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Causes of Indigestion
List of causes of Indigestion
Following is a list of causes or underlying conditions (see also Misdiagnosis of underlying causes of Indigestion) that could possibly cause Indigestion includes:
- Eating habits
- High-fat diet
- Stress
- Smoking
- Alcohol
- Peptic ulcer
- Esophagitis
- Cholecystitis
- Gallstones
- Other causes of heartburn
- Opisthorchiasis - dyspepsia
- Hangover - indigestion
- Esophagus Cancer - indigestion
- Giardiasis
- Hypertrophic gastritis
- Adult hypertrophic pyloric stenosis
- Anxiety (type of Neurosis)
- Irritable bowel syndrome - indigestion
- Non-ulcer dyspepsia
- Abdominal swelling
- Heart disease - indigestion
- Gastrointestinal zygomycosis - dyspepsia
- Duodenal conditions - Indigestion
- Hypercalcaemia
- Suprarenal insufficiency
- Crohn's disease
- Duodenal cancer
- Duodenal webs
- Leiomyosarcoma
- Food intolerance
- Gastric ulcer
- Stomach cancer, familial - indigestion
- Amebic dysentery - indigestion
- Strongyloidiasis
- Tropical sprue
- Coeliac disease
- Hyperthyroidism
- Duodenitis - Indigestion
- Reflux
- Scleroderma - indigestion
- Gastric motility disorder
- Gastric lymphoma
- Aerophagy
- Heartburn
- Multiple endocrine neoplasia type 1 - indigestion
- Cancer - Indigestion
- Congestive cardiac failure
- Hiatal hernia
- Abdominal discomfort
- Virilising ovarian tumour - Dyspepsia
- Pulmonary tuberculosis
- Uremia
- Duodenal polyps
- Syphilis
- Gastric cancer
- H. Pylori
- Chronic pancreatitis
- Wind (see Belching)
- Gastrointestinal neoplasm - dyspepsia
- Gastrointestinal mucormycosis - dyspepsia
- Depression
- Achalasia
- Stomach Conditions - Indigestion
- Gastroparesis - chronic indigestion
- Intestinal motility disorder
- Diabetes mellitus
- Tuberculosis
- Oesophageal reflux
- Gastritis - indigestion
- Stomach cancer - Indigestion
- Diarrhea
- Gas
- Ovarian Cancer - dyspepsia
- Chronic hepatitis
- Hypothyroidism
- Eosinophilic granuloma
- Duodenal ulcer
- Esophageal cancer
- Yolk sack tumour - Dyspepsia
- Fascioliasis - indigestion
- Esophagus diseases - Indigestion
- Achlorhydria - indigestion
- Pancreatic cancer
- Tension
- Hiatus hernia
- Autonomic neuropathy
- Colonic cancer
- Duodenal lymphoma
- Ménétriér's disease
- Sarcoidosis
- Pregnancy
- Nausea
- Heart failure
- Chronic gastritis (type of Gastritis)
- Hepatitis
- Cirrhosis
- After gastrointestinal surgery
- Cholelithiasis
- Acute gastric dilation
- Pulmonary embolus
More causes: see full list of causes for Indigestion
Indigestion as a symptom:
Conditions listing Indigestion as a symptom may also be potential underlying causes of Indigestion. Our database lists the following as having Indigestion as a symptom of that condition:
- Achlorhydria
- Amebic dysentery
- Cancer
- Cholecystitis
- Duodenal conditions
- Duodenitis
- Esophagus Cancer
- Esophagus diseases
- Fascioliasis
- Gallstones
- Gastritis
- Gastrointestinal mucormycosis
- Gastrointestinal neoplasm
- Gastrointestinal zygomycosis
- Gastroparesis
- Gluten allergy
- Hangover
- Heart disease
- Irritable bowel syndrome
- Multiple endocrine neoplasia type 1
- Opisthorchiasis
- Ovarian Cancer
- Scleroderma
- Stomach cancer
- Stomach cancer, familial
- Stomach Conditions
- Virilising ovarian tumour
- Yolk sack tumour
Medications or substances causing Indigestion:
The following drugs, medications, substances or toxins are some of the possible
causes of Indigestion as a symptom.
