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DESCRIPTIONIndigestion is the term used to describe pain and discomfort in the upper abdomen or chest that can develop after a meal. The medical term for it is dyspepsia. Sometimes a burning feeling is felt in the chest, and this is known as heartburn. People of all ages (including children) and both sexes are affected by indigestion. Most people have suffered from indigestion after a large meal or after excessive alcoholic consumption at some time, especially after a holiday meal or party. Up to 20% of people suffer from heartburn at least once a week. Indigestion may be a symptom of a disorder in the stomach or the intestines, or it may be a disorder in itself.
CAUSES
The stomach produces a strong acid that helps digest food and protects against infection. A layer of mucus lines the stomach, esophagus and intestines to act as a barrier against this acid. If the mucus layer is damaged, acid can irritate the underlying tissues.
Peptic ulcer (stomach ulcer), which is a raw patch in the lining of the stomach or the small intestine.
Factors that can cause or contribute to indigestion include intestinal obstruction, malabsorption, and disorders of the pancreas, liver, and gall bladder or chronic appendicitis (acute gastritis, chronic cholecystitis, chronic gastritis, chronic pancreatis). Imbalances in bile, stomach acids, and enzymes can contribute to indigestion problems.
Swallowing air - by chewing with the mouth open, talking while chewing, or gulping down food - can cause indigestion.
Drinking liquids with meals contributes to indigestion because it dilutes the enzymes needed for digestion.
Certain foods and beverages can cause indigestion because they are irritating to the digestive tract. These include excess alcohol, vinegar, caffeine, and greasy or high fat foods, spicy, or refined foods.
Eating a heavy meal can make symptoms worse.
Irregular meals, because the long gaps between meals allow the acid more time to act. Each meal neutralizes the acid for a while.
Food allergies and intolerances (such as lactose intolerance) also can cause indigestion.
If food is not digested properly, it can ferment in the intestines, producing hydrogen and carbon dioxide. Foods high in complex carbohydrates, such as grains and legumes, are the primary foods responsible for gas because they are difficult to digest, and therefore more likely to yield undigested particles on which intestinal bacteria act.
Psychological factors such as stress, anxiety, worry, being tired, or disappointment can disturb the nervous mechanism that controls the contractions of stomach and intestinal muscles.
A lack of digestive enzymes can also cause intestinal problems.
Heartburn often accompanies indigestion. With heartburn, the sphincter (valve) at the joining between the esophagus and the stomach does not work properly, allowing reflux of the stomach contents.
Smoking can make indigestion symptoms worse.
Pregnancy may cause indigestion and heartburn or vomiting.
Helicobacter pylori (H. pylori) is a bacterium, which lives in the mucus layer of the stomach, that can cause irritation (gastritis). It is present in about half the population, often without causing any symptoms. However, a high percentage of people who suffer from a stomach ulcer are found to carry the bug and about 15% of people who carry the bug will go on to develop an ulcer. It is possible that a small proportion of people who are affected will develop stomach cancer.
Hiatus hernia occurs when part of the stomach slides through the diaphragm, which is the muscular sheet that separates the lungs and chest from the abdomen. Normally, the stomach is completely below the diaphragm. But in some people, part of the stomach slides up into the chest cavity. This is called a hiatus hernia, and it causes pain and heartburn. Hiatus hernia is most likely to occur in pregnant women and people who are overweight. If the symptoms are severe, it can be repaired by an operation. See Hiatal Hernia for more information.
Certain drugs/medications may irritate the stomach and can cause or make indigestion worse. Drugs such as antibiotics and nonsteroidal anti-inflammatory drugs (NSAIDs) are often causes of indigestion.
SIGNS & SYMPTOMS
Symptoms can include:
- Gas (flatulence).
- Abdominal pain.
- Rumbling noises in stomach and/or intestines.
- A bloated feeling.
- Belching (burping).
- Loss of appetite.
- Nausea.
- Vomiting.
- A burning sensation after eating. Heartburn, a burning pain caused by reflux (regurgitation) of the stomach's contents back up the esophagus. The medical term for the condition is gastroesophageal reflux (GORD). The pain is normally felt in the center of the chest or behind the sternum (breastbone). If severe, it can be hard to distinguish from a heart attack.
Indigestion has several causes. Depending on the cause, the symptoms may occur for a short time only, they may return intermittently, or they may be regular and prolonged.
There are certain indigestion symptoms that could be associated with a serious underlying condition such as an ulcer or occasionally cancer. Anyone experiencing any of the following symptoms in addition to indigestion should get advice from their health care provider.
- Unintended weight loss.
- New symptoms in anyone over 45 years old who has not previously suffered any indigestion problems.
- Severe pain.
Urgent medical treatment is needed for anyone who experiences the following symptoms:
- Vomiting with specks of blood or blood that looks like coffee-grounds.
- Vomiting fresh, red blood.
PREVENTION
The best way to treat indigestion is to prevent it by avoiding the foods and situations that seem to cause indigestion. Keeping a food diary is helpful in identifying foods that cause indigestion. Here are some other suggestions:
- Eat small meals so the stomach does not have to work as hard or as long.
- Eat slowly. Allow time for leisurely meals. Chew food carefully and thoroughly. Chew one bite at least 15 times.
- After a meal, take a walk.
- While resting, apply a warm compress to the stomach. wrap 10 small boiled potatoes (with skin) in cotton cloth, squash so they form a smooth surface, and place on stomach two times daily after meals. Place a dry towel over the potato pack. Potatoes keep warm for a longer period than other packs.
- Avoid foods that contain high amounts of acids, such as citrus fruits and tomatoes.
- Caffeine causes the stomach to produce more acid, so reduce or avoid foods and beverages that contain caffeine.
- If stress is a trigger for your indigestion, reevaluating your lifestyle may help to reduce stress. Learn new methods for managing stress, such as relaxation and biofeedback techniques. Avoid conflicts during meals. A calm environment and rest may help relieve stress-related dyspepsia.
- Smokers should consider quitting smoking, or at least not smoking right before eating, as smoking can irritate the stomach lining.
- Cut back on alcohol consumption because alcohol can irritate the stomach lining.
- Avoid wearing tight-fitting garments because they tend to compress the stomach, which can cause its contents to enter the esophagus.
- Do not exercise with a full stomach. Rather, exercise before a meal or at least one hour after eating a meal.
- Do not lie down right after eating.
- Wait at least 3 hours after your last meal of the day before going to bed.
- Sleep with your head elevated (at least six inches) above your feet and use pillows to prop yourself up. This will allow digestive juices to flow into the intestines rather than to the esophagus. For heartburn symptoms that occur at night, it may help to sleep in a slightly more upright position, because the action of gravity reduces reflux.
- Avoid aspirin and NSAIDs (use acetaminophen instead). Occasional use of antacids may relieve indigestion, but avoid regular use of antacids. Phosphorus depletion can result from frequent antacids not of a dietary nature. These cannot be absorbed. Bones are the "storehouse" for phosphorus, but when this mineral is inadequately supplied, the bones are in danger of becoming soft or brittle. Many over-the-counter antacids, liquid or tablet, contain either or both, magnesium hydroxide and aluminum hydroxide. Neither can be digested by human stomachs.
- To help prevent indigestion, the best advice is to eat regular meals and a balanced diet.
- Maintain a healthy weight.
TREATMENT
STOMACH ACID SELF-TEST
Hydrochloric acid (HCl), which is produced by glands in the stomach, is necessary for the breakdown and digestion of many foods. Insufficient amounts of HCl can lead to indigestion. HCl levels often decline with age.
You can determine if you need more hydrochloric acid with this simple test. Take a tablespoon of apple cider vinegar or lemon juice. If this makes your indigestion go away, then you need more stomach acid. If it makes your symptoms worse, then you have too much acid, and you should take care not to take any supplements that contain HCl.
