Affiliations 

  • 1 Department of Family Medicine, IMU Clinical School, Jalan Rasah, 70300 Seremban, Malaysia
  • 2 Department of Internal Medicine, IMU Clinical School, Jalan Rasah, Seremban 70300, Malaysia
Med J Malaysia, 2008 Jun;63(2):174-6; quiz 177.
PMID: 18942314 MyJurnal

Abstract

Non ulcer dyspepsia is one of the most common problems encountered in primary care practice. The underlying pathophysiology of non ulcer dyspepsia is not fully understood, but it is known that this condition is associated with H. pylori infection and motility disorder. The presenting abdominal symptoms are non specific: they include bloating, belching, flatulence, excessive fullness after eating and nausea. Psychological condition such as anxiety, depression and stress do play a role in the recurrence of symptoms. Upper GI endoscopy is necessary in patients who presents with alarm symptoms suggestive of possible underlying organic condition before one makes the diagnosis of non ulcer dyspepsia. Pharmacological therapy using H2 receptor antagonist and proton pump inhibitors are effective for symptom relief. Patient's education and supportive care should be part of the management strategy in recurrent chronic dyspepsia.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.