This list is incomplete and various other drugs or substances
may cause your symptoms.
Always advise your doctor of any medications or treatments you are using,
including prescription, over-the-counter, supplements, herbal or alternative treatments.
- Choline Magnesium Salicylate
- Trilisate
- Choline Salicylate
- Arthropan
- Teejel
- more drugs...»
See full list of 198 medications causing Indigestion
Drug interactions causing Indigestion:
When combined, certain drugs, medications, substances or toxins may react causing Indigestion as a symptom.
The list below is incomplete and various other drugs or substances may cause your symptoms. Always advise your doctor of any medications or treatments you are using, including prescription, over-the-counter, supplements, herbal or alternative treatments.
- Alcohol and Advil (Ibuprofen) interaction
- Alcohol and Motrin (Ibuprofen) interaction
- Alcohol and Nuprin (Ibuprofen) interaction
- Alcohol and Aleve (Naproxen) interaction
- Alcohol and Naprosyn (Naproxen) interaction
- more interactions...»
See full list of 38 drug interactions causing Indigestion
What triggers Indigestion?
The following conditions are listed as possible triggers for Indigestion:
- Eating too much
- Eating quickly
- High-fat foods
- Stressful situations
- Smoking
- Alcohol
- Tiredness
- Stress
- Exercising after a meal
- Anxiety (type of Neurosis)
Medical news summaries relating to Indigestion:
The following medical news items are relevant to causes of Indigestion:
- Coffee, brown bread and exercise reduce risk of GERD
- Food allergies often confused with food intolerance
- Reflux in detail
- Smoking also linked to stomach cancer
- More news »
Related information on causes of Indigestion:
As with all medical conditions, there may be many causal factors. Further relevant information on causes of Indigestion may be found in:
Causes of Indigestion: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the causes of Indigestion.
Dyspepsia:
Medical causes
(Handbook of Signs & Symptoms (Third Edition))
Cholelithiasis.
Dyspepsia may occur with gallstones, usually after eating fatty foods. Biliary colic, a more common symptom of gallstones, causes acute pain that may radiate to the back, shoulders, and chest. The patient may also have diaphoresis, tachycardia, chills, a low-grade fever, petechiae, bleeding tendencies, jaundice with pruritus, dark urine, and clay-colored stools.Cirrhosis
With cirrhosis, dyspepsia varies in intensity and duration and is relieved by taking an antacid. Other GI effects are anorexia, nausea, vomiting, flatulence, diarrhea, constipation, abdominal distention, and epigastric or right upper quadrant pain. Weight loss, jaundice, hepatomegaly, ascites, dependent edema, a fever, bleeding tendencies, and muscle weakness are also common. Skin changes include severe pruritus, extreme dryness, easy bruising, and lesions, such as telangiectasis and palmar erythema. Gynecomastia or testicular atrophy may also occur.Duodenal ulcer
A primary symptom of a duodenal ulcer, dyspepsia ranges from a vague feeling of fullness or pressure to a boring or aching sensation in the middle or right epigastrium. It usually occurs 1.5 to 3 hours after a meal and is relieved by eating food or taking an antacid. The pain may awaken the patient at night with heartburn and fluid regurgitation. Abdominal tenderness and weight gain may occur; vomiting and anorexia are rare.Gastric dilation (acute)
Epigastric fullness is an early symptom of gastric dilation, alife-threatening disorder. Accompanying dyspepsia are nausea and vomiting, upper abdominal distention, succussion splash, and apathy. The patient may display signs and symptoms of dehydration, such as poor tissue turgor and dry mucous membranes, and of electrolyte imbalance, such as an irregular pulse and muscle weakness. Gastric bleeding may produce hematemesis and melena.Gastric ulcer
