Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake, dyspepsia without another disorder indicates impaired digestive function.
Dyspepsia is caused by GI disorders and, to a lesser extent, by cardiac, pulmonary, and renal disorders and the effects of drugs. It apparently results when altered gastric secretions lead to excess stomach acidity. This symptom may also result from emotional upset and overly rapid eating or improper chewing. It usually occurs a few hours after eating and lasts for a variable period. Its severity depends on the amount and type of food eaten and on GI motility. Additional food or an antacid may relieve the discomfort.
Nursing considerations
? Give an antacid 30 minutes before or 1 hour after a meal.
? Provide food to relieve dyspepsia.
? Because various drugs can cause dyspepsia, give these after meals or with food, if possible.
? Provide a calm environment to reduce stress, and make sure that the patient gets plenty of rest.
? Prepare the patient for endoscopy to evaluate the cause of dyspepsia.
?Patient teaching -
? Discuss stress reduction techniques, such as deep breathing and guided imagery.
? Discuss the importance of small, frequent meals.
? Explain to the patient his diagnosis and the treatment plan.
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