt (dεn kכl am yu maykrobayom) nכ balans, i kin mek yu gεt simptom dεm fכ fכnshכnal dispepsia. fכ egzampl, di baktri dεm we dεn kכl H. pylori kin pwεl di layn dεm na yu bεlε, we kin mek yu inflameshn εn mek i sεnsitiv to bכdi asid. Dɔn bak, if baktri dɛn gro tumɔs na di smɔl intestinal, i kin mek pɔsin blo ɛn i nɔ kin izi fɔ digest di fat.
• Eosinophilic duodenitis: Dɛn dɔn si se sɔm pipul dɛn we gɛt functional dyspepsia gɛt ɛksɛs pan wan kayn wayt blɔd sɛl we dɛn kɔl eosinophils na di fɔs pat pan di smɔl intestinal (duodenum). Dis kin mek yu gɛt inflamɛns fɔ lɔng tɛm (duodenitis). Dɛn eosinofil ya de fɔ protɛkt yu frɔm yu imyun sistɛm, infɛkshɔn, ɛn alɛji. Dis kin bi bikɔs ɔf infekshɔn we yu bin dɔn gɛt bifo ɔ yu gɛt alɛji fɔ it.

Wetin na de risk factor fɔ dis sik?

כda tin dεm de we de mek di risk fכ gεt ``Functional Dyspepsia``:

• Saikɔlɔjik tin dɛm: Na yu maynd tin dɛm lɛk fɔ wɔri, pwɛl hat (disɔda wae de mɛk yu fil fayn), ɔr tin dɛm wae kin mek yu fil bad ɔr abuse wae yu bin dɔn gɛt trade.
• Famili histri: Na famili histri fɔ dizayd na di nervɔs sistɛm ɔ ɔda funkshɔn GI dizayd lɛk IBS.
• Fɔd sɛnsitiviti: Sɛnsitiviti to sɔm it dɛm (e.g., it dɛm we de na di `(FODMAPs)` grup) ɔ intolerans to sɔm it dɛm (e.g., `(lactose intolerance)` - i nɔ izi fɔ dayjɛst milk ɛn dairy prodakt dɛm).
• Atopy: Dis min se yu gɛt bɔku bɔku alɛji, lɛk asma, ɛkzema, ɛn hay fiva.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Dɔktɔ dɛn kin no se yu gɛt `(Functional Dyspepsia)` afta dɛn dɔn kɔnfyus yu simptom dɛm ɛn rul ɔut ɔda kɔz dɛm (e.g. `(GERD)`, `(Peptic Ulcer Disease)`). Sɔmtɛm yu kin dɔn gɛt wan pan dɛn sik ya ɛn dɛn kin trit yu fɔ am. Bɔt if dɛn tritmɛnt ya nɔr de ridyus yu indigestion symptoms, den yu fɔ stil tink bɔt `(Functional Dyspepsia)`.

Di sayn dɛm fɔ ``Functional Dyspepsia'' nɔr kin de ɔltɛm ɛn kin kam ɛn go. Dɔktɔ dɛn kin no if i gɛt am bay we dɛn tink bɔt dɛn tin ya:

• Di sik dɔn de fɔ at le tri mɔnt ?
• I dɔn pas siks mɔnt frɔm we di sik bigin fɔ gɛt di sik?
• Yu nɔ tink se dɛn sik ya nɔ kin kɔmɔt na yu bɔdi we yu swɛla, pas di briz (dayarɛa), ɔ yu gɛt bɔdi we yu de muv?
• Dɛn sayn ya nɔr gɛt fɔ du wit pen wae de kam wit gal ston (biliary colic) ɔr ɔda gal blad pen?

We di dɔktɔ dɛn dɔn kɔnfyus se yu nɔ de it fayn (dyspepsia), dɛn go luk fɔ wan tin we de mek yu gɛt bɔdi (e.g., ɔlsa, infɛkshɔn). Dɛn kin du tɛst dɛn lɛk dɛn wan ya:

• Blɔd tɛst: Chɛk fɔ kɔmɔn infɛkshɔn ɛn kɔndishɔn dɛn.
• di tεst dεm fכ brith: fכ egzampl, di yuria brith tεst kin chεk fכ di prεsεns fכ di baktri dεm we dεn kכl H. pylori. di haydrojen brith tεst kin chεk fכ abnכmal baktri dεm we de gro na di gכt.
• Gastrik εmpti stכdi dεm: Chεk aw kwik/slow di it de muv frכm yu bεlε go insay di sכmכl intestכn.
• כp εndoskopi: dεn kin put wan tin tכb insay di mכt fכ luk insay di bεlε, εsophagus , εn fכs pat pan di sכmכl intestin. Dɛn kin du dis fɔ chɛk fɔ ɛnitin we nɔ kɔmɔn, lɛk ɔlsa. If nid de, dɛn kin tek smɔl pat pan di tisu (bayopsi) fɔ ɛgzamin.

Wetin na di tritmɛnt fɔ dis?

If tɛst sho wan ɔndalayn kɔz (e.g., baktri dɛm we de gro pasmak, motility disorder), yu dɔktɔ go trit dat fɔs. Bɔt bɔku tɛm, ivin afta yu dɔn trit dɛn ɔndalayn kɔz ya, yu simptom dɛm fɔ ``Functional Dyspepsia'' nɔr kin dɔn kpatakpata. So, yu dɔktɔ go tɛl yu ɔda tritmɛnt dɛn fɔ ɛp fɔ kɔntrol yu sik dɛn. Dis kin bi we dɛn jɔyn bɔku tritmɛnt dɛn .

Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ ``Functional Dyspepsia``:

• If baktri infekshɔn de , dɛn kin gi am antibayɔtik .
• Prokinetics na dכg dεm we de mek di dijestiv sistεm muv.
• mεdisin dεm we de ridyus bεlε asid: protכn pכmp inhibito dεm (PPI) (e.g. omeprazole) כ H2 blכk dεm (e.g. Ranitidine).
• Trisayklik antidipreshan dεm we dεn kin tek lכw dכz fכ kכl di nεv sεstem εn ridyus di pen (pan כl we dεn na mεdikeshכn dεm we dεn kin gi fכ diprεshכn, dεn kin yus dεm bak insay lכw dכz fכ kכndishכn lεk dis).

Apat frɔm dat, kɔmplimɛnt ɛn ɔda mɛrɛsin dɛn de bak:

• Fɔmula dɛn we dɛn mek wit plant: Fɔ ɛgzampul, kapsul dɛn we gɛt pepamint ɛn karaway ɔyl, ɔ ɛbul miksɔp lɛk Iberogast® (yu go gɛt fɔ aks yu dɔktɔ if dɛn tin ya de na Sri Lanka).
• Di tritmɛnt dɛn fɔ rilaks di maynd ɛn bɔdi:Meditashɔn, yoga, bayɔfidbak (wan we fɔ no bɔt di wok we di bɔdi de du ɛn lan fɔ kɔntrol am), saykotɛrapi.
• Chenj pan it: No us it nɔr gud fɔ yu ɛn de mek yu sik dɛn wɔs bay we yu du ``Elimination diet`` (stɔp ɛn luk wan it grup wan tɛm) ɛn ajɔst yu it ɛvride akɔdin to dat.
• Akupankcha: Sɔm stɔdi dɛn dɔn sho se dis we fɔ du tin kin mek pɔsin fil fayn bak.

Wetin kin apin if yu gɛt `(Functional Dyspepsia)`? Wetin yu go ɛkspɛkt?

Fɔ bɔrku pipul dɛm, Functional Dyspepsia na wan sik wae nɔr kin te ɛn wae kin kam bak ɔlsay na dɛn layf. E kin tek sɔm tɛm, ɛn smɔl tray ɛn mistek, fɔ fɛn di tritmɛnt ɛn abit dɛm wae de woke fɔ yu ɛn ridyus yu sik dɛm. Yu kin gɛt sɔm rilif, bɔt i nɔ kin go kpatakpata. Bɔt, di tin we impɔtant pas ɔl na dat, i nɔ siriɔs. So nɔ wɔri.

Ustɛm a fɔ go to dɔktɔ?

Yu fɔ rili go to dɔktɔ if yu gɛt:

• If dɛn nɔr dɔn tɛst yu fɔ sik dɛn na yu dijestiv sistɛm yet.
• If yu sik chenj ɔr de sho klia wan se yu de wɔs.
• If yu de vɔmit bɔku tɛm.
• If yu wet de go dɔŋ fɔ natin.

If yu nɔ gɛt klia kɔz ɔ difinitiv mɛrɛsin, di diagnosis fɔ ``Functional Dyspepsia'' kin kɔnfyus smɔl fɔ di wan dɛn we de luk fɔ ansa. ``Fכnshכnal GI dizכrd dεm'' na sכm mכr kכmpleks. Dɛn kin gɛt fɔ du wit yu bren, yu nervɔs sistɛm, yu it, yu layf, ɛn sɔntɛnde ivin di ɔndalayn kɔz dɛm na yu bɔdi. Na dat mek dɛn kin at fɔ manej dɛn smɔl.

Mɛdikal tɛst kin ɛp fɔ no ɛn pul sɔm tin dɛn we kin mek pɔsin gɛt dis sik. Bɔt te go, na yu wangren kin rili ɔndastand wetin kin mek yu sik bɛtɛ ɛn wetin kin mek yu wɔs. As yu de tray difrɛn tritmɛnt dɛm ɛn no di tin dɛm wae de mek yu gɛt dis sik, yu go fɛn yu yone spɛshal we fɔ liv wit Functional Dyspepsia.

Tek mɛsej na os

• ``(Functional Dyspepsia)`` na rial diskɔmfɔt we yu kin fil. I nɔ de "jɔs na yu maynd."
• Dɛn kin mɛn dis bay wae dɛn kin kɔntrol de sik, wae kin ɛp wae yu de chenj yu layf, aw yu de it, ɛn sɔntɛm yu de tek mɛrɛsin.
• I rili impɔtant fɔ wok wit dɔktɔ. Tɔk opin wan bɔt yu sayn dɛm, wetin yu de fil, ɛn wetin yu dɔn tray.
• Nɔ giv ɔp fɔ op. Bɔrku pipul dɛn kin fɛn we fɔ liv fayn fayn wan wit dis sik. Nɔto yu wan de!

` Fכnshכnal dispεpsia, indigεshכn, bεlε pen, blo, chεst inflameshn, dijestiv sistεm, strεs