Functional dyspepsia is a common and benign gastrointestinal disorder that presents similarly to other conditions, making it difficult to diagnose. This condition is characterized by symptoms such as epigastric pain or burning, early satiety, and postprandial fullness, without any structural abnormalities detected via imaging or endoscopy. Functional dyspepsia affects over 20% of the population and is diagnosed based on symptom-based Rome IV Criteria. Although the exact mechanism of functional dyspepsia is poorly understood, its pathophysiology is complex. Functional dyspepsia has 3 subtypes epigastric pain syndrome, postprandial distress syndrome, and a combination of the 2 each thought to result from different mechanisms. Traditionally, functional dyspepsia has been attributed to disturbances in both macroscopic and microscopic gastric physiological factors. Initial management involves educating the patient about the diagnosis and discussing treatment expectations. The primary treatment focuses on symptom management, as this disorder can be relapsing and remitting. Management primarily focuses on symptom relief, with treatment options including proton pump inhibitors, H2-receptor antagonists, prokinetic agents, and antidepressants. Patients should be tested and treated for Helicobacter pylori if applicable. Patients should be educated about their condition and treatment expectations. Endoscopic evaluation is necessary if alarming symptoms such as weight loss, dysphagia, or vomiting are present. This activity reviews the evaluation and treatment of functional dyspepsia, emphasizing the vital role of the interprofessional healthcare team in effectively managing this condition and enhancing patient care.
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FDA REMS
Qualifies for MIPS
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Relevant across 8 specialties.
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