Upper Gastrointestinal Disorders

Abstract

Upper gastrointestinal disorders are common conditions that have afflicted humans since antiquity. They can be categorized by primary location (esophagus or stomach) and by the presence of identifiable pathological changes. Symptoms range in severity and may not correlate with severity of underlying disease. This chapter explores the pathophysiology, symptoms, and diagnoses of gastroesophageal reflux disease, gastritis, peptic ulcer disease, and functional dyspepsia. Modifiable risk factors and potential benefits and harms of conventional treatments are examined. Specific recommendations for comprehensive lifestyle modifications for these conditions are described, including proper nutrition, physical activity, stress management, sleep, toxin reduction, and other external factors. Integrative approaches are then explained, with a focus on botanicals and supplements, followed by a review of homeopathy, psychological therapy, and acupuncture. Finally, lifestyle changes and integrative treatments are summarized.