How is dyspepsia treated

How is dyspepsia treated?

Treatment of dyspepsia depends on the underlying cause. If Hp is present, treatment is directed against the pathogenic organism. Common drug regimens include 10- to 14-day courses of triple (proton pump inhibitor [PPI], clarithromycin and amoxicillin) or quadruple therapy (PPI, bismuth subsalicylate, metronidazole and tetracycline). If there is no evidence of concurrent PUD, the likelihood of symptom resolution is 10% to 15%. If ulcers are identified, treatment includes a course of antisecretory drug therapy with either a PPI (preferred) or a second-generation antihistamine. These medications alleviate symptoms and promote mucosal healing. If no abnormalities are identified, and the patient is diagnosed with functional dyspepsia, standard therapies include PPIs, pro-kinetic agents, and anti-depressants.


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