DIAGNOSIS
Digestion is a highly complicated process dependent upon many factors. Hydrochloric acid (HCl), enzymes and bile are crucial. If any of these are lacking, digestion will be incomplete and result in bloating, nausea, and digestive upset. If there is a deficiency of healthy intestinal bacteria, as a result of antibiotic use for instance, digestion will also be poor. This deficiency must be re-balanced for proper digestion.
Indigestion is such a broad term. It is helpful to provide your health care provider with a precise description of the discomfort you are experiencing. In describing the symptoms, try to define where in the abdomen the discomfort usually occurs. Simply reporting indigestion as pain in the stomach is not detailed enough for your health care provider to help identify and treat your problem.
MEDICAL HISTORY
The medical history will be obtained and a physical examination performed. Medical history questions documenting indigestion in detail may include:
- Aggravating factors.
- Does it begin (or is it worse) after eating particular foods?
- Does it begin (or is it worse) after drinking wine or other alcoholic drinks or carbonated drinks?
- Eating habits.
- Do you eat fast?
- Have you been overeating?
- Have you changed your diet? Particularly, have you had any spicy foods, high-fiber foods, or fatty foods? Have you increased your intake of caffeine?
- Medications: What medications are you taking? Have you changed medications recently?
- Other symptoms: What other symptoms are occurring at the same time? Is there abdominal pain? Is there vomiting?
The physical examination will probably include emphasis on the abdominal region and digestive system.
Diagnostic tests that may be performed include:
- blood tests (depending on the suspected cause)
- endoscopy (EGD)
- upper GI and small bowel series (with barium)
- abdominal ultrasound
After seeing your health care provider you may want to add a diagnosis related to indigestion to your personal medical record.
To diagnose indigestion, your health care provider must first rule out any underlying conditions such as ulcers. You may have X-rays of the stomach or small intestine. Your health care provider may also use an instrument to look closely at the inside of the stomach, referred to as an endoscope. An endoscope is a flexible tube that contains a light and a camera to produce images of the stomach and intestines in a procedure called endoscopy. A gastroscopy is a similar procedure used to evaluate just the inside of the stomach.
CONVENTIONAL MEDICAL TREATMENT
Indigestion is usually considered a symptom rather than a disease. Treatment usually depends upon the underlying condition causing the indigestion. Excess stomach acid does not cause indigestion, so using antacids will not help your indigestion.
Often, episodes of indigestion go away within hours without medical attention. However, if your symptoms become worse, you should consult a health care provider. Avoiding foods and situations that cause indigestion are the best ways to treat it. Changing the following eating habits that cause you to swallow too much air can help relieve indigestion:
- Chewing with your mouth open.
- Talking while chewing.
- Eating food too fast.
Drink fluids after rather than during meals, and avoid late-night eating. Try to relax after meals. Avoid spicy foods, smoking, and alcoholic beverages. Sometimes aspirin can irritate the stomach lining. If this occurs, switch to acetaminophen.
A number of lifestyle changes may reduce the symptoms of indigestion. These include:
- Dietary changes, such as reducing intake of fatty foods, tea, coffee and alcohol, and eating small regular meals.
- Stop smoking.
- Sleeping propped up on a pillow.
- Reducing stress when ever possible.
If indigestion is a functional, or non-ulcer condition, your health care provider may prescribe medications that affect stomach function.
Non-prescription medicines: A range of indigestion treatments can be bought from the pharmacy without a prescription. These include:
- Antacids: These can be taken in either in liquid or tablet form. They often contain chalky compounds that work by neutralizing the stomach acid. Some antacids contain an ingredient called an alginate which forms a barrier that floats on the top of the stomach contents to prevent them splashing back up into the gullet, thus preventing heartburn and reflux symptoms. Others contain magnesium or aluminum. Side-effects of antacids can include looseness of the bowels and constipation. Many of the popular antacids brands contain a mixture of more than one active ingredient. Examples of antacids brands include Rennies and Gaviscon. See Aluminum Toxicity regarding antacids.
- H2 antagonists: If antacids don't work, or if large quantities of antacid are needed, a pharmacist may recommend a more powerful medication. One group of more powerful drugs that can be bought at a pharmacy is known as H2 blockers. They work by reducing the amount of acid produced by the stomach. Examples are famotidine (contained in Pepcidtwo) and ranitidine (Zantac).
Prescription-only medicines: If symptoms continue, your health care provider can prescribe another type of drug called proton pump inhibitors, which also work by reducing acid production. Examples are omeprazole (Losec) and lansoprazole (Zoton).
Other medications work by coating the stomach lining, to protect it against the acid-attack. These include bismuth, sucralfate or carbenoxolone.
H. pylori can be treated with "triple therapy" which aims to kill off the bacterial infection. This is usually a one-week course of a proton pump inhibitor combined with two different antibiotics.
If lifestyle changes and drugs don't treat the indigestion further tests may be recommended. These include:
- H. Pylori Test: A breath test or a blood test to detect the presence of H pylori.
- Barium meal X-ray. This is used to view the esophagus, stomach and the duodenum (the first part of the small intestines). The test involves a series of X-rays taken after swallowing a drink containing barium, a chemical element that shows up on an X-ray picture. This test can show up abnormalities such as ulcers, narrowing (known as strictures) or a cancer. Any reflux can be seen during the procedure.
- Gastroscopy or Endoscopy. This is an examination with a fibre optic tube, with a light and lens on the end. It is passed through the mouth down the esophagus and into the stomach. The lens sends images that can be seen on a TV screen. A biopsy (small sample) of the stomach lining can be taken for laboratory analysis. This biopsy may show the presence of H. pylori, inflammation of the stomach lining, or cancer.
If these tests cant diagnose the problem, ultrasound, a CT or MRI scan or heart tests may be used to look at the other organs such as the liver, heart, gallbladder, pancreas, bowels or kidneys.
