What does the cryptic crossword clue "Disorder in internal plumbing? Start to develop repairs to pipes say (9)" mean?

The definition is "Disorder in internal plumbing?". The wordplay uses an anagram. anagram of PIPES (synonym="PIPES") + SAY (synonym="SAY") + D (synonym="first letter or ‘start’ to Develop") = DYSPEPSIA The answer is DYSPEPSIA.

Disorder in internal plumbing? Start to develop repairs to pipes say (9)

Independent Cryptic #11918 | 17 Down | 2024-12-20 flower

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