title: [Dyspepsia: work-up or provisional treatment?].
abstract: Dyspepsia is defined as symptoms that are considered by a physician to originate from the upper gastrointestinal tract. The term 'functional dyspepsia' designates dyspepsia after exclusion of organic causes. Dyspepsia is a frequent problem in general practice. Mainly for economical reasons, it is impossible to perform every available diagnostic test in every patient to exclude all possible organic causes. The initial work-up is directed at identifying alarm symptoms and alarm signs from history, physical examination, and simple laboratory tests. The presence of any alarm symptoms or alarm sign requires prompt investigation. If none can be found, empirical drug treatment may be performed according to the leading symptom. Treatment failure or rapid recurrence require additional investigations, in particular by gastroscopy.
authors.affiliation: Medizinische Klinik, Stadtspital Triemli, Zürich.
authors.forename: H R
authors.initials: HR
authors.lastname: Koelz
mesh_terms: D000863:Antacids / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019411:Clinical Laboratory Techniques; D003952:Diagnostic Imaging; D004415:Dyspepsia / Q000175:diagnosis* / Q000188:drug therapy*; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D008487:Medical History Taking; D010276:Parasympatholytics / Q000627:therapeutic use; D010808:Physical Examination; D012008:Recurrence
chemical_list: D000863:Antacids; D000900:Anti-Bacterial Agents; D005765:Gastrointestinal Agents; D010276:Parasympatholytics
vernacular_title: Dyspepsie: Abklären oder probatorisch behandeln?