A case of functional dyspepsia accompanied by epigastric pain and a feeling of something stuck in the throat that worsens with eating.
Diagnosis by physician: Functional dyspepsia
symptom
A man in his 20s came to the clinic complaining of epigastric pain and a feeling of something stuck in his throat.
The symptoms worsened during and after meals, and the patient was unable to eat for an extended period.
Three months prior to her visit, she underwent an endoscopy, but no structural abnormalities were found, and she was diagnosed with suspected functional dyspepsia.
Despite taking the prescribed Acofide, there was no change in symptoms, and the patient continued to experience difficulty eating in their daily life.
During the initial physical examination, muscle tension was observed in the epigastric region and neck.
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Visitors
Male
20's
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Period
February 2025 - March 2026
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frequency
About 1 times a week
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Number of hospital visits
4 times
Treatment and progress
During the initial treatment, acupuncture was performed on the following acupoints: Diji, Kaipo, Wukuo, Xinshu, and Dushu.
Immediately after the treatment, I felt relief in my stomach and throat, but the symptoms returned after three days.
In subsequent sessions, the treatment continued with the same goal of relieving abdominal muscle tension and improving gastrointestinal function.
With each treatment session, the patient gradually became able to eat, and their GSRS (Gastrointestinal Symptom Rating Scale) score improved from 49 points at the initial consultation to 45 points, then 40 points, and after the fourth treatment session, it had decreased to 30 points.
Ultimately, I was able to check "not much trouble" for all items and go about my daily life without difficulty.
No recurrence of symptoms was observed during the treatment period.
Data
Acupressure points used
Summary
In a case of suspected functional dyspepsia, where the patient had difficulty eating, four acupuncture treatments were performed to relieve muscle tension in the abdomen and neck. While the initial treatment only provided temporary improvement, continued treatment led to a gradual improvement in symptoms, and the GSRS score decreased from 49 to 30. This suggests that an approach of improving function through muscle tension relief was effective for functional gastrointestinal symptoms without accompanying organic abnormalities. In this case, gastrointestinal function recovered with continued treatment, improving both food intake and quality of daily life.
Staff in charge
Hideteru Sugiyama
Acupuncture clinic for the case:Furumichi Acupuncture Clinic