MEDICINES USED TO TREAT STOMACH ACID
Antacids
Medications Manufacturer Main use Actonorm gel Wallace Manufacturing Indigestion (dyspepsia) Algicon Rhone-Poulenc Rorer Heartburn Alka-Seltzer original Bayer Headache and upset stomach Alka-Seltzer XS Bayer Headache and upset stomach Altacite Peckforton Indigestion Altacite Plus Peckforton Indigestion Alu Cap 3M Indigestion Aludrox Tablets Pfizer Consumer Healthcare Indigestion (dyspepsia) Aluminium hydroxide Non-proprietary Indigestion Aluminium hydroxide 3M Indigestion Aluminium hydroxide, magnesium hydroxide, simethicone Rhone-Poulenc Rorer Heartburn Aluminium hydroxide-magnesium carbonate co-dried gel, magnesium hydroxide Pfizer Consumer Healthcare Indigestion (dyspepsia) Andrews Antacid Fruit Flavor GlaxoSmithKline Consumer Healthcare Heartburn Asilone Antacid Liquid Seton Scholl Healthcare Indigestion (dyspepsia) Asilone Heartburn Liquid Seton Scholl Healthcare Heartburn Asilone Heartburn Tablets Seton Scholl Healthcare Heartburn Bismag Tablets Wyeth Consumer Healthcare Heartburn Bisodol extra strong mint tablets Forest Laboratories Heartburn Bisodol heartburn relief tablets Forest Laboratories Heartburn Bisodol indigestion relief powder Forest Laboratories Heartburn Bisodol indigestion relief tablets Forest Laboratories Heartburn Bisodol wind relief tablets Forest Laboratories Heartburn Calcium carbonate antacids Roche Consumer Health
GlaxoSmithKline Consumer Healthcare
SSL InternationalIndigestion Carbenoxolone Sodium Sanofi-Synthelabo Reflux esophagitis Gaviscon Advance Reckitt & Colman Heartburn Gaviscon Infant Reckitt & Colman Gastro-esophageal reflux disease Gaviscon Liquid Reckitt & Colman Heartburn Gaviscon Tablets Reckitt & Colman Heartburn Hydrotalcite Peckforton Indigestion Infacol Pharmax Abdominal pain Jaaps Health Salts Roche Consumer Health Heartburn Maalox plus suspension Aventis Pharmaceuticals Heartburn Maalox suspension Aventis Pharmaceuticals Indigestion Magnesium carbonate co-dried gel, magnesium hydroxide, aluminum hydroxide Pfizer Consumer Healthcare Indigestion (dyspepsia) Magnesium hydroxide, aluminum hydroxide, simethicone Rhone-Poulenc Rorer Heartburn Magnesium hydroxide, aluminum hydroxide-magnesium carbonate co-dried gel Pfizer Consumer Healthcare Indigestion (dyspepsia) Magnesium Trisilicate Mixture BP Adams Indigestion Magnesium Trisilicate Tablets BP Regent-GM Laboratories Ltd Indigestion Mucaine (discontinued in the UK - May 2002) Wyeth Pharmaceuticals Inflammation of the esophagus Nulacin Goldshield Heartburn Opas Co-Pharma Heartburn Pepcidtwo Johnson & Johnson, MSD Indigestion
HeartburnPeptac Liquid IVAX Heartburn Pepto-Bismol Procter & Gamble Indigestion (dyspepsia) Pyrogastrone Liquid (discontinued in the UK - July 2002) Sanofi-Synthelabo Reflux esophagitis Pyrogastrone Tablets Sanofi-Synthelabo Reflux esophagitis Remegel SSL International Indigestion Remegel Wind Relief SSL International Indigestion
WindRennie deflatine Roche Consumer Health Heartburn Rennie digestif Roche Consumer Health Heartburn Rennie duo Roche Consumer Health Heartburn Rennie rap-eze Roche Consumer Health Indigestion Rennie soft chews Roche Consumer Health Indigestion Resolve Extra SSL International Headache and upset stomach Setlers antacid GlaxoSmithKline Consumer Healthcare Indigestion Simethicone, aluminum hydroxide, magnesium hydroxide Rhone-Poulenc Rorer Heartburn Sodium Bicarbonate Tablets IVAX Indigestion (dyspepsia) Topal Ceuta Healthcare Heartburn Tums GlaxoSmithKline Consumer Healthcare Indigestion
H2 Antagonists
Medications Manufacturer Main use Axid Lilly Stomach and duodenal ulcers Cimetidine Tablets Non-proprietary Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseDumoran Dumex Stomach and duodenal ulcers Dyspamet Chewtab Tablets GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseDyspamet Suspension GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseFamotidine Non-proprietary Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseHistac Ranbaxy Stomach and duodenal ulcers Nizatidine Non-proprietary Stomach and duodenal ulcers Pepcid Merck Sharp & Dohme Stomach and duodenal ulcers
Gastro-esophageal reflux diseasePepcidtwo Johnson & Johnson, MSD Indigestion
HeartburnPylorid GlaxoSmithKline Stomach and duodenal ulcers Raciran Opus Stomach and duodenal ulcers Ranitic Tillomed Stomach and duodenal ulcers Ranitidine bismuth citrate GlaxoSmithKline Stomach and duodenal ulcers Ranitidine hydrochloride (150mg or 300mg tablets) Non-proprietary Stomach and duodenal ulcers Ranitidine hydrochloride (75mg tablets) Eastern
GlaxoSmithKline Consumer HealthcareIndigestion
HeartburnRanitidine oral solution Rosemont Stomach and duodenal ulcers Ranitil Tillomed Stomach and duodenal ulcers Rantec Berk Stomach and duodenal ulcers Ranzac Eastern Indigestion
HeartburnTagamet Effervescent Tablets GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseTagamet Injection GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseTagamet Syrup GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseTagamet Tablets GlaxoSmithKline Stomach and duodenal ulcers
Gastro-esophageal reflux diseaseZaedoc Ashbourne Stomach and duodenal ulcers Zantac 150mg or 300mg tablets GlaxoSmithKline Stomach and duodenal ulcers Zantac 75 GlaxoSmithKline Consumer Healthcare Indigestion
HeartburnZantac 75 dissolve GlaxoSmithKline Consumer Healthcare Indigestion
HeartburnZantac 75 relief GlaxoSmithKline Consumer Healthcare Indigestion
HeartburnZantac 75 relief dissolve GlaxoSmithKline Consumer Healthcare Indigestion
HeartburnZantac syrup GlaxoSmithKline Stomach and duodenal ulcers Zinga (discontinued in the UK - August 2003) Ashbourne Stomach and duodenal ulcers
Proton Pump Inhibitors
Medications Manufacturer Main use Exomeprazole AstraZeneca Stomach and duodenal ulcers
Acid RefluxHeliClear Wyeth Pharmaceuticals Duodenal ulcers HeliMet Wyeth Pharmaceuticals Duodenal ulcers Lansoprazole Wyeth Pharmaceuticals Stomach and duodenal ulcers Losec AstraZeneca Stomach and duodenal ulcers Nexium AstraZeneca Stomach and duodenal ulcers
Acid refluxOmeprazole Non-proprietary Stomach and duodenal ulcers Omeprazole (non-prescription) GlazoSmithKline Consumer Healthcare Heartburn Pantoprazole Injection Knoll Stomach and duodenal ulcers Pantoprazole Tablets Knoll Stomach and duodenal ulcers Pariet Eisai, Janssen-Cilag Stomach and duodenal ulcers Protium Injection Knoll Stomach and duodenal ulcers Protium Tablets Knoll Stomach and duodenal ulcers Rabeprazole sodium Eisai, Janssen-Cilag Stomach and duodenal ulcers Zanprol GlaxoSmithKline Consumer Healthcare Heartburn Zoton capsules Wyeth Pharmaceuticals Stomach and duodenal ulcers Zoton FasTab Wyeth Pharmaceuticals Stomach and duodenal ulcers Zoton suspension Wyeth Pharmaceuticals Stomach and duodenal ulcers
Other Medicines for Excess Stomach Acid
Medications Manufacturer Main use Carbenoxolone Sanofi-Synthelabo Reflux esophagitis Pyrogastrone Liquid (discontinued in the UK - July 2002) Sanofi-Synthelabo Reflux esophagitis Pyrogastrone Tablets Sanofi-Synthelabo Reflux esophagitis Remegel Wind Relief SSL International Indigestion
Wind (Gas)Woodward's Colic Drops Seton Scholl Abdominal Pain
Indigestion sufferers gobble up antacid tablets by the ton every day in the United States. An occasional antacid tablet to relieve stomach upset is harmless, but to take antacid tablets constantly, week after week, is asking for trouble. Doctors have found that phosphorus depletion can result from frequent antacids not of a dietary nature. These cannot be absorbed. Bones are the "storehouse" for phosphorus, but when this mineral is inadequately supplied, the bones are in danger of becoming soft or brittle. Many over-the-counter antacids, liquid or tablet, contain either or both, magnesium hydroxide and aluminum hydroxide. Neither can be digested by human stomachs. The fully absorbable magnesium mineral which occurs naturally in various foods and plants is so valuable to human nutrition. These 2 hydroxides can bind gastrointestinal absorption of phosphorus resulting in a state of debility characterized by weakness, anorexia or loss of appetite, and a feeling of being ill (malaise). Mother Nature, the true alchemist, can provide the treasures of her plant kingdom to neutralize acidity gently, safely, and effectively.
CONSIDERATIONS
Drinking the juice of a lemon in a cup of water first thing in the morning is good for healing and for purifying the blood.
Exercise, such as brisk walking or stretching, aids the digestive process. The herbal formula Tum-Ease Stomach Support also enhances digestion.
Food combinations are important. Proteins and starches are a poor combination, as are vegetables and fruits. Milk should not be consumed with meals. Foods containing sugar, such as fruit, should not be consumed with proteins or starches.
