Prakt. lékáren. 2013; 9(2): 68-70

Treatment of functional dyspepsia

Michal Konečný, Jiří Ehrmann

II. interní klinika &ndash, gastro-enterologická a hepatologická LF a FN Olomouc

The article deals with the classification, diagnosis, and, in particular, treatment of functional dyspepsia. Both classification by the Czech

school of functional gastrointestinal disorders and the recent Rome III classification are presented. The diagnostic recommendations

presented are based on the current Rome criteria mentioned above. In treating functional dyspepsia, emphasis is placed on the comprehensiveness

of pharmacological and nonpharmacological approach, including psychological and psychiatric evaluation. In medication

therapy for upper dyspepsia, a very good effect of spasmolytic drugs, gastric secretion inhibitors, and prokinetic agents is emphasised.

Concerning the therapy of lower dyspepsia, the effect and the strategy of treatment with constipating agents and adsorbents as

well as with laxatives are explained. Alternative options of treating functional dyspepsia are also mentioned. The prognosis of patients

with functional dyspepsia is favourable in terms of mortality; however, in more severe cases, it is uncertain in terms of quality of life.

Keywords: functional dyspepsia, classification, diagnosis, nonpharmacological treatment, medication therapy

Published: April 15, 2013  Show citation