B1. Functional dyspepsia* |
Diagnostic criteria¶ |
- One or more of the following:
|
a. Bothersome postprandial fullness |
b. Bothersome early satiation |
c. Bothersome epigastric pain |
d. Bothersome epigastric burning |
AND |
- No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms
|
B1a. Postprandial distress syndrome |
Diagnostic criteria¶ |
Must include one or both of the following at least three days per week: |
- Bothersome postprandial fullness (ie, severe enough