Typically, dyspepsia and heartburn after eating occur early in gastric ulcer. The cardinal symptom, however, is epigastric pain that may occur with vomiting, fullness, and abdominal distention and may not be relieved by eating food. Weight loss and GI bleeding are also characteristic.Gastritis (chronic)
With chronic gastritis, dyspepsia is relieved by antacids; lessened by smaller, more frequent meals; and aggravated by spicy foods or excessive caffeine. It occurs with anorexia, a feeling of fullness, vague epigastric pain, belching, nausea, and vomiting.GI cancer
GI cancer usually produces chronic dyspepsia. Other features include anorexia, fatigue, jaundice, melena, hematemesis, constipation, and abdominal pain.Heart failure
Common with right-sided heart failure, transient dyspepsia may occur with chest tightness and a constant ache or sharp pain in the right upper quadrant. Heart failure also typically causes hepatomegaly, anorexia, nausea, vomiting, bloating, ascites, tachycardia, jugular vein distention, tachypnea, dyspnea, and orthopnea. Other findings include dependent edema, anxiety, fatigue, diaphoresis, hypotension, a cough, crackles, ventricular and atrial gallops, nocturia, diastolic hypertension, and cool, pale skin.Hepatitis
Dyspepsia occurs in two of the three stages of hepatitis. The preicteric phase produces moderate to severe dyspepsia, a fever, malaise, arthralgia, coryza, myalgia, nausea, vomiting, an altered sense of taste or smell, and hepatomegaly. Jaundice marks the onset of the icteric phase, along with continued dyspepsia and anorexia, irritability, and severe pruritus. As jaundice clears, dyspepsia and other GI effects also diminish. In the recovery phase, only fatigue remains.Hiatal hernia
Dyspepsia is a result of the lower portion of the esophagus and the upper portion of the stomach rising into the chest when abdominal pressure increases.Pulmonary embolism
Sudden dyspnea characterizes pulmonary embolism, a potentially fatal disorder; however, dyspepsia may occur as an oppressive, severe, substernal discomfort. Other findings include anxiety, tachycardia, tachypnea, a cough, pleuritic chest pain, hemoptysis, syncope, cyanosis, jugular vein distention, and hypotension.Pulmonary tuberculosis
Vague dyspepsia may occur along with anorexia, malaise, and weight loss. Common associated findings include a high fever, night sweats, palpitations on mild exertion, a productive cough, dyspnea, adenopathy, and occasional hemoptysis.Uremia
Of the many GI complaints associated with uremia, dyspepsia may be the earliest and most important. Others include anorexia, nausea, vomiting, bloating, diarrhea, abdominal cramps, epigastric pain, and weight gain. As the renal system deteriorates, the patient may experience edema, pruritus, pallor, hyperpigmentation, uremic frost, ecchymoses, sexual dysfunction, poor memory, irritability, a headache, drowsiness, muscle twitching, seizures, and oliguria.Other causes
Drugs
Nonsteroidal anti-inflammatory drugs, especially aspirin, commonly cause dyspepsia. Diuretics, antibiotics, antihypertensives, corticosteroids, and many other drugs can cause dyspepsia, depending on the patient's tolerance of the dosage.Surgery
After GI or other surgery, postoperative gastritis can cause dyspepsia, which usually disappears in a few weeks.Source: Handbook of Signs & Symptoms (Third Edition), 2006
Dyspepsia:
Medical causes
(Professional Guide to Signs & Symptoms (Fifth Edition))
Cholelithiasis
Dyspepsia may occur with gallstones, commonly after intake of fatty foods. Biliary colic, a more common symptom of gallstones, causes acute pain that may radiate to the back, shoulders, and chest. The patient may also have diaphoresis, tachycardia, chills, low-grade fever, petechiae, bleeding tendencies, jaundice with pruritus, dark urine, and clay-colored stools.
