Functional dyspepsia

Functional dyspepsia (PD) is a symptomatic complex that includes pain or discomfort in the epigastric region, the severity and feeling of overflow in the epigastrium after eating, early satiety, bloating, nausea, vomiting, belching and other symptoms in which, despite a thorough examination, it is not possible to identify any organic disease in the patient.

ICD-10 code

KZ0 Dyspepsia.

Epidemiology of functional dyspepsia

In Western Europe, functional dispepsia is found in 30-40% of the population, it causes 4-5% of all calls to the doctor. In the US and the UK, dyspeptic complaints (symptoms) are concerned, respectively, by 26% and 41% of the population. In Russia, functional dyspepsia is found in 30-40% of the population. Functional dyspepsia is more common at a young age (17-35 years), and in women 1.5-2 times more often than men.

[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11]

Classification of functional dyspepsia

Depending on the clinical picture of the disease, there are three types of functional dyspepsia:

• ulcerative;
• dyskinetic;
• nonspecific.

In the ulcerative variant, permanent or periodic pain of varying intensity in the epigastrium or a feeling of discomfort, often occurring on an empty stomach, at night, diminishing after eating or antisecretory means are observed.

Symptoms of functional dyspepsia

Diagnosis of functional dyspepsia should be assumed in the presence of appropriate complaints and exclusion of organic pathology, which has a similar symptomatology: gastroesophageal reflux disease, peptic ulcer of the stomach or duodenum, stomach cancer, chronic pancreatitis, cholelithiasis. In addition, the symptoms characteristic of PD are observed in scleroderma, systemic lupus erythematosus, diabetic gastroparesis, hyper-parathyroidism, hyper- and hypothyroidism, IHD, osteochondrosis of the thoracic spine, pregnancy.

Diagnosis of functional dyspepsia

[12], [13], [14], [15], [16], [17], [18], [19], [20], [21]

Screening for functional dyspepsia

Screening measures to identify functional dyspepsia are not performed.

Indications for hospitalization

Hospitalization is indicated when it is necessary to conduct a complex examination and difficulties in the differential diagnosis.

Treatment of patients with functional dyspepsia syndrome should be comprehensive and include measures to normalize the lifestyle, the regime and the nature of nutrition, medical therapy, if necessary, psychotherapeutic methods.

Treatment of functional dyspepsia

Objectives of treatment of functional dyspepsia

Reduction of clinical symptoms. Relapse prevention.

Prevention of functional dyspepsia

Measures to prevent the development of functional dyspepsia are not developed.