A group of epigastric symptoms classified based on presenting symptoms
The presence of bothersome postprandial fullness, early satiety, or epigastric pain/burning in the absence of ca...
Postprandial fullness (1)[B]
Early satiety (1)[B]
Epigastric pain (1)[B]
Epigastric burning (1)[B]
Symptoms for 3 months (1)[C]
Alarm features that may necessitate endoscopy include (2,3,4...
Reassurance and physician support are helpful (2,3)[C].
Treatment is based on presumed etiologies.
Discontinue offending medications (3)[C].
Routine endoscopy not recommended in...
Provide ongoing support and reassurance.
Upper endoscopy if persistent symptoms
Change medications if no difference in symptoms after 4 weeks (3)[...
Du LJ, Chen BR, Kim JJ, et al. Helicobacter pylori eradication therapy for functional dyspepsia: systematic review and meta-analysis. World J Gastroenterol. 2016;22(12):3486–3...
Irritable Bowel Syndrome
Algorithm: Dyspepsia
Dyspepsia without underlying organic disease is functional or idiopathic.
Consider empiric acid suppression therapy as first line for functional dyspepsia.
Extensive diagnostic testing i...
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