Cirrhosis
In this chronic disorder, dyspepsia varies in intensity and duration and is relieved by ingestion of an antacid. Other GI effects are anorexia, nausea, vomiting, flatulence, diarrhea, constipation, abdominal distention, and epigastric or right-upper-quadrant pain. Weight loss, jaundice, hepatomegaly, ascites, dependent edema, fever, bleeding tendencies, and muscle weakness are also common. Skin changes include severe pruritus, extreme dryness, easy bruising, and lesions, such as telangiectasis and palmar erythema. Gynecomastia or testicular atrophy may also occur.
Duodenal ulcer
A primary symptom of duodenal ulcer, dyspepsia ranges from a vague feeling of fullness or pressure to a boring or aching sensation in the middle or right epigastrium. It usually occurs 1½ to 3 hours after eating and is relieved by food or an antacid. The pain may awaken the patient at night with heartburn and fluid regurgitation. Abdominal tenderness and weight gain may occur; vomiting and anorexia are rare.
Gastric dilation (acute)
Epigastric fullness is an early symptom of this life-threatening disorder. Accompanying dyspepsia are nausea and vomiting, upper abdominal distention, a succussion splash, and apathy. The patient may display signs and symptoms of dehydration, such as poor skin turgor and dry mucous membranes, and of electrolyte imbalance, such as irregular pulse and muscle weakness. Gastric bleeding may produce hematemesis and melena.
Gastric ulcer
Dyspepsia and heartburn after eating may occur in the early stages of a gastric ulcer. The cardinal symptom, however, is epigastric pain that may occur with vomiting, fullness, and abdominal distention and may not be relieved by food. Weight loss and GI bleeding are also characteristic.
Gastritis (chronic)
In this disorder, dyspepsia is relieved by antacids; lessened by smaller, more frequent meals; and aggravated by spicy foods or excessive caffeine. It occurs with anorexia, a feeling of fullness, vague epigastric pain, belching, nausea, and vomiting.
GI cancer
This type of cancer usually produces chronic dyspepsia. Other features include anorexia, fatigue, jaundice, melena, hematemesis, constipation, and abdominal pain.
Heart failure
Common in right-sided heart failure, transient dyspepsia may occur with chest tightness and a constant ache or sharp pain in the right upper quadrant. Heart failure also typically causes hepatomegaly, anorexia, nausea, vomiting, bloating, ascites, tachycardia, jugular vein distention, tachypnea, dyspnea, and orthopnea. Other findings include dependent edema, anxiety, fatigue, diaphoresis, hypotension, cough, crackles, ventricular and atrial gallops, nocturia, elevated diastolic blood pressure, and cool, pale skin.
Hepatitis
Dyspepsia occurs in two of the three stages of hepatitis. The preicteric phase produces moderate to severe dyspepsia, fever, malaise, arthralgia, coryza, myalgia, nausea, vomiting, an altered sense of taste or smell, and hepatomegaly. Jaundice marks the onset of the icteric phase, which also includes continued dyspepsia, anorexia, irritability, and severe pruritus. As jaundice clears, dyspepsia and other GI effects also diminish. In the recovery phase, only fatigue remains.
Hiatal hernia
In this disorder, dyspepsia results when the lower portion of the esophagus and the upper portion of the stomach rise into the chest as abdominal pressure increases.
Pancreatitis (chronic)
Dyspepsia is usually accompanied by severe continuous or intermittent epigastric pain that radiates to the back or through the abdomen. Anorexia, nausea, vomiting, jaundice, dramatic weight loss, hyperglycemia, and steatorrhea may also occur. The patient may have Turner’s or Cullen’s sign.
Pulmonary embolism
Sudden dyspnea characterizes this potentially fatal disorder; however, dyspepsia may occur as an oppressive, severe, substernal discomfort. Other findings include anxiety, tachycardia, tachypnea, cough, pleuritic chest pain, hemoptysis, syncope, cyanosis, jugular vein distention, and hypotension.
