Optimal practice review: recommendation reminders detail
|Date issued:||August 2004|
Indigestion is the word used to describe pain or discomfort in the chest or upper abdomen that happens, sometimes after meals. The medical word for indigestion is dyspepsia. Indigestion covers a number of symptoms, such as feeling bloated, burping, or feeling or being sick. It also covers reflux, which is where some of the stomach contents come back up towards the mouth. The person feels a burning sensation because of the acid present in the stomach.
Studies have found that each year, dyspepsia occurs in 40% of the population and 5% of the population consult their GP about it.
Initial therapeutic strategies for dyspepsia are empirical treatment with a proton pump inhibitor (PPI) or testing for and treating the bacteria Helicobacter pylori (H. pylori) in the stomach. There is currently insufficient evidence to guide which should be offered first.
Psychological therapies, such as cognitive behavioural therapy and psychotherapy, may reduce dyspeptic symptoms in the short term in individual patients, but the evidence to support this is weak. Therefore, given the intensive and relatively costly nature of such interventions, routine provision by primary care teams is not currently recommended by the NICE guideline development group.
This page was last updated: 11 March 2008