Aim. The purpose of the article is to study the possibilities of MRI diagnosis of postprandial distress syndrome using the drinking test and its correction with mineral water.Materials and methods. Clinical observation is described. Patient A., 24 years old, came to the clinic with symptoms of functional dyspepsia. After a comprehensive examination, the diagnosis of Postprandial Distress Syndrome was established. The capabilities of MRI diagnostics of functional dyspepsia were assessed by drinking test. The study lasted 50 minutes. Scans were performed 5, 13, 20, 35 and 50 minutes after water intake. For the next 4 weeks, the patient ingested the non-carbonated mineral water “Uvinskaya” room temperature 30 minutes before taking a meal of 100 ml in the first 6-7 days, followed by an increase in volume to 200 ml 3 times a day.Results. An MRI study with a drinking test in dynamics showed an increase in the volume of water drunk. When assessing the morphofunctional state of the stomach, differences were revealed at the level of the fundus: before treatment - the wall is tense, after course therapy - relaxed, relaxation accommodation is more pronounced. An acceleration of evacuation of the received water into the duodenum after treatment was also found. The positive dynamics of the state of motor-evacuation function of the stomach is due to the chemical composition of mineral water and the regimen of balneotherapy.Conclusions. Gastric MRI is an informative and safe diagnostic method for Postprandial Distress Syndrome, which allows to evaluate the structural and functional features of the gastroduodenal zone. Drinking test can help in the MRI diagnosis of functional dyspepsia, increasing the information content of the study. The use of drinking mineral waters in postprandial distress syndrome is pathogenetically justified, but requires further research to develop rational balneotherapy regimens.

Objective of the study: to clarify the influence of external factors on the symptoms of functional dyspepsia in medical students.Materials and methods: A survey of 105 students aged 20.2 ± 0.18 years was conducted. The survey was conducted on a special gastroenterological questionnaire GSRS. Also in the questionnaire we added questions that characterize postprandial distress syndrome. An additional questionnaire was conducted on issues that allow us to assess the influence of external factors on the functional dyspepsia of students (nutrition, bad habits, constitutional features).Results: During the study revealed: the intensity of manifestations of functional dyspepsia from 1 to 6 courses is reduced. Bad habits like smoking, eating at bedtime, using chewing gum, eating with alcohol have a negative effect on the digestive system, which can be a risk factor for developing functional dyspepsia. A correlation was also found between clinical syndromes: epigastric pain syndrome and reflux syndrome (r = 0.4), diarrhea syndrome (0.37), dyspeptic syndrome (0.5), constipation syndrome (0.37); postprandial distress syndrome and reflux syndrome (0.42), diarrhea syndrome (0.39), dyspeptic syndrome (0.83), constipation syndrome (0.39).Conclusions: The intensity of most manifestations of functional dyspepsia during the transition to older courses decreases, however, 4-year students are more susceptible to postprandial distress syndrome, which can be associated with adverse factors such as smoking, eating food at bedtime, using chewing gum, eating with alcohol.

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Diabetes mellitus holds one of the leading positions among the current problems of modern medicine. Despite the obvious success in studying diabetes in the last decades, its prevalence has become pandemic. In spite of the use of modern methods of therapy, a rather high frequency of diabetes mellitus complications from various organs and systems, the pathological changes in which largely determine the course of the disease and patient’s quality of life remains. Issues of eating disorders and their correction play an important role in the complex therapy of patients with diabetes mellitus. Objective: determination of the characteristics and relationship of eating disorders with gastroenterological symptoms and glucose levels in patients with chronic gastritis in type 2 diabetes. Materials and methods: dynamic study of the eating behavior and quality of life in 66 patients with chronic gastritis in type 2 diabetes mellitus was conducted using GSRS, SF-36 and DEBQ questionnaires. The level of glucose on an empty stomach and after eating was also measured, the frequency of self-measurement of glucose level and the presence of diabetes mellitus complications were determined. Results: the identified correlation relationships suggest that gastrointestinal symptoms characteristic of chronic gastritis with type 2 diabetes mellitus worsen the physical and psychological components of health, which provokes a breakdown and a violation of the diet in this category of patients. Conclusion: chronic gastritis in patients with type 2 diabetes mellitus aggravates the prognosis of diabetes and exacerbates eating disorders, which requires observation of an endocrinologist, as well as a gastroenterologist and psychotherapist in the management of such patients.

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