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- $Unique_ID{BRK00755}
- $Pretitle{}
- $Title{Are There Tests to Find if a Special Food Causes Indigestion?}
- $Subject{dyspepsia indigestion Digestive stomach endoscope}
- $Volume{I-10}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Are There Tests to Find if a Special Food Causes Indigestion?
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- QUESTION: I suffer from occasional bouts of indigestion. I can't figure out
- if it is a special food that bothers me. However when I do mention this to my
- doctor, he just shrugs and tells me not to worry. Aren't there some special
- tests I should have to help figure this thing out?
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- ANSWER: You call it indigestion, and I call it dyspepsia, but I think we are
- speaking of the same thing. You must realize that you are not alone, since
- about a third of the population suffers from similar problems. It has been
- estimated that as many as 2 million office visits to physicians will be for
- consultations about dyspepsia. Even amongst those who are completely
- evaluated, no specific cause can be found in many cases. I suppose we could
- really break the bank if every patient with indigestion was put through an
- expensive medical work up. The American College of Physicians, Health and
- Public Policy Committee has suggested an approach to this problem that advises
- medical treatment for 6 to 8 weeks, when there is no obvious disease or
- complications present. Antacids or medications to stop the flow of stomach
- acid may be prescribed, depending upon the nature of the symptoms and the
- result of a physical examination. If there is no response and symptoms
- continue, then the patient should be tested using a endoscope, a flexible
- telescope like instrument which permits the doctor to see the insides of
- stomach and intestine. Of course if a patient is more likely to have serious
- disease, because symptoms are severe and recurrent, there is weight loss or
- signs of intestinal bleeding, an abdominal mass on physical examination,
- regular use of aspirin or other medications that irritate the stomach, or
- there is a past history of ulcer disease, the test should be performed
- promptly. Since your case sounds less serious your physician is trying to be
- both reassuring and keep your costs down. Show him this column the next time
- you visit, and perhaps he will use the method I have outlined.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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