Dyspepsia

Extract

• The cause of dyspeptic symptoms is either organic dyspepsia, where the symptoms originate from an organic cause, or functional dyspepsia, where symptoms originate from the upper part of the digestive tract without an organic, systemic or metabolic disease explaining the symptoms.
• Gastroscopy is the investigation of choice in patients with alarming symptoms (table 1).
• In the absence of alarming symptoms, the evaluation of dyspeptic symptoms may in patients less than 55 years of age be started with a therapeutic trial of a proton pump inhibitor (PPI) drug or with a H. pylori screening test. H. pylori-positive patients are treated with triple therapy Peptic ulcer disease, Helicobacter pylori infection and chronic gastritis1.
• Upper abdominal ultrasonography is not useful as a primary investigation.
• The possibility of ischaemic heart disease as the cause of upper abdominal symptoms should be borne in mind with patients in risk groups.

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Abdominal Pain, Aerophagy, Anti-Inflammatory Agents, Celiac Disease, Cholelithiasis, Duodenal Ulcer, Dyspepsia, Esophagitis, Esophagitis, Peptic, Esophagoscopy, Gastritis, Gastroenterology, Gastroscopy, Helicobacter Infections, Internal medicine, K30, Lactose Intolerance, Pancreatitis, Chronic, Peptic Ulcer, R10.1, Stomach Ulcer, Surgery, abdominal distress, functional dyspepsia, helicobacter pylori antibodies, therapeutic trial, ulcer-type dyspepsia