Pulmonary tuberculosis
Vague dyspepsia may occur along with anorexia, malaise, and weight loss. Common associated findings include high fever, night sweats, palpitations on mild exertion, a productive cough, dyspnea, adenopathy, and occasional hemoptysis.
Uremia
Of the many GI complaints associated with uremia, dyspepsia may be the earliest and most important. Others include anorexia, nausea, vomiting, bloating, diarrhea, abdominal cramps, epigastric pain, and weight gain. As the renal system deteriorates, the patient may experience edema, pruritus, pallor, hyperpigmentation, uremic frost, ecchymoses, sexual dysfunction, poor memory, irritability, headache, drowsiness, muscle twitching, seizures, and oliguria.
Other causes
Drugs
Nonsteroidal anti-inflammatory drugs, especially aspirin, commonly cause dyspepsia. Diuretics, antibiotics, antihypertensives, corticosteroids, and many other drugs can also cause dyspepsia, depending on the patient’s tolerance of the dosage.
Surgery
After GI or other surgery, postoperative gastritis can cause dyspepsia, which usually disappears in a few weeks.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Dyspepsia:
Medical causes
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Cholelithiasis
Dyspepsia may occur with cholelithiasis (the formation of gallstones), commonly after intake of fatty foods. Biliary colic, a more common symptom of cholelithiasis, causes acute pain that may radiate to the back, shoulders, and chest. The patient may also have diaphoresis, tachycardia, chills, low-grade fever, petechiae, bleeding tendencies, jaundice with pruritus, dark urine, and clay-colored stools.
Cirrhosis
With cirrhosis, dyspepsia varies in intensity and duration and is relieved by ingestion of an antacid. Other GI effects are anorexia, nausea, vomiting, flatulence, diarrhea, constipation, abdominal distention, and epigastric or right-upper-quadrant pain. Weight loss, jaundice, hepatomegaly, ascites, dependent edema, fever, bleeding tendencies, and muscle weakness are also common. Skin changes include severe pruritus, extreme dryness, easy bruising, and lesions, such as telangiectasis and palmar erythema. Gynecomastia or testicular atrophy may also occur.
Duodenal ulcer
A primary symptom of duodenal ulcer, dyspepsia ranges from a vague feeling of fullness or pressure to a boring or aching sensation in the middle or right epigastrium. It usually occurs 1½ to 3 hours after eating and is relieved by intake of food or ingestion of an antacid. The pain may awaken the patient at night with heartburn and fluid regurgitation. Abdominal tenderness and weight gain may occur; vomiting and anorexia are rare.
Gastric dilation (acute)
Epigastric fullness is an early symptom of acute gastric dilation, a life-threatening disorder. Accompanying dyspepsia are nausea and vomiting, upper abdominal distention, succussion splash, and apathy. The patient with acute gastric dilation may display signs and symptoms of dehydration, such as poor tissue turgor and dry mucous membranes, and of electrolyte imbalance, such as irregular pulse and muscle weakness. Gastric bleeding may produce hematemesis and melena.
Gastric ulcer
Typically, dyspepsia and heartburn after eating occur early in a gastric ulcer. The cardinal symptom, however, is epigastric pain that may occur with vomiting, fullness, and abdominal distention and may not be relieved by food. Weight loss and GI bleeding are also characteristic.
Gastritis (chronic)
With chronic gastritis, dyspepsia is relieved by antacids; lessened by smaller, more frequent meals; and aggravated by spicy foods or excessive caffeine. It occurs with anorexia, a feeling of fullness, vague epigastric pain, belching, nausea, and vomiting.
GI cancer
GI cancer usually produces chronic dyspepsia. Other features include anorexia, fatigue, jaundice, melena, hematemesis, constipation, and abdominal pain. The patient may also experience pain after eating that isn’t relieved by antacids. Syncope, weakness, and weight loss may also occur.
