TY - CHAP M1 - Book, Section TI - Dyspepsia A1 - McQuaid, Kenneth R. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2022 T2 - Current Medical Diagnosis & Treatment 2022 AB - ESSENTIALS OF DIAGNOSISPredominant epigastric pain.May be associated with epigastric fullness, nausea, heartburn, or vomiting.Endoscopy is warranted in all patients age 60 years or older and selected younger patients with alarm features.In all other patients, testing for Helicobacter pylori is recommended; if positive, antibacterial treatment is given.Patients who are H pylori negative or do not improve after H pylori eradication should be prescribed a trial of empiric proton pump inhibitor therapy.Patients with refractory symptoms should be offered a trial of tricyclic antidepressant, prokinetic agent, or psychological therapy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184169190 ER -