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
Early satiety
Epigastric pain
Epigastric burning
Symptoms for 3 months
Alarm features include (1,2):
Unintended weight loss
Progressive dysphagia
Odynophagia
Persistent ...
Reassurance/physician support is helpful (1)[C].
Treatment is based on presumed etiologies.
Discontinue offending medications (1)[C].
Routine endoscopy not recommended in dysp...
Provide ongoing support and reassurance.
Consider upper endoscopy if persistent symptoms
Change medications if no difference in symptoms after 4 w...
Jones MP, Guthrie-Lyons L, Sato YA, et al. Factors Associated With Placebo Treatment Response in Functional Dyspepsia Clinical Trials. Am J Gastroenterol. ...
Irritable Bowel Syndrome
Algorithm: Dyspepsia
Dyspepsia without underlying organic disease is classified as functional or idiopathic.
Consider empiric acid suppression therapy as first line for functional dyspepsia.
Extensive diagno...
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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