[Health Column] The Real Reason You Always Feel Bloated Despite Normal Endoscopy Results: Fundamental Treatment for Functional Dyspepsia
hello, Director Lee Ji-hye of Miol Korean Medicine Clinic Gwangmyeong Branch no see.
If you look around, there are so many people who habitually take digestive aids because they always feel bloated and uncomfortable. 💊
You finally mustered the courage to get a gastroscopy after enduring the pain any longer, but hearing the normal findings that "there is no inflammation and it is very clear" often brings a wave of bewilderment rather than relief. 🥺
A condition characterized by persistent chronic upper abdominal discomfort and digestive disorders without an organic cause, directly Functional dyspepsia It is called. 🔍
Today, I will easily explain the true causes that cannot be detected by tests, and provide a fundamental treatment method to restore gastrointestinal motility tailored to your constitution! 📌
1️⃣ The endoscopy says everything is clean, so why is my stomach always uncomfortable and painful?
📌 Not a visible wound, but a camouflage that is not captured on screen Movement and Function It is because there is a problem with...
In many cases, visible medical tests such as gastroscopy or blood tests do not reveal any structural abnormalities, such as inflammation or ulcers in the stomach wall.
This is because the endoscopic screen only shows the surface (mucosa) of the stomach and cannot capture the 'movements' and 'functions,' such as how well the stomach massages and breaks down.
In Korean medicine, this is defined as a condition where gastrointestinal motility is reduced and the circulation of Qi and blood is blocked, leading to the accumulation of waste products—that is, in a broad sense. Damjeok Ina Qi stagnation syndrome Diagnosed as. 🪵
Since no problems are visible on endoscopy, there are many patients who end up getting hurt emotionally after hearing comments from those around them saying, "You're just being overly sensitive." 😢
However, this is not simply a matter of mood, but occurs because the stomach is not functioning properly. Actual disease is. ✔️
📌 Do not neglect it just because there are no visible wounds; you must resolve functional issues so that the stomach can function on its own. ✨
2️⃣ Does this apply to me? What symptoms usually appear?
📌 A feeling of being deeply stuck or full Types of satiety Pain in the pit of the stomach Types of pain It is divided into two types. ⚠️
The typical symptoms of functional dyspepsia are broadly classified into two types. 🔸
- First type 🍽️: I feel full even after eating just a little food. Early satiety It feels like food is stuck tightly in the pit of the stomach after a meal. Post-meal satiety
- Second type 🔥: Squeezing pain in the pit of the stomach Upper abdominal pain and a burning, unpleasant sensation Upper abdominal burning sensation
In addition to this, it may be accompanied by symptoms such as frequent burping, nausea that feels like the inside is bursting, and abdominal bloating due to gas. 🎈
If these digestive disorder symptoms persist for several months or more, it is inevitable that you will become afraid of the very act of eating the food you face every day. 😭
As you completely lose the joy of eating delicious food, even your vitality in daily life gradually plummets. 📉
📌 If post-meal fullness or upper abdominal pain persists chronically, an active diagnosis is necessary for the sake of nutritional metabolism and quality of life! ✔️
3️⃣ I rely on digestive medicine whenever I have indigestion. Are there any precautions I should be aware of?
If you habitually rely solely on medication Your stomach will forget how to move on its own. ⚠️
The most common misconception is the complacent belief that "taking digestive aids or antacids whenever I have indigestion will solve the problem." 💊
While it may help with temporary symptom relief, it is dangerous to continuously rely solely on medication when the gastrointestinal motility itself is impaired. 🚨
Consequently, deep caution is required as you may fall into a vicious cycle where symptoms recur much more severely than before once the medication's effects wear off.
Furthermore, it is absolutely forbidden to neglect treatment, claiming, "It is just due to a sensitive personality and will get better on its own if I just relax." 🙅♀️
While it is true that stress stimulates the gastrointestinal nervous system, already impaired physical motility of the stomach must be corrected through proper medical treatment.
📌 The key is to treat both the physical motility of the stomach and constitutional imbalances simultaneously, rather than suppressing symptoms with temporary medication. ✔️
4️⃣ Who would benefit most from traditional Korean medicine treatment?
📌 It is highly effective for patients with chronic indigestion of unknown cause or those who experience stomach upset immediately upon stress. ✨
This treatment is most necessary for those who have repeatedly heard only terms like 'nervous' or 'sensitive' during endoscopic examinations and have been unable to find a clear treatment method. 🔍
Traditional Korean medicine is an excellent solution, especially for those who experience severe indigestion immediately upon mental stress, or suffer from digestive disorders accompanied by chronic headaches and dizziness.
⚠️ However, if accompanied by the following symptoms, a thorough examination is mandatory!
- Sudden weight loss with no apparent reason 📉
- Symptoms of vomiting blood 🩸
- Black stool 💩
These symptoms are highly likely to be caused by organic factors such as ulcers or tumors, so you must undergo a thorough examination first. 🚨
📌 Accurately distinguishing whether your symptoms are a simple functional disorder or an organic problem requiring precise examination is the first step toward safe treatment! 📌
5️⃣ What is the medical basis for Korean traditional medicine?