Older people often lack sufficient hydrochloric acid and pancreatin to digest foods properly. Betaine hydrochloride (HCl) replaces stomach acid when it is deficient. If a feeling of slight burning occurs, the dosage must be reduced. Betaine HCl, 3 capsules or 1 teaspoon daily.
Digestive enzymes are necessary for complete digestion. If digesting milk and milk products is a problem, lactase is useful. Lecithin is excellent when fats and oils are not well tolerated. To bind the fermenting acids in the intestines, drink medicinal clay in lukewarm water. Bromelain or papain, 1,000 mg three times daily. Lactase, if necessary, as recommended on the label. Lecithin, 1-3 tablespoons three times daily. Digestive plant enzymes, 1-2 capsules three time daily. Medicinal clay, 1 teaspoon in a glass of water three times daily, one hour before meals.
People with a deficiency of healthy intestinal bacteria, such as those on antibiotic therapy, need to re-establish the intestinal flora with acidophilus supplements. These acidophilus supplements will aid digestion. Lactobacillus acidophilus, 3 capsules or 1 teaspoon daily.
Many people take antacids to relieve the discomfort of indigestion and heartburn, but these medications may actually make matters worse. Antacids neutralize the acid in the stomach, preventing, proper digestions and interfering with the absorption of nutrients. This only leads to continued indigestion. Antacids are useless for gas and bloating.
Avoid antacids as they inhibit digestion causing cycles of indigestion, gas, bloating, and constipation. Neutralization or suppression of gastric acid has no therapeutic benefit. Most antacids sold in the United States contain aluminum compounds, calcium carbonate, magnesium compounds, or sodium bicarbonate. Aluminum-based antacids can cause constipation. Calcium carbonate can cause a rebound effect in which the stomach produces more acid than before once the antacid's effects wear off. Magnesium compounds can cause diarrhea. Sodium bicarbonate can cause gas and bloating. Stomach bitters and herbal remedies that support the liver and gallbladder are a much better alternative and most effective when taken 15 to 30 minutes before meals.
Beano from GlaxoSmithKline and BeSure from Wakunaga of America Company are good for preventing gas. These products must be taken with the first bite of food to be effective.
See these other pages for more information:
DIETARY & HOLISTIC RECOMMENDATIONS
NUTRITIONAL & HERBAL RECOMMENDATIONS
If you are prone to indigestion, consume well-balanced meals with plenty of fiber-rich foods such as fresh fruits, vegetables, and whole grains.
Aloe vera is good for heartburn and other gastrointestinal symptoms. Take aloe vera juice, 1/4 cup, on an empty stomach in the morning and at night. This will relieve heartburn and gastrointestinal symptoms. George's Aloe Vera Juice from Warren Laboratories tastes like spring water.
Alfalfa supplies needed vitamin K and trace minerals. It can be taken in liquid or tablet form.
Anise seeds can help relieve a sour stomach. Chew the whole seeds or grind them and sprinkle on food. For flatulence (gas), crush seeds (1-2 teaspoons), pour a cup of boiling water over the seeds, let stand 5 to 10 minutes, twice a day before meals (anti-flatulence teas work best if take before the meal).
Balm (Lemon Balm) is good for indigestion. Use 2 to 3 teaspoons of the leaves in boiling water. Let steep 15 minutes and drink twice daily.
Basil is used for nausea. Take 1 teaspoon of the herb and steep covered in a cup of boiling water. Drink as needed.
Bergamot is used for upset stomach, nausea, and vomiting. Use 1 teaspoon of the herb per cup of boiling water steeped for 15 minutes.
Caraway seeds are used for flatulence. Crush 1 teaspoon of seeds and pour a cup of boiling water over the seeds. Let stand 5 to 10 minutes. Drink twice daily before meals. (Anti-flatulence teas work best if taken before the meal).
Catnip is used for upset stomach. Catnip is wonderful for babies suffering from colic. They love the favor. Take 1 teaspoon of the herb per cup of boiling water. Allow to cool (if taken hot, some people find it an emetic - causing some people to vomit). Best taken before sleeping, as it also has a sedative quality to it.
Chamomile is used for indigestion and stomach cramps. Take one teaspoon of flowers in a cup of boiling water, steep it covered. Caution: Do not use chamomile on an ongoing basis for more than one week, do not use it during pregnancy, and use it with caution if you are allergic to ragweed.
Dandelion is used for loss of appetite. Take 1 to 2 teaspoons dried leaves or root in a cup of boiling water. Can be mixed with peppermint and or Roman chamomile.
Dill is used for flatulence. Crush 1 to 2 teaspoons of the seeds and pour a cup of boiling water over the seeds. Let stand for 5 to 10 minutes. Drink twice a day before meals.
Fennel is good for indigestion and gas. For tea, crush 1 teaspoon of the seeds and steep in 1 cup of boiling water for 15 minutes. Drink 1 cup of this tea hot, up to 3 times daily. Fennel tea has good flavor, but honey can be added for sweetness. Some people make a mixture of caraway, fennel, and peppermint for a digestive tea.
Fenugreek and goldenseal are also good for indigestion. Do not use goldenseal during pregnancy.
Licorice Root tea is made by using 1 ounce of root per cup of boiling water. Steep a minimum of 10 minutes. Good also in combination with peppermint.
Peppermint is good for digestion. In a tea, take 2 to 3 teaspoons of leaves, to one cup of boiling water. Let steep 10 minutes, covered. Take up to 3 times daily, best after the meals. For pregnancy, use our MoonDragon's Pregnancy Herbal Tea blend: it is a combination of 2 parts red raspberry leaf, 1 part alfalfa, 1 part peppermint, and 1 part nettle in a brewed tea. This supplies many helpful nutrients for a healthy pregnancy as well as helping with digestive disturbances that often occur during pregnancy. Caution: Always consult your midwife before using any herbal supplement during pregnancy. Some are safe to use, some are not.
Ginger is a time-honored remedy for nausea. This can be made by cutting up fresh root and brewing it in hot water. Drink as a tea. Ginger can be purchased, "candied" in health food stores. Chew on a few pieces to help relieve digestive problems. It has a "hot" delicious flavor.
A few springs of parsley, or 1/4 teaspoon of dried parsley taken with a glass of warm water, can help relieve indigestion.
Slippery elm is good for inflammation of the colon. Use it as an enema for fast relief. See Enemas for more information.
Savory is a tea used to ease cramps from indigestion. Take 1 teaspoon dried herb per cup of boiling water. Steep covered for 10 minutes, sweeten with honey, drink warm or lukewarm.
Thyme is used for indigestion. Take 1 teaspoon of herb steeped for 10 minutes covered to make a tea.
Wormwood is used for indigestion but should not be for prolonged use. Maximum dose is one cup. Take 1 teaspoon of herb to one cup of boiling water. Steep covered for 10 minutes. Take after the meal.
Yarrow is used for indigestion. Pour 1 cup of boiling water over 1 to 2 teaspoons of the leaves and flowers. Steep for 10 minutes covered. Take 1 cup 2 to 3 times daily after meals.
Include in the diet fresh papaya (which contains papain) and fresh pineapple (which contains bromelain). These are good sources of beneficial digestive enzymes.
Acid-Ease from Prevail Corporation is an herbal formula that aids in the breakdown and assimilation of foods, and also contains natural plant enzymes to ease heartburn.
Proteolytic enzymes, 2 tablets with meals and 1 tablet with snacks, is important to relieve gas and bloating.
Add acidophilus to the diet. Acidophilus can be useful for indigestion, because of a shortage of the "friendly" bacteria is often the cause. Open 10 capsules or use 1 tablespoon of powdered formula. Acidophilus should be taken 1/2 hour before meals and is necessary for normal digestion. All-Flora from New Chapter and Kyo-Dophilus from Wakunaga are nondairy products that can be used if you have a reaction to dairy products. Acidophilus used as an enema hardly ever results in a problem. You may experience some rumbling and slight disturbance for an hour or so, but it will subside. See Enemas for more information.
