الفهرس 
Dyspepsia
Pathogenesis of functional dyspepsiaOnly 14 pages are availabe for public view
 |  | from | 141 |  |  |
| | | from | 141 | | |
Abstract
Dyspepsia is a chronic and recurrent pain in the upper abdomen, it include
a heterogeneous group of diseases whose clinical manifestations are common
as burning pain ,vomiting, early satiety and discomfort , these may caused by different pathophysiologic mechanisms. Dyspepsia as shown in this study has a large number of possible
etiologies organic causes most commonly, it is caused by gastric ulcers or GERD. Although malignancies and other serious conditions also need to be put in mind . And as we found in our study which conducted in Tanta University Hospitals outpatient clinics and gastro enterology unit on one hundred patient with dyspepsia in 75% of our patients, investigations reveal
no specific etiology and this called functional dyspepsia .Patients at high risk for SEFS with alarm features or old age should have early endoscopy. In young patients without signs or symptoms of a serious underlying disorder the most essential initial management strategy is to be H. pylori testing followed by eradication of the organism when the test is positive. Acid suppressant or prokinetic agent can be used in patients with FD dyspepsia who do not have H. pylori infection and in patients with H.
pylori infection who do not respond to anti– H. pylori agents and this in most
patient. If symptoms still do not improve, endoscopic evaluation become a must and indicated, after endoscopic evaluation and other possible investigations, if the diagnosis is functional or non ulcer dyspepsia and the symptoms do not resolve although all previous treatments, patient should improve dietary habit , surrounding environment and emotional triggers. And additional treatments can include antidepressant drug therapy, stress management,relaxation therapy and psychotherapy.