FUNCTIONAL DYSPEPSIA - INSIGHTS ON MECHANISMS AND MANAGEMENT STRATEGIES

The instability of the clinical manifestations of functional dyspepsia is notorious. This instability is manifested in two forms: temporal i nstability and circumstantial instability. It is probably in the latte r context that stress and other psychological factors influence the sy mptoms of dyspepsia. It is conceivable that, after all, most dyspeptic patients manage to get by thanks to the concerted beneficial action o f physician reassurance, placebo effects, drug effects, and spontaneou s improvement.