For disorders such as gas, bloating, and heartburn, try brown rice and/or barley broth. Use 5 parts water to 1 part grain, and boil the mixture, uncovered, for 10 minutes. Then put the lid on and simmer for 55 minutes more. Strain and cool the liquid. Sip this throughout the day.
Garlic capsules, 2 capsules with meals, aids in digestion and destroys unwanted bacteria in the bowel. Fresh cloves of garlic can be used in place of garlic capsules, if desired.
Vitamin B complex, 100 mg taken with meals. The B-vitamins are essential for normal digestion.
For upper gastrointestinal gas, take pancreatin. Pancreatin, 3 taken after meals, is a helpful digestive enzyme. For lower gastrointestinal gas, take supplemental trace minerals. If you have gas, use the juice of one fresh lemon in a quart of lukewarm water as an enema to balance the body's pH. If gas is constant for days, use a bifidus enema. This should relieve the problem. See Enemas for more information.
If you have had abdominal surgery (such as a bowel shortened), take pancreatin to help digest foods. If you have hypoglycemia (low blood sugar), you also may need pancreatin. See Hypoglycemia for more information. After meals, if you have a stuffed feeling and a rumbling or gurgling with bloating and gas, use pancreatin.
Limit your intake of lentils, peanuts, and soybeans. They contain an enzyme inhibitor.
Avoid bakery products, beans, caffeine, carbonated beverages, citrus juices, fried and fatty foods, pasta, peppers, potato chips and other snack foods, red meat, refined carbohydrates (sugar), tomatoes, and salty or spicy foods.
Do not eat dairy products, junk foods, or processed foods. These cause excess mucus formation, which results in inadequate digestion of protein.
For relief of occasional digestive difficulties, use charcoal tablets, available in health food stores. These are good for absorbing gas and toxins. Because they can interfere with the absorption of other medications and nutrients, they should be taken separately, and they should not be taken for long periods of time. Occasional use is not harmful and has no side effects.
If stools are foul-smelling and are accompanied by a burning sensation in the anus, follow a fasting program. This is often a sign that the colon contains toxic material. See Fasting for more information.
If the results of the stomach acid self-test showed that you need more hydrochloric acid, sip 1 teaspoon of pure apple cider vinegar in a glass of water with each meal to aid digestion.
Do not eat when you are upset or overtired.
Always chew food thoroughly. Do not gulp it down in a hurry.
Do not drink liquids while eating. This dilutes the stomach juices and prevents proper digestion.
Find out which foods your body has trouble digesting and stay away from foods that cause a reaction. See Allergies for more information.
If you develop heartburn and the symptoms persist, consult with your health care provider. If the pain begins to travel down your left arm, or if the sensation is accompanied by a feeling of weakness, dizziness, or shortness of breath, seek emergency help. The early symptoms of a heart attack can be very much like those of indigestion, particularly heartburn, and as a result, many people mistakenly dismiss them. See Heart Attack and Heartburn for more information.
ESSENTIAL OILS FOR INDIGESTION (DYSPEPSIA & HEARTBURN)
Angelica Root Coriander Fennel Peppermint
Suggestion for Use:
Use the essential oil combined with a carrier oil, and massage the stomach and solar plexus area.
Recommendations For Using Essential Oils:
- Whole Body Massage: Add 20 to 25 drops of essential oils to 2oz. of a carrier oil, such as Jojoba.
- Lotion: Add 20 to 25 drops of essential oils to an unscented aroma lotion.
- Therapeutic Blends: Add 14 drops of your favorite therapeutic blend to 8 ml of a carrier oil, such as Jojoba.
- Bath: Add 6 to 12 drops to bath.
- Foot Bath: Add 5 drops in warm water.
- Spray Bottle: Add 10 drops to 2oz. water.
- Compress: Add 10 drops to two cups (16 oz) water.
- Steam: Add 3 drops to 2 cups (16 oz) boiling water.
- Air Diffuser: Use 6 drops. Avoid thick oils, such as vetivert, as they may clog up the diffuser.
WARNING: Essential oils should always be diluted. Do not ingest. Do not use near the eyes. Keep away from children. For treatment of children and the elderly, use half the dosage. Not a substitute for professional medical care. Be sure to read essential oil information for warnings about specific oils before using.
HERBAL FORMULAS FOR DIGESTION
Chinese Formula #18
#18: Liver chi regulation, smooth the process of digestion, detoxification, and glycogenesis in the liver. Herbs found in #18 are:
- Bupleurum (chief herb)
- Cyperus root (chief)
- Magnolia bark (chief)
- Chaste tree berries (chief and assisting)
- White peony root (assisting)
- Bitter orange peel (assisting)
- Lovage root (assisting)
- Cramp bark (assisting)
- Wild yam root (assisting)
- Poria mushroom (assisting)
- Atractylodes (assisting)
- Dong quai (assisting)
- Gastrodia root (assisting)
- Pinellia root (assisting)
- Licorice root (supporting)
- Ginger root (conducting)
This formula regulates liver chi and relieves abdominal and chest pains caused by impaired flow of vital energy and blood. It relieves depression, stagnation, nervousness, premenstrual syndrome, uneasiness, chest pains, digestive upset, abdominal distension, bloat, belching, gas, indigestion, candida symptoms and constipation.
Ayurvedic Formula #2
Formula called Hingashtak for the main herb (asafoetida, hing in Sanskrit)
- Asafoedita (3 parts)
- Atractylodes (3 parts)
- Cumin seed (2 parts)
- Caraway seed (2 parts)
- Pippli long pepper (2 parts)
- Black pepper (2 parts)
- Ginger root (2 parts)
- Dandelion root (2 parts)
- Slippery elm (2 parts)
- Green citrus peel (2 parts)
- Rock salt (2 parts)
This formula is taken after eating, relieves gas, abdominal swelling, indigestion, and food stagnation.
HERBS
Actions indicated for the processes behind this disease: The key to correcting such functional problems is in "tuning up" the fine control of both metabolic and physical aspects of digestion and assimilation. whilst easing the discomfort with appropriate remedies.
Bitter stimulation will promote an integrated and adequate secretory response to food or hunger, as well as increasing muscular tone in peristalsis. Carminatives will ease flatulence, reduce localized inflammation, muscular spasm leading to colic and act as mild anti-microbials. Anti-spasmodics may be indicated if the carminatives do not ease abdominal cramping. Nervines can be used to help stress, anxiety and tension. They are usually also anti-spasmodic.
System Support: The digestive system, but then any part of the body that is a focus for energy usage may be strengthened by using system tonics. Thus may possibly enable the body to integrate the various aspects of digestive functioning more effectively.
Specific Remedies: Every herbalist and every culture have their favorite remedies for indigestion. They are, as would be expected from the above, often bitter carminatives or nervine carminatives. European specifics include Gentian, Peppermint, Chamomile, Balm. Hops and Valerian. Of course the possibilities can be endless.
Often the traditional simple, or tea made from a single fresh remedy, is best. This should be an herb that the patient likes the taste and aroma of. It ideally should be a plant they could easily cultivate, thus providing a steady supply of fresh leaf. The actions of the herb will give the clue as to which is most therapeutically indicated. Suggestions could include:
- Peppermint
- Chamomile
- Lemon Balm
This may be augmented by using a combination of tinctures that aids the digestive system in general through a bitter/carminative approach:
- Chamomile
- Peppermint
- Gentian
- Valerian
Equal parts of the tincture to 2.5 ml taken 10 minutes before eating.
