Dyspepsia

  • Perform a patient-centered history and focused physical exam for a patient with dyspepsia
  • Propose a relevant differential diagnosis for dyspepsia
  • Propose an initial investigation plan for dyspepsia, including appropriate indications for H. Pylori testing and when to refer for endoscopic work-up
  • Propose non-pharmacologic and pharmacologic management strategies for dyspepsia

Core Resources

Dyspepsia CPG June 2016

Toward Optimized Practice (TOP) Dyspepsia Working Group. 2009 Jan. Diagnosis and treatment of chronic undiagnosed dyspepsia in adults: clinical practice guideline. Edmonton, AB: Toward Optimized Practice. Available from: http://www.topalbertadoctors.org

Functional Dyspepsia: Evaluation and Management

Mounsey A, Barzin A, Rietz A. Functional Dyspepsia: Evaluation and Management. Am Fam Physician. 2020;101(2): 84-88.

Calgary Dyspepsia Enhanced Primary Care Pathway

DYSPEPSIA Enhanced Primary Care Pathway. Canadian Association of Gastroenterology.

Cough.  Family and Community Medicine Clerkship Core Curriculum Module

Young S, Mardimae A.  Cough.  Family and Community Medicine Clerkship Core Curriculum Module.  University of Toronto.  March 2018.doi:10.1038/ajg.2017.154

Supplemental Resources

ACG and CAG Clinical Guideline: Management of
Dyspepsia

Moayyedi P, et al. “ACG and CAG Clinical Guideline: Management of Dyspepsia”. Am J Gastroenterol 2017; 112:988–1013; doi: 10.1038/ajg.2017.154; published online 20 June 2017

The Toronto Consensus for the Treatment ofHelicobacter pyloriInfection in Adults

Fallone C, Chiba A, et al. The Toronto Consensus for the Treatment ofHelicobacter pyloriInfection in Adults. Gastroenterology. 2016. 151 (1) 51-69. https://doi.org/10.1053/j.gastro.2016.04.006

ACG Clinical Guideline: Treatment of Helicobacter pylori infection

Chey, W. et al. American Journal of Gastroenterology: February 2017 – Volume 112 – Issue 2 – p 212-239

Gas, Bloating and Belching: Approach to Eval & Mgmt

Wilinson J, Cozine E, Loftus C. Gas, bloating, and belching: Approach to evaluation and management. Am Fam Physician. 2019; 99(5): 301-309.