What is Chronic Indigestion?

Chronic indigestion, medically known as dyspepsia, refers to persistent or recurrent discomfort in the upper abdomen. Unlike occasional indigestion that occurs after overeating or consuming spicy foods, chronic indigestion lasts for weeks or months and often disrupts daily life.

It is not a disease itself but a group of symptoms that usually include bloating, early satiety (feeling full too quickly), upper abdominal pain, nausea, or excessive burping.

Chronic indigestion can stem from multiple causes. In some individuals, it may be related to lifestyle factors such as irregular eating habits, stress, excess caffeine or alcohol consumption, or smoking.

For others, it may be linked to underlying medical conditions like gastritis, peptic ulcers, gastroesophageal reflux disease (GERD), or infections such as Helicobacter pylori.

Certain medications, including painkillers (NSAIDs), antibiotics, or steroids, can also irritate the stomach lining and trigger persistent digestive discomfort.

When should I see a doctor for indigestion?

While mild or occasional indigestion is common, certain symptoms indicate the need for medical attention. You should consult a doctor if your indigestion becomes persistent, severe, or frequently recurring.

A healthcare professional can help identify the underlying cause and recommend appropriate treatment.

Seek medical evaluation if your symptoms:

Last longer than two weeks: If indigestion continues despite dietary adjustments or over-the-counter medicines, it may point to an underlying condition requiring diagnosis and treatment.

Occur repeatedly after meals: Frequent discomfort, even after eating normal portions, suggests impaired digestion, acid imbalance, or stomach inflammation.

Interfere with daily activities: If the discomfort affects sleep, appetite, or productivity, it’s important to assess the cause early.

Are accompanied by alarming symptoms: You should see a doctor immediately if indigestion is associated with:

• Unexplained weight loss.
• Persistent vomiting or vomiting blood.
• Black, tarry stools (a sign of internal bleeding).
• Difficulty swallowing or food getting stuck.
• Severe abdominal pain.
• Shortness of breath, dizziness, or sweating.
• Loss of appetite.
  
  

These symptoms may indicate ulcers, gastrointestinal bleeding, or other serious conditions.

Begin after starting a new medication: Some medicines irritate the stomach lining. If symptoms begin after starting NSAIDs or other drugs, a doctor can advise safer alternatives or protective medications.

Conclusion

Chronic indigestion is more than occasional digestive discomfort—it can significantly affect quality of life and may signal an underlying health issue. Understanding your symptoms and recognizing when to seek medical help is key to preventing complications.

 If your indigestion is persistent, worsening, or accompanied by worrying signs, consulting a doctor ensures accurate diagnosis and effective treatment. With timely care, lifestyle adjustments, and appropriate medication, most people can manage dyspepsia successfully and restore healthy digestion.

Dr. Kailash Mishra
Director & Gastroenterologist Consultant
Prime Gastro Liver Clinic