This approach will provide:
- Carminative (Peppermint, Chamomile, Lemon Balm)
- Anti-inflammatory (Peppermint, Chamomile, Lemon Balm)
- Bitter (Gentian, Chamomile)
- Nervine (Valerian, Chamomile)
Persistent problems call for skilled medical diagnosis. Because of the functional nature of this problem, just about anything that helps the person to be at ease with themselves or help physiological activity will be indicated. Diet is fundamental, but the problem could just about anything. Structural considerations show that therapies from chiropractic to rolfing may potentially help. Counseling about stress related issues or deeper psychological issues will help.
Probably the best known digestive aid is mint tea - make it yourself or buy commercial, preferably organic, tea bags. If you know you've gone a bit over the top on the food, leave the coffee alone and ask for mint tea.
Another traditional - if not very pleasant - remedy is a large pinch of bicarbonate of soda dissolved on your tongue. You probably won't like the taste of this one much, but it does work.
The following herbs are useful. Steep 2 teaspoons of fresh (or 1 teaspoon of dried) herb in a cup of boiling water, leave for 10 minutes, strain and sip when lukewarm:
Caraway Cardamom Ginger Lemon balm Agrimony Galangal Dried tangerine peel Artichoke extract Slippery elm and marshmallow capsules will also help protect the stomach.
Gentian root and the leaves and root of dandelion make an excellent combination to aid digestion. Make a herbal tea by pouring 1 cup of boiling water over 1 teaspoon of herbs and let steep for ten to fifteen minutes. Drink 1 cup three times daily.
Peppermint, fennel, lemon balm and chamomile are the best proven remedies for immediate relief of indigestion. Take 5 drops of each essential oil in water. Drink 1 tablespoon slowly twice daily. The fennel is good for gripping pains and should be taken after dinner. Peppermint stimulates the bile flow and works for nausea and for a nervous stomach. Lemon balm is also good for relaxing and soothing a nervous stomach.
Chew 2 or 3 fresh sprigs of dandelion leaves. They are quite bitter, but produce immediate results, as the bitter taste stimulates bile flow.
Sufficient silica in the intestines will help normalize the bowels. Prepare horsetail as tea, 1-3 cups daily, 1 tablespoon of juice in liquid, or 1-3 aqueous vegetal capsules.
Homeopathic Recommendations
Take the remedy in a low potency (6x, 6c, 12x or 12c) a half hour before each meal, or during acute attacks of indigestion.
Bryonia: Bitter regurgitations, taste of food. Nausea, vomiting after food or drink. Indigestion, distension, tenderness, sharp pain. Better drawing legs up; Big appetite, but heavy pressure afterwards. Foul, white-coated tongue. Highly irritable. Desires food, then rejects it. Thirst for much cold water. Worse: least motion, touch, pressure, early a.m., after eating, warm drinks.
Carbo veg: Heartburn, nausea, bloating, sour regurgitations, but belching relieves. Slow digestion. Sensitive to dietary indiscretions: fats, milk, rich food. Hunger, but fullness after eating a little; causes shortness of breath. Food poisoning, alcohol abuse. Craves fresh air. Heavy, dull and sleepy. Worse: coffee, fish, beans, fats, milk, lying down. Better: release of gas.
Nux vomica: Two hours after eating, food lies like a stone. Pains into back or chest. Heartburn, nausea but difficult to vomit or belch. Retching, short of breath. Bitter or acid reflux. Craves fats, spices, beer, stimulants, alcohol. Irritable, driven, critical. Strong hunger a day before the indigestion. Worse: anger, pressure, tight clothes, bread, meat, morning, 3-4 a.m.
Pulsatilla: Heartburn, indigestion, gas, heaviness. Pain one hour after eating. Sour, bitter or rancid belching or reflux. Food taste remains a long time. Mild personality, changeable, weepy. Thirstless. Diarrhea after meals. Worse: fats, rich foods, fruit, ice cream. Dislikes fats, warm food, butter.
The homeopathic remedies: Lycopodium may also help.
Life Style Changes
If you get chronic indigestion (as long as any serious cause has been ruled out by conventional medicine) there are some simple dietary and lifestyle changes that are really important:
1. Take time to eat. Just don't grab a piece of toast and eat it while you're traveling to work, munch a midday sandwich as you're in the middle of important phone calls or eat supper while you're helping the kids with their homework or looking through papers for tomorrow's meeting.
2. Eat small, regular meals if they fit your lifestyle better. There's no rule that says you have to eat breakfast, lunch and dinner at the conventional times of day.
3. Processed meats like salami and sausages, and greasy, deep-fried foods are real enemies to good digestion. Go easy on them or eliminate them from your diet. If you like them, have them in small quantities and keep intake infrequent.
4. Eat more artichokes. Every French housewife knows that they're the perfect start to a rich meal as they increase the flow of bile, improve fat digestion and prevent indigestion (dyspepsia).
5. There are several foods which really are the enemies of good digestion. They include:
- Raw onions
- Pickles
- Hot, spicy dishes, chilies and curries
- Radishes
- Cucumber
- Peppers
- Excessive amounts of coffee
- Bananas that are under-ripe. Surprisingly, bananas, a very good source of many nutrients, particularly potassium, are extremely indigestible when they look at their best. Bright yellow bananas can be a common cause of severe indigestion. As they ripen, the starch changes to sugars, which are much more digestible and they should never be eaten until the skins start to turn slightly speckled.
- Plantains, so popular in West Indian and African cooking, must never be eaten raw, but unlike ordinary bananas, they're wonderful when cooked.
6. Hiatal hernia is a common cause of indigestion. See Hernia, Hiatal for more information.
7. Many people suffer chronic indigestion for which no specific cause is found, even after extensive investigations. In this situation, it is worth trying to follow the Hay diet for a couple of months. This involves not combining protein foods - meat, fish, poultry, eggs, cheese - with starchy foods - bread, rice, pasta - in the same meal. There's no scientific evidence that supports this diet, and ridiculous claims that it is the only healthy way to eat and is a cure for a whole range of illnesses are ludicrous. However, for some reason nobody really understands, it does seem to be a great help for most people with chronic digestive problems.
CHILDREN & INDIGESTION
Most babies, children and young people get the occasional bout of this uncomfortable, but rarely serious, condition. As long as it doesn't happen too often and without an obvious cause (eating too much, for example, bolting their food, running around after too much cake at a birthday party, too much candy at holiday gatherings or functions) it shouldn't be cause for concern. But if you have a baby or toddler who seems to have regular stomach pain, keep in mind they won't be able to tell you that. You should always get it checked by your health care provider.
For most cases, however, there are several natural remedies which are extremely effective.
Probably the best known is mint tea. Peppermint or Catnip are both very helpful for young children. You can make it yourself or buy commercial, preferably organic, tea bags and sweeten it with honey for younger children and babies over a year old. Do not give raw honey to children under one year old. Do not sweeten it for these babies.
Another traditional – if not very pleasant – remedy is a large pinch of bicarbonate of soda dissolved on the child's tongue. This tastes terrible, but it does work.
The following herbs are useful. Steep 2 teaspoons of fresh (or 1 teaspoon of dried) herb in a cup of boiling water, leave for 10 minutes, strain and sip when lukewarm:
Caraway Cardamom Ginger Lemon balm Agrimony Galangal Dried tangerine peel Artichoke extract Slippery elm and marshmallow capsules will also help protect the stomach.
Homeopathic Recommendations
Take the remedy in a low potency (6x, 6c, 12x or 12c) a half hour before each meal, or during acute attacks of indigestion.
Bryonia: Bitter regurgitations, taste of food. Nausea, vomiting after food or drink. Indigestion, distension, tenderness, sharp pain. Better drawing legs up; Big appetite, but heavy pressure afterwards. Foul, white-coated tongue. Highly irritable. Desires food, then rejects it. Thirst for much cold water. Worse: least motion, touch, pressure, early a.m., after eating, warm drinks.
