RT Book, Section
A1 McQuaid, Kenneth R.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1184169190
T1 Dyspepsia
T2 Current Medical Diagnosis & Treatment 2022
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264269389
LK accessmedicine.mhmedical.com/content.aspx?aid=1184169190
RD 2024/04/19
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.