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Dyspepsia, Functional

Briana Lindberg, MD and Kristina Burgers, MD, FAAFP Reviewed 06/2020
 


BASICS

DESCRIPTION

  • 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 ...

DIAGNOSIS

HISTORY

  • 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...

TREATMENT

GENERAL MEASURES

  • 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...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Provide ongoing support and reassurance.

  • Upper endoscopy if symptoms persist

  • Change medications if no difference in symptoms after 4 weeks (3)[C].

  • ...

REFERENCES

1
Stanghellini V, Chan FK, Hasler WLet al. Gastroduodenal disorders. Gastroenterology.  2016;150(6):1380–1392. [View Abstract on OvidMedline]
2
Talley NJ, Ford AC. Functional dyspepsia. N...

ADDITIONAL READING

  • Drossman DA, Tack J, Ford ACet al. Neuromodulators for functional gastrointestinal disorders (disorders of gut–brain interaction): a Rome Foundation working team report. Gastroenter...

CODES

ICD10

K30 Functional dyspepsia 

ICD9

536.8 Dyspepsia and other specified disorders of function of stomach 

SNOMED

3696007 Nonulcer dyspepsia (disorder) 

CLINICAL PEARLS

  • 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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