Carbo veg: Heartburn, nausea, bloating, sour regurgitations, but belching relieves. Slow digestion. Sensitive to dietary indiscretions: fats, milk, rich food. Hunger, but fullness after eating a little; causes shortness of breath. Food poisoning, alcohol abuse. Craves fresh air. Heavy, dull and sleepy. Worse: coffee, fish, beans, fats, milk, lying down. Better: release of gas.
Nux vomica: Two hours after eating, food lies like a stone. Pains into back or chest. Heartburn, nausea but difficult to vomit or belch. Retching, short of breath. Bitter or acid reflux. Craves fats, spices, beer, stimulants, alcohol. Irritable, driven, critical. Strong hunger a day before the indigestion. Worse: anger, pressure, tight clothes, bread, meat, morning, 3-4 a.m.
Pulsatilla: Heartburn, indigestion, gas, heaviness. Pain one hour after eating. Sour, bitter or rancid belching or reflux. Food taste remains a long time. Mild personality, changeable, weepy. Thirstless. Diarrhea after meals. Worse: fats, rich foods, fruit, ice cream. Dislikes fats, warm food, butter.
The homeopathic remedies: Lycopodium may also help.
If your child gets chronic indigestion (as long as any serious cause has been ruled out by conventional medicine) there are some simple dietary and lifestyle changes, which are really important:
1. Make them sit down quietly to eat, tell them to chew their food thoroughly and take time to swallow.
2. Give them small, regular meals if they fit your lifestyle better. There's no rule that says you have to eat breakfast, lunch and dinner at the conventional times.
3. Processed meats like salami and sausages and greasy, deep-fried foods are real enemies to good digestion. Limit the amount children eat of these types of foods.
4. There are several foods which really are the enemies of good digestion, although they're hardly likely to be on the favorites list for younger children. They include:
- Raw onions
- Pickles
- Hot, spicy dishes, chilies and curries
- Radishes
- Cucumber
- Peppers
- Excessive amounts of coffee
- Bananas. Bananas are often a favorite with many kids and a very good source of many nutrients, particularly potassium, but they are extremely indigestible when they look at their best. Bright yellow bananas can be a common cause of severe indigestion. As they ripen, the starch changes to sugars, which are much more digestible and they should never be eaten until the skins start to turn slightly speckley.
If the condition is caused by gastro-esophageal reflux disease, babies normally simply grown out of it. In older children and teenagers, it may be caused by a hiatus hernia following a high impact injury like a fall or in body contact sports like football, soccer, rugby, or other similar type of contact sport.
This condition may need surgical repair, but this is what you can do first. Encourage your older child to:
- Eat little and often – five or six small meals a day.
- Raise the head end of his or her bed by 3 to 4 inches. For teenagers, use a brick under each leg at the head-end of the bed; the indentations will stop the bed slipping. For babies or toddlers, put an extra pillow under the mattress so that they don't throw it out in the middle of the night. This will prevent the flow of gastric juices up into the esophagus.
- Do not let teenagers drink any liquids in the three hours before bedtime.
- Eliminate carbonated or other fizzy beverages from their diets.
- Vitamin C and vitamin E may be useful.
Various Herbs Used Internally For Indigestion
(Teas, Infusions, Tinctures)
HERBAL BITTERS
3 teaspoons tincture of gentian rhizome
½ teaspoon tincture of dried orange peel
½ teaspoon tincture of cardamom seeds
Combine ingredients. Drink. You can also purchase bitters at most natural food stores.
SUGGESTED HERBS USED FOR INDIGESTION PROBLEMS
Agrimony Agrimonia eupatoria Alder Aloe vera Angelica root Angelica archangelica Anise Pimpinella anisum Arrowhead, broad-leaved Artichoke Cynara scolymus Asafoetida Ferula asafoetida Ash, American mountain Asparagus Asparagus officinalis Atractylodes, White Atractylodes macrocephala Avens, water or purple Balloon Flower Platycodon grandiflorus Balm, lemon Balmony Barberry Berberis vulgaris Barley Hordeum vulgare Basil, Bush Ocimum minimum Basil, Holy Ocimum sanctum Basil, Hoary Ocimum canum Bayberry bark Bay leaves Beech Betony, Wood Stachys officinalis Birch Bitterroot Blackroot Blessed Thistle Cnicus benedictus Bloodroot Blue Flag Boldo Peumus boldus Boneset Buckbean Menyanthes trifoliata Bupleurum Burdock Burnet Saxifrage, Greater Pimpinella major Butterbur Cabbage, Head Brassica oleracea var. capitata Cabbage, Wild Brassica oleracea Calamus Calendula Calendula officinalis Calumba Caraway Carum carvi Cardamom Elettaria cardamomum Cardamom Amomum villosum Cardamom, Bastard Amomum xanthioides Carrot, wild Daucus carota Cascara amarga Cascara sagrada Cassia Cinnamomum cassia Catnip Nepeta cataria Cat's Foot Antennaria dioica Cayenne (Capsaicin, Capsicum) Celandine Chelidonium majus Celery Centaury Centaurium erythraca Chamomile, German Matricaria recutita Chen-Pi Cherry, wild or black Chicory, root Cichorium intybus Chiretta Chives Chufa Cyperus esculentus Cinnamon, True Cinnamomum verum Cinquefoil Potentilla reptans Clary Club Moss Cohosh, black Cimicifuga racemosa Cola Cola nitida Coltsfoot Tussilago farfara Comfrey Symphytum officinale Coriander Coriandrum sativum Costmary Cow-parsnip Cranesbill Geranium maculatum Cumin Cuminum cyminum Dandelion Taxaracum officinale Devil's Claw Harpagophytum procumbens Dill A. graveolens syn. P. Graveolens Dogwood, flowering Cornus florida Echinacea Echinacea angustifolia Elecampane Elm slippery Fennel Foeniculum vulgare Fenugreek Trigonella foenum-graecum Feverfew Tanacetum parthenium Flag, sweet (calamus) Flaxseed Fringe tree Galangal, Lesser Alpina officinarum Garlic Allium sativum Gentian, blue, root Gentiana lutea Ginger Zingiber officinale Ginkgo Ginseng, dwarf Goldenrod Goldenseal Hydrastus canadensis Gold thread Gotu Kola Centella asiatica Gravel root Great Burdock Arctium lappa Ground Ivy Guduchi Tinospora cordifolia Gum plant Haronga Haronga madagascariensis Hare's Ear Bupleurum falcatum Hibiscus Hibiscus sabdariffa Hops Humulus lupulus Horehound, Black Ballota nigra Horehound, White Marrubium vulgare Horse Balm Collinsonia canadensis Horsemint Monarda fistulosa Horseradish Hyssop, Wrinkled Giant Agastache rugosa Indian hemp, black Irish Moss Ironweed Jambul Juniper, Common (berries) Juniperus communis Labrador tea Lemon Balm Melissa officinalis Lavender Lavandula officinalis Leverwood Licorice Linden (American basswood) Liverleaf (sharp-lobed hepatica) Lobelia Lovage Magnolia Magnolia officinalis Magnolia, cucumber Mallow, high Marjoram Marshmallow root Meadowsweet Filipendula ulmaria Milk Thistle Silybum marianum Milkweed Mint teas Mint, wild Moss, Iceland Cetraria islandica Mountain Ash Sorbus aucuparia Myrobalan, Beleric Terminalia belerica Myrobalan, Chebulic Terminalia chebula Myrrh Nut Grass Cyperus rotundus Nutmeg Myristica fragans Oat fiber Onion Allium cepa Orange, Bitter Citrus aurantium Orange, Mandarin peel Orange, Sweet Citrus sinensis Oregano Origanum vulgare Oregon Grape Berberis aquifolium Origanum Osha Oswego Tea Monarda didyma Papaya Carica papaya Parsley Peatroselinum hortense Patchouli Pogostemon patchouli Pau d'arco Pennyroyal, American Pepper, Cayenne Capsicum