The term "dyspepsia," derived from the Greek words dys (bad)and pepsis (digestion), refers to symptoms thought to originatein the upper gastrointestinal tract.1,2 Dyspepsia is often usedto refer to upper abdominal pain or discomfort but may alsoencompass symptoms of early satiety, postprandial abdominalbloating or distention, nausea, and vomiting.2,3 Dyspepsia canbe episodic or persistent and is often exacerbated by eating.The prevalence of dyspepsia ranges from 26 percent in the UnitedStates to 41 percent in England.4,5 Although only 20 to 25 percentof persons with dyspepsia seek medical care, the problem isresponsible for 2 . . . [Full Text of this Article]
Differential Diagnosis of Dyspepsia
Diagnosis of Nonulcer Dyspepsia
Theories of Pathogenesis
Nonmotility Disorders
Motility Disorders
Treatment
Gastric AcidSuppressing Agents
Prokinetic Agents
Treatment of H. pylori Infection
Psychotropic Medications
Antinociceptive Agents
Evaluation and Choice of Treatment
Role of Endoscopy
Empirical Therapy
Summary
Source Information
From the Gastroenterology Section, Department of Medicine, Parkinson Pavilion, 8th Fl., Temple University School of Medicine, 3401 N. Broad St., Philadelphia, PA 19140, where reprint requests should be addressed to Dr. Fisher.
References
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