It is a pain or an uncomfortable feeling in the upper middle part of your stomach area. The pain might come and go, but it's there most of the time. You might feel too full after a meal or too full to finish a meal. You can get it at any age.

Often, doctors can't find a cause for the irritation to the stomach lining. Stomach ulcers or acid reflux can cause dyspepsia. If you have reflux, stomach acid backs up into your esophagus (the tube leading from your mouth to your stomach). This causes pain in your chest. Your doctor may do some tests to find out if you have an ulcer or reflux disease. Some medicines, like anti-inflammatory pain relievers, can cause dyspepsia.

Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion

Factors that can increase the risk of functional dyspepsia include:

• Female sex
• Use of certain over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin IB, others), which can cause stomach problems
• Smoking
• Anxiety or depression
• History of childhood physical or sexual abuse
• Helicobacter pylori infection

Lifestyle:

• Eating too much, eating too fast, eating high-fat foods, or eating during stressful situations
• Drinking too much alcohol
• Cigarette smoking
• Stress and fatigue

Indigestion is not caused by excess stomach acid.

Swallowing excessive air when eating may increase the symptoms of belching and bloating, which are often associated with indigestion.

Sometimes people have persistent indigestion that is not related to any of these factors. This type of indigestion is called functional, or non-ulcer dyspepsia.

Symptoms similar to indigestion may be caused by heart attacks. If indigestion is unusual, accompanied by shortness of breath, sweating, chest pain, or pain radiating to the jaw, neck, or arm, seek medical attention immediately.

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Best Regards
Jessica Watson
Managing Editor
Clinical Gastroenterology Journal