frutescens Peppermint Mentha x piperita Persimmon Peruvian bark Pineapple Ananas comosus Pineapple-weed Pleurisy root Polypody Poplar Prickly Ash, Japanese Xanthoxylum piperitum Prickly Ash, Northern Primrose, evening Psyllium Radish, Common Raphanus sativus Ragwort Red Bush Tea Aspalathus linearis Red root Roman Chamomile Chamaemelum nobile Rosemary Rosemarinus officinalis Saffron Crocus sativus Sage Salvia officinalis Sage, White Salvia apiana Salsify Santicle Sarsaparilla Savory Silverweed Skullcap, Baikal Scutellaria baikalensis Slippery Elm Ulmus rubra Solomon's seal Sorghum Sorghum vulgare Sourweed (sorrel-tree) Soybean Spearmint Mentha spicata Star grass Stillingia Stonecrop, ditch Strawberry, common or Virginia Sweet Basil Ocimum basilcum Sweet Cicely, Western Osmorhiza occidentalis Sweet Clover Sweet Marjoram Origanum majorana Tamarack (black larch) Tangerine Citrus reticulata Tansy Tarragon, wild or Russian Thistle, milk Thyme Thymus vulgaris Tormentil Tuliptree Turmeric Curcuma longa Usnea Usnea barbata Valerian Vervain, blue Virginia snakeroot Wafer ash Walnut, black Watercress Watermint Mentha aquatica Wild Black Cherry Willow Willowherb Epilobium angustifolium Wintergreen Gaultheria procumbens Wormwood Yam, wild Yarrow Achillea millefolium Yarrow sweet Yeast, Brewer's Saccharomyces cerevisiae Yellow dock Yerba buena Yerba Santa Eriodictyon californicum For more herbal info check links below
HERBAL & ALTERNATIVE THERAPY LINKS
Herbs2000.com: Herbs (Alphabetical Order)
Indigestion, Heartburn & Low Stomach Acidity
The Digestive System - How it Works & Herbs & Supplements for the Stomach & Digestion
MotherNature.com: Herbs for Health & Healing Indigestion
MotherNature.com: The Green Pharmacy Herbal Handbook - Indigestion
Indigestion & Information on Herbs Used to Help Treat Indigestion
Herbal Medicine - Herbal Tonics & Combinations
Indigestion Home Remedy
BOOKS - RECOMMENDED READING
Healing Plants: A Medicinal Guide to Native North American Plants and Herbs
-- By Ana Nez Heatherley
American Indian Healing Arts: Herbs, Rituals, and Remedies for Every Season of Life
-- By E. Barrie Kavasch, Karen Baar
The Complete Illustrated Holistic Herbal - A Safe and Practical Guide to Making and Using Herbal Remedies
-- By David Hoffman
Rosemary Gladstar's Family Herbal: A Guide to Living Life with Energy, Health, and Vitality
-- By Rosemary Gladstar
Herbal Antibiotics : Natural Alternatives for Treating Drug-Resistant Bacteria (Storey Medicinal Herb Guide)
-- By Stephen Harrod Buhner
For more great books about herbs and herbal remedies, visit our bookstore...
Click here for our Health and Herbal Bookshop
NUTRITIONAL SUPPLEMENTS
Unless otherwise specified, the dosages recommended here are for adults. For a child between the ages of 12 and 17 years, reduce the dose to 3/4 the recommended amount. For a child between the ages of 6 and 12, use 1/2 the recommended dose, and for a child under the age of 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Very Important Aerobic 07 from Aerobic Life Industries 9 drops in water once daily. Controls putrefying action of bacteria in the bowel. Aloe Vera 1/4 cup of aloe vera juice on an empty stomach in the morning and again at bedtime. Aloe vera is good for heartburn and other gastrointestinal symptoms. See more information under herbs. Glucomannan or Aerobic Bulk Cleanse (ABC) from Aerobic Life Industries 1 tablespoon in liquid upon arising. Take separately from other supplements and medications. Colon cleansers that aid in normal stool formation. Proteolytic enzymes
or
Infla-Zyme Forte from American Biologics
or
PancreatinAs directed on label, with each meal. Take 1/2 the recommended dose with snacks. To aid in the breakdown of protein for proper absorption. Important for combating gas and bloating. Caution: Do not give these supplements to a child. Important Acidophilus
Or
Kyo-Dophilus from WakunagaAs directed on label, 1/2 hour before each meal.
As directed on label.Acidophilus is necessary for normal digestion. Use a nondairy formula such as All-Flora from New Chapter.
Kyo-Dophilus contains both garlic and acidophilus. Milk-free and heat-resistant.Garlic (Kyolic) 2 capsules 3 times daily, with meals. Aids in digestion and destroys unwanted bacteria in the bowel. Vitamin B complex
Plus extra
Vitamin B1 (Thiamine)
And
Vitamin B12100 mg 3 times daily, with meals.
50 mg 3 times daily.
1,000 mcg twice daily.Essential for normal digestion.
Enhances production of hydrochloric acid.
Important for proper digestion. Use a lozenge or sublingual form.Helpful Alfalfa As directed on label. It can be taken in liquid or tablet form. Needed for vitamin K and trace minerals. L-Carnitine As directed on label. CArries fat into the cells for breakdown into energy. See Amino Acids for more information. Lecithin granules
Or
Capsules
Or
Lipotropic factors1 tablespoon 3 times daily, before meals.
1,200 mg 3 times daily, before meals.
As directed on labels.Fat emulsifiers that aid in the breakdown of fats. L-Methionine As directed on label, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B6 and 100 mg vitamin C for better absorption. A potent liver detoxifier. See Amino Acids for more information. Multienzyme complex As directed on label. Take with meals. To improve digestion. Do not use a formula containing HCl (hydrochloric acid).
Mountain Rose Herbs, Bulk Herbs A-B
Mountain Rose Herbs, Bulk Herbs C-D
Mountain Rose Herbs, Bulk Herbs E-J
Mountain Rose Herbs, Bulk Herbs K-O
Mountain Rose Herbs, Bulk Herbs P-R
Mountain Rose Herbs, Bulk Herbs S-Z
Click Here To Visit Herbal Remedies Product Page
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF... Because indigestion can be a sign of a more serious health problem, call your health care provider if you have any of the following symptoms:
- Vomiting or blood in vomit (the vomit may look like coffee grounds).
- Weight loss.
- Loss of appetite.
- Black, tarry stools or visible blood in stools.
- Severe pain in upper right abdomen.
- Discomfort unrelated to eating.
Symptoms similar to indigestion may be caused by heart attacks. If indigestion is accompanied by shortness of breath, sweating, or pain radiating to the jaw, neck or arm, seek medical attention immediately.
Notify your health care provider if...
- Symptoms last longer than 2 weeks.
- The pattern of indigestion symptoms changes noticeably.
- Abdominal pain persists longer than 6 hours.
- Symptoms include unexplained weight loss, bleeding, or jaundice.
- symptoms include jaw pain, chest pain, back pain, profuse sweating, anxiety, or a feeling of impending doom (possible heart attack symptoms).
Herbal Information Sources
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch
Eastern/Central Medicinal Plants
-- by Steven Foster, James A. Duke
The Complete Medicinal Herbal
-- by Penelope Ody
Planetary Herbology
-- by Michael Tierra, C.A., N.D., O.M.D
Back to Eden
-- by Jethro Kloss
The Old Herb Doctor
-- by Joseph E. Meyer
Secrets of the Chinese Herbalists
-- by Richard Lucas
Earl Mindell's Herb Bible (1992 Edition)
Earl Mindell's New Herb Bible
-- by Earl Mindell
The Rodale Herb Book
-- edited by William H. Hylton
Indian Herbalogy of North America
-- by Alma R. Hutchens
The Magic of Herbs
-- by David Conway
The Yoga of Herbs
-- by Dr. David Frawley and Dr. Vasant Lad
The Herb Book
-- by John Lust
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