📌 By analyzing the patient's Sasang constitution, it promotes blood and energy circulation around the stomach and promotes the self-healing ability of the gastric muscle layer. 🌿
Korean traditional medicine treatment for functional dyspepsia does not rely merely on ready-made prescriptions that temporarily aid digestion, but begins with a thorough analysis of each individual patient's Sasang constitution. 📊
This is because the metabolic functions of the innate organs and the rise and fall of energy differ from person to person.
🔬 Evidence of Korean medicine treatment proven by accredited academic journals
- Banhasasimtang (Published in the SCI-indexed international journal Frontiers in Pharmacology): Scientifically demonstrated that it improves symptoms of indigestion by significantly increasing the concentration of 'Ghrelin,' a hormone that regulates gastrointestinal motility. 🧪
- Yukgunjatang (Published in PubMed and other journals): Established evidence for promoting gastric emptying and treating postprandial fullness and early satiety through randomized clinical trials and systematic reviews. 📚
- Customized acupuncture treatment (Published in a prestigious international academic journal): Results of personalized acupuncture treatment based on constitution showed an improvement of over 60% in indigestion symptoms compared to the control group, with effects proven to persist even 4 weeks after the end of treatment. 🎯
📌 When choosing a hospital, be sure to check if it proposes a 1:1 customized program by analyzing multifaceted causes such as the patient's constitutional characteristics, stress, and hormonal balance. ✔️
💬 Frequently Asked Questions (FAQ)
Q1. What is the real reason I continue to feel bloated and have stomach pain even though my gastroscopy was normal? 🤔
Gastroscopy only checks for structural abnormalities on the surface of the stomach wall. Functional dyspepsia is not a surface injury, but rather the stomach digesting food Motor skills There is a problem with the component itself, so separate treatment for functional recovery is required. 💡
Q2. I take digestive medicine out of habit. Is it okay to keep enduring like this? ⚠️
I absolutely do not recommend this in the long term. If you rely solely on medication while your stomach's motility is impaired, your stomach will forget how to move on its own. Before falling into a vicious cycle of accelerating relapses, you must begin treatment that strengthens your stomach's self-healing power. 🌱
Q3. My digestion gets worse when I'm stressed. Is this treatable with Korean traditional medicine? ⚡
It is entirely possible. Korean traditional medicine effectively treats nervous gastrointestinal disorders by restoring balance to the autonomic nervous system, relieving tension around the stomach and intestines tightened by stress, and normalizing hormone and Qi-blood circulation. ✨
🎬 Conclusion: A wise first step toward a comfortable daily life
If you are suffering from persistent indigestion despite being told there were no abnormalities on a gastroscopy, it is now time to look at the stomach's... rather than visible wounds Function and Mobility It is time to seriously reflect on this. 🔍
- 🔸 Management Points: Rather than relying on health supplements or folk remedies recommended by others, the proper order is to first check your current gastrointestinal condition and constitutional characteristics. 🙅♂️
- ✔️ Necessity of specialist consultation: Since everyone has a different innate Sasang constitution and the underlying causes of impaired gastrointestinal function vary, you must consult with medical professionals to find a fundamental treatment method tailored to your constitution.
✨ "Rather than missing the opportunity for proper treatment by relying solely on digestive aids that merely temporarily suppress symptoms, I hope you boost your stomach's natural healing power to regain the joy of eating and the vitality of your daily life." 💪
Miol Korean Medicine Clinic Gwangmyeong Branch
Director Lee Ji-hye
Completed Master's degree in Clinical Korean Medicine at Kyung Hee University
Bachelor of Korean Medicine, Dongguk University
Member of the Korean Society of Oriental Medicine for Obesity
Cumulative patients treated 10,000 more than 1 person
Dietary treatment experience 9 more than a year
hyeon Miol Korean Medicine Clinic Gwangmyeong branch Chief Director
YouTube Diet Oriental Medicine Doctor Lee Ji-hye
Herbal medicine diet tailored to your constitution ( Sasang Constitution Prescription )
Herbal medicine for appetite and metabolism regulation
Weight loss without yo-yo effect – Metabolic recovery program
climacteric , Postpartum weight management
PCOS, Hormonal imbalance obesity treatment
Stress-induced binge eating , Emotional eating management
Breaking through a diet plateau
📚 Check out other columns by Director Lee Ji-hye.
📎 This column was written based on the following materials.
· Korea Disease Control and Prevention Agency National Health Information Portal — 'Functional Dyspepsia' Disease Information
· Korea Institute of Oriental Medicine — 'Standard Clinical Practice Guidelines for Functional Dyspepsia in Korean Medicine'
· Korean Society of Functional Gastroenterology and Motility — "Revised Clinical Practice Guidelines for Functional Dyspepsia"
· SCI(E)-level international academic journal Frontiers in Pharmacology: Banhasasimtang clinical trial study
· PubMed Systematic Review of Yukgunjatang









