An extremely common disorder, over half the patient that undergo endoscopic examination, are found to have nothing specific.
Dyspeptic symptoms of aching,bloating, belching, nausea, heart burn, early satiety, aggravation by food, of several weeks duration for which No organic cause can be found, by clinical laboratory or endoscopc and abdominal imaging examinations.
Treatment
General management, as outlined under ‘management of functional illness’ is extremely important, and will be of enormous help to the patient.
Drugs have proved quite diosappointing in the majority of instances, and clinical trials have failed ot establish superiority or infallibility of any group of drugs. Prokinetic agents like mosapride (100mg tid) or metclopramide (5-10mg tid), iotopride (50mg tds) before food are perhaps the most helpful drugs available. Antacids may be tried in patients with occasional dyspepsia, H1 blockers merit a trial as also eradicators of H. Pylori. Tricyclic Antidepressants help in many patients.
