Thank you for your enquiry. From the symptoms you describe (indigestion and bloating, highlighting that there is no reflux involved), it’s possible that you are suffering from what is known as dyspepsia.
Dyspepsia is also known as indigestion or heartburn and is a common but ill-defined disorder, primarily associated with discomfort or pain in your upper abdomen (just below the ribs), accompanied by symptoms such as nausea, fullness or belching.
The burning feeling and discomfort associated with indigestion and heartburn is caused by stomach acid rising up and irritating the lining of your oesophagus, the pipe that connects your mouth to your stomach.
You may be aware that there are several lifestyle measures recommended to patients suffering with dyspepsia that may or may not apply in your case. These include:
As you’d expect, diet plays a major part in causing – and controlling – heartburn.
Here are some common culprits you might want to avoid:
...and here are some foods that may help relieve symptoms:
Alongside lifestyle modifications, drug treatment is often initiated – in your case, with lansoprazole.
Note that over the counter remedies called antacids are also available for the treatment of heartburn and acid reflux, but it’s important to check with the pharmacist that it’s safe for you to take them because they’re not suitable for everyone.
Lansoprazole belongs to a family called proton-pump inhibitors (PPIs). Other widely used PPIs include esomeprazole, omeprazole, pantoprazole and rabeprazole. They work by blocking the acid-secreting (proton pump) system found in the cells of the stomach lining, thereby significantly reducing the amount of gastric acid produced.
H2 (histamin-2) blockers are another group of medications used to treat heartburn and acid reflux. They work by inhibiting the absorption of histamine by acid-producing cells in the stomach, interfering with the chemical reaction that creates the acid so that less is produced. H2 blockers include ranitidine, cimetidine, famotidine and nizatidine.
The treatment you have received so far is in line with UK national prescribing guidance, i.e. lansoprazole 30mg once a day is a recommended dose for dyspepsia symptoms not investigated by endoscopy. Treatment with a proton pump inhibitor in uninvestigated dyspepsia is recommended for four weeks. The guidance goes on to say that patients with uninvestigated dyspepsia who do not respond to this initial trial should return for a follow-up for further testing.
So in summary, with respect to your presenting symptoms and initial drug treatment, this has followed standard protocol, but as you have exceeded the four-week initiation and have now suffered for three-months without any improvement, it would be best practice to return to your GP for further investigation. If you want to discuss this matter further then please do not hesitate to contact us again.
Answered by Health at Hand team
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