Dyspepsia

Clinical features

Epigastric pain or discomfort following meals, often accompanied by bloating, sensation of fullness and nausea. Dyspepsia is most commonly functional, linked with stress and not linked to the quantity of gastric acid (antiacids and antisecretory drugs are ineffective). Resolution is usually spontaneous.

Treatment

If the symptoms persist, short term symptomatic treatment may be considered.

In adults:
– metoclopramide PO, 10 mg 3 times daily, with an interval of at least 6 hours between each dose, ½ hour before meals, for 2 to 3 days may be helpful in the event of nausea, vomiting, bloating.
 hyoscine butylbromide PO, 10 mg 3 times daily, ½ hour before meals, for 2 to 3 days, may be helpful in the event of spasmodic pain.

Note: consider and treat possible intestinal parasites (taeniasis, ascariasis, ancylostomiasis, giardiasis, amoebiasis).