aritcle by G. Vantrappen
Tel.: +32-16-3442 25, fax: +32-16-3444 19
Functional dyspepsia is a clinical syndrome defined by chronic or recurrent epigastric symptoms without identifiable cause when investigated by conventional means, including endoscopy with biopsies, radiology, and ultrasonography. The symptoms, which are assumed to be suggestive of upper gastrointestinal dysfunction, include fullness, discomfort and pain, early satietv, bloating and belching, and nausea and vomiting. The mechanisms thought to be involved in causing these symptoms include:
a) motility disturbances such as antral hypo-motility and delayed gastric emptying, gastric dysrhythmias,
and impaired gastric accommodation;
b) visceral hypersensitivity due to peripheral mechanisms such as enhanced sensitivity of afferent fibers, or due to central mechanisms such as central amplification of normal visceral input or increased vigilance towards expected painful stimuli; and
c) Helicobacter ■pylori gastritis.
A major problem with the concept of functional dyspepsia is the uncertainty about the relation between symptoms and functional disturbances. In some instances, this relation has been fairly well established, e.g. in the relation between heartburn and acid gastroesophageal reflux. Although all aspects of the relation have not been completely elucidated, there is little doubt that acid gastroesophageal reflux may lead to clinically relevant symptoms and esophagitis, and that treatment of acid reflux improves these symptoms and heals the lesions. Heartburn as a dominant symptom is therefore no longer considered to be part of the dyspepsia syndrome.
Two important papers were published in 1998 that shed new light on the relation between dyspeptic symptoms and physiological disturbances.
My name is Ivan and I have just had the worst years of my life, but now I hope I’m looking at a much
ОтветитьУдалитьbrighter future. This is my story of how my life changed for the worst and how I had to overcome the ignorance of
certain sections of the medical profession. I had to board a plane not once but twice while semi paralysed and fly to
Germany to have the relevant tests done that would prove to all once and for all that I had Lyme/Borreliosis, because
In my own country doctors refused to accept the word of one of their colleagues. The medical profession refused to
consider that I could be suffering from Lyme Disease/Borreliosis even though one of their own had dared to suggest it.
I was watching TV in bed till about 10:30am when I noticed what seemed like the vertical hold slipping and the picture
on the TV going funny for a second. I thought nothing of it at the time and got out of bed and went to make a cup of
tea. Whilst the kettle was on I ran a bath, I was going to clean myself up and go to work to see everyone, because it
was a loss for all the people at work as well as our family. While in the bathroom I felt the floor move just for a
second. I went downstairs thinking that it was odd but nothing more. I made my cup of tea and went up the stairs to
have a good soak in the bath. While drinking my tea and walking up the stairs it happened again, the floor seemed to
move making me take a seat on the stairs, again it soon passed. And I carried on toward the bathroom when my
phone rang in the bedroom - it was work. This was when I noticed that I was slurring on the phone. I hung up and
went to the bathroom to look at myself in the mirror. I looked ok and was feeling ok.
Whatever it was I still didn’t feel it was anything too serious. I got into the bath and then it all started I couldn’t stand.
I felt like gravity was getting it’s own back for all the years I had taken it for granted. I was now fighting to keep my
head above the water while I tried to take the plug out with my left foot as the right one had lost all coordination.
I managed to slide out of the bath, how long it took is all a blur now that I look back. Now I was convinced I was
dying. My children were at school and my wife had gone to see friends, I was alone and scared, my face was numb
down the one side, what was happening to me? Then after what seemed a lifetime but I’m sure was only a few
minutes it started to fade, I managed to drag myself to the bedroom naked and soaked.
Then I got introduce to Dr Itua Herbal Medicine by a friend of mine at work when he sees how I was battling with the disease, He gave me Dr Itua contact so I contacted him on whatsapp then I explain to him on how I was diagnosis of lyme disease so he assure me that he will cure me with his herbal medicine which I will drink for three weeks to cure so I make a purchase with the herbal medicine through moneygram money transfer so faithful of him he deliver me the herbal medicine so he instructed me on how to drink it which I did and hopefully like he promised me the herbal medicine cured me and today I'm now a free person and I thank my dear friend who introduce Dr Itua to my life.
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