Treatment of dyspepsia

Dyspepsia is a condition that is commonly seen by family physicians and gas troenterologists in clinical practice. However, there is little consensus o n how dyspepsia should be treated. Some of the issues that require consider ation are: Who seeks medical help? What types of physicians do patients cho ose to see? Do different types of physicians see the same types of patients ? Do different types of physicians treat dyspepsia differently? What causes dyspepsia? In addition, the definition of dyspepsia and the symptoms assoc iated with it vary from region to region, creating problems when discussing these issues on an international basis. In this review, the above issues a re discussed, with particular attention to the impact of Helicobacter pylor i infection and gastric dysmotility. Recommendations for treatment are made , and predictions of how dyspepsia will be treated in the future are given.