Professor of gastroenterology. Dr. Nihat Okçu made important statements about dyspepsia, which is known as indigestion among the people. prof. Dr. Okçu stated that dyspepsia is generally defined as a repetitive and persistent feeling of discomfort associated with eating, “Dyspepsia is the name of the complaint, not the disease. Although dyspepsia complaints vary from patient to patient, they consist of one or more of the conditions such as pain, tension, fullness, early satiety, belching, nausea, loss of appetite. Dyspepsia is seen in 1 out of every 4 adults,” he said.
“These are divided into organic and functional dyspepsia. Organic indigestion is also an organic disease that can be detected in some other examinations, especially endoscopic examination, under the patient’s complaints.
Conditions such as ulcers, gastritis, stomach cancer, pancreas, gallbladder diseases are examples of this. Functional indigestion cannot be shown as a visible disease that can be recognized under the complaints with today’s technological possibilities. The cause of functional indigestion is currently unclear. A number of factors are to blame. For example, conditions such as interaction disorders between the gastrointestinal sensory nerves and the central nervous system, and deterioration in movement functions can be given as examples.
Stating that the first diagnostic method used in the diagnosis of gastrointestinal diseases, Prof. Dr. Okçu said, “When necessary, radiological and other blood tests are also applied. Although there is no definite age limit for endoscopic examination in the diagnostic guidelines, it is determined by considering the incidence of gastric cancer in the region where the patient lives.
For example, while the American health guidelines take the age of 60 or 65 as the limit, the age of performing endoscopy in Europe and our country is accepted as 45-50. Endoscopic examination should be performed in every patient aged 45 and over with indigestion complaints in our country. Because after the age of 45-50, the risk of stomach cancer begins to increase relatively.
Explaining that the region where stomach cancer is most common in Turkey is the North East Anatolia region, Prof. Dr. Nihat Okçu, “However, these recommendations can still be lowered considering the character of the patient’s complaints, ethnicity, family history, nationality and regional gastric cancer frequency.
For example, the region where stomach cancer is most common in our country is the North East Anatolia region. (Erzurum -Bayburt and -Van region) In a previous retrospective scan in these regions, we found the incidence of gastric cancer to be around 4 percent in patients who underwent endoscopy with the complaint of indigestion. This figure is 2-2.5 times higher than other regions of our country. In these regions, the age limit for endoscopic examination can be reduced to 40 years.
Mentioning that the most important point that causes indigestion is the diet, Gastroenterology expert Prof. Dr. Nihat Okçu listed his warnings as follows:
“Eating a balanced diet and avoiding drugs that will harm the stomach are the biggest steps we will take in the healing process. We should not focus on a particular food, we should get 45-50 percent of our food from carbohydrates, 20-25 percent from proteins and 15-20 percent from fats. In addition, we should consume fruits and vegetables and enough fibrous foods. Meals should be 3 meals at the same time every day if possible, we should get up from the table without being overly satiated, we should not eat too hot or too cold.
You should eat light in the evenings, not eat late, avoid heavy oily, deep-fried foods and industrial foods as much as possible, and give priority to home-cooked meals. He should not use painkillers and rheumatism drugs unless he has to, he should not use drugs without the advice of a doctor, if he has a habit of smoking and alcohol, this should be abandoned. If possible, we should walk for 20-30 minutes every day and consume at least 1-1.5 liters of water a day.”