Heart failure
Common with right-sided heart failure, transient dyspepsia may occur with chest tightness and a constant ache or sharp pain in the right upper quadrant. Heart failure also typically causes hepatomegaly, anorexia, nausea, vomiting, bloating, ascites, tachycardia, jugular vein distention, tachypnea, dyspnea, and orthopnea. Other findings include dependent edema, anxiety, fatigue, diaphoresis, hypotension, cough, crackles, ventricular and atrial gallops, nocturia, diastolic hypertension, and cool, pale skin.
Hepatitis
Dyspepsia occurs in two of the three stages of hepatitis. The preicteric phase produces moderate to severe dyspepsia, fever, malaise, arthralgia, coryza, myalgia, nausea, vomiting, an altered sense of taste or smell, and hepatomegaly. Jaundice marks the onset of the icteric phase, along with continued dyspepsia and anorexia, irritability, and severe pruritus. As jaundice clears, dyspepsia and other GI effects also diminish. In the recovery phase, only fatigue remains.
Hiatal hernia
With hiatal hernia, dyspepsia results when increased abdominal pressure causes the lower portion of the esophagus and the upper portion of the stomach to rise into the chest. Other signs and symptoms include heartburn and retrosternal or substernal chest pain. Signs and symptoms of possible complications include dysphagia, bleeding, and severe pain and shock.
Pancreatitis (chronic)
With chronic pancreatitis, a feeling of fullness or dyspepsia is usually accompanied by severe continuous or intermittent epigastric pain that radiates to the back or through the abdomen. Anorexia, nausea, vomiting, jaundice, dramatic weight loss, hyperglycemia, and steatorrhea may also occur. The patient may have Turner’s or Cullen’s sign.
Uremia
Of the many GI complaints associated with uremia, dyspepsia may be the earliest and most important. Others include anorexia, nausea, vomiting, bloating, diarrhea, abdominal cramps, epigastric pain, and weight gain. As the renal system deteriorates, the patient may experience edema, pruritus, pallor, hyperpigmentation, uremic frost, ecchymoses, sexual dysfunction, poor memory, irritability, headache, drowsiness, muscle twitching, seizures, and oliguria.
Other causes
Drugs
Nonsteroidal anti-inflammatories, especially aspirin, commonly cause dyspepsia. Diuretics, antibiotics, antihypertensives, corticosteroids, and many other drugs can cause dyspepsia, depending on the patient’s tolerance of the dosage.
Surgery
After GI or other surgery, postoperative gastritis can cause dyspepsia, which usually disappears in a few weeks.
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Dyspepsia:
Medical causes
(Nursing: Interpreting Signs and Symptoms)
Cholelithiasis.Dyspepsia may occur with gallstones, usually after eating fatty foods. Biliary colic, a more common symptom of gallstones, causes acute pain that may radiate to the back, shoulders, and chest. The patient may also have diaphoresis, tachycardia, chills, a low-grade fever, petechiae, bleeding tendencies, jaundice with pruritus, dark urine, and clay-colored stools.
Cirrhosis.With cirrhosis, dyspepsia varies in intensity and duration and is relieved by taking an antacid. Other GI effects are anorexia, nausea, vomiting, flatulence, diarrhea, constipation, abdominal distention, and epigastric or right upper quadrant pain. Weight loss, jaundice, hepatomegaly, ascites, dependent edema, a fever, bleeding tendencies, and muscle weakness are also common. Skin changes include severe pruritus, extreme dryness, easy bruising, and lesions, such as telangiectasis and palmar erythema. Gynecomastia or testicular atrophy may also occur.
Duodenal ulcer.A primary symptom of a duodenal ulcer, dyspepsia ranges from a vague feeling of fullness or pressure to a boring or aching sensation in the middle or right epigastrium. It usually occurs 11⁄2 to 3 hours after a meal and is relieved by eating food or taking an antacid. The pain may awaken the patient at night with heartburn and fluid regurgitation. Abdominal tenderness and weight gain may occur; vomiting and anorexia are rare.
