question and answer
The deal on treating dyspepsia
October 2004
ALVIN NEWMAN, MD, of Toronto, ON, asks, "How do you treat dyspepsia in a young patient?"
Dyspepsia in a young patient -- assuming, of course, there are no alarm features such as weight loss, anemia, etc. -- is best managed with a short trial of a proton pump inhibitor (PPI). Response to therapy indicates an acid-peptic disease. In that case, I would be inclined to test and treat for H. pylori. Other considerations would include gastroesophageal reflux disease. If that's the situation, the response to PPIs is excellent and corresponds to symptom control. I feel that lack of response to PPIs indicates the possibility of functional dyspepsia. Endoscopy isn't generally necessary in this sort of patient and is only reserved for refractory cases. AS
practice guidelines & special reports
subscription   |   advertising information   |   about us   |   contact us   |   privacy statement   |   legal terms of use   |   Doctors review
Oncology Exchange   |   Relay   |   Health Essentials   |   Our Voice   |   login