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Dyspepsia, Functional

Briana Lindberg, MD and Kristina Burgers, MD, FAAFP Reviewed 06/2019
 


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 that may necessitate endoscopy include (2),(3),(4):

    • Unintende...

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 dy...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Provide ongoing support and reassurance.

  • Upper endoscopy if persistent symptoms

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

REFERENCES

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

ADDITIONAL READING

  • 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...

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 functional or idiopathic.

  • Consider empiric acid suppression therapy as first line for functional dyspepsia.

  • Extensive diagnostic testing i...

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