The presence of bothersome postprandial fullness, early satiety, or epigastric pain/burning in the absence of causative structural disease (to include normal upper endoscopy) for at ...
Postprandial fullness (1)
Early satiety (1)
Epigastric pain (1)
Epigastric burning (1)
Symptoms for 3 months (1)
Alarm features include (2,3,4):
Unintended weight loss
Reassurance/physician support is helpful (2,3)[C].
Treatment is based on presumed etiologies.
Discontinue offending medications (3)[C].
Routine endoscopy not recommended in dysp...
Provide ongoing support and reassurance.
Upper endoscopy if symptoms persist
Change medications if no difference in symptoms after 4 weeks (3)[C].
Drossman DA, Tack J, Ford ACet al. Neuromodulators for functional gastrointestinal disorders (disorders of gut–brain interaction): a Rome Foundation working team report. Gastroenter...
Dyspepsia without underlying organic disease is classified as being functional or idiopathic.
Consider empiric acid suppression therapy as first line for functional dyspepsia.
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