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
Progressive dysphagi...
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.
Extensive ...
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<bold>FIGURE 38-1.</bold> In irritable bowel syndrome ( IBS) , the spastic contractions of the bowel can be seen on x-ray contrast studies.
<bold>FIGURE 38-1.</bold> In irritable bowel syndrome ( IBS) , the spastic contractions of the bowel can be seen on x-ray cont...
Gastroesophageal Reflux Disease (GERD) Labeled