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