Gastric dilation (acute).Epigastric fullness is an early symptom of gastric dilation, a life-threatening disorder. Accompanying dyspepsia are nausea and vomiting, upper abdominal distention, succussion splash, and apathy. The patient may display signs and symptoms of dehydration, such as poor tissue turgor and dry mucous membranes, and of electrolyte imbalance, such as an irregular pulse and muscle weakness. Gastric bleeding may produce hematemesis and melena.
Gastric ulcer.Typically, dyspepsia and heartburn after eating occur early in gastric ulcer. The cardinal symptom, however, is epigastric pain that may occur with vomiting, fullness, and abdominal distention and may not be relieved by eating food. Weight loss and GI bleeding are also characteristic.
Gastritis (chronic).With chronic gastritis, dyspepsia is relieved by antacids; lessened by smaller, more frequent meals; and aggravated by spicy foods or excessive caffeine. It occurs with anorexia, a feeling of fullness, vague epigastric pain, belching, nausea, and vomiting.
GI cancer.GI cancer usually produces chronic dyspepsia. Other features include anorexia, fatigue, jaundice, melena, hematemesis, constipation, and abdominal pain.
Heart failure.Common with right-sided heart failure, transient dyspepsia may occur with chest tightness and a constant ache or sharp pain in the right upper quadrant. Heart failure also typically causes hepatomegaly, anorexia, nausea, vomiting, bloating, ascites, tachycardia, jugular vein distention, tachypnea, dyspnea, and orthopnea. Other findings include dependent edema, anxiety, fatigue, diaphoresis, hypotension, a cough, crackles, ventricular and atrial gallops, nocturia, diastolic hypertension, and cool, pale skin.
Hepatitis.Dyspepsia occurs in two of the three stages of hepatitis. The preicteric phase produces moderate to severe dyspepsia, a fever, malaise, arthralgia, coryza, myalgia, nausea, vomiting, an altered sense of taste or smell, and hepatomegaly. Jaundice marks the onset of the icteric phase, along with continued dyspepsia and anorexia, irritability, and severe pruritus. As jaundice clears, dyspepsia and other GI effects also diminish. In the recovery phase, only fatigue remains.
Hiatal hernia.Dyspepsia is a result of the lower portion of the esophagus and the upper portion of the stomach rising into the chest when abdominal pressure increases.
Pulmonary embolism.Sudden dyspnea characterizes pulmonary embolism, a potentially fatal disorder; however, dyspepsia may occur as an oppressive, severe, substernal discomfort. Other findings include anxiety, tachycardia, tachypnea, a cough, pleuritic chest pain, hemoptysis, syncope, cyanosis, jugular vein distention, and hypotension.
Pulmonary tuberculosis.Vague dyspepsia may occur along with anorexia, malaise, and weight loss. Common associated findings include a high fever, night sweats, palpitations on mild exertion, a productive cough, dyspnea, adenopathy, and occasional hemoptysis.
Uremia.Of the many GI complaints associated with uremia, dyspepsia may be the earliest and most important. Others include anorexia, nausea, vomiting, bloating, diarrhea, abdominal cramps, epigastric pain, and weight gain. As the renal system deteriorates, the patient may experience edema, pruritus, pallor, hyperpigmentation, uremic frost, ecchymoses, sexual dysfunction, poor memory, irritability, headache, drowsiness, muscle twitching, seizures, and oliguria.
Other causes
Drugs.Nonsteroidal anti-inflammatory drugs, especially aspirin, commonly cause dyspepsia. Diuretics, antibiotics, antihypertensives, corticosteroids, and many other drugs can cause dyspepsia, depending on the patient's tolerance of the dosage.
Surgery.After GI or other surgery, postoperative gastritis can cause dyspepsia, which usually disappears in a few weeks.
Source: Nursing: Interpreting Signs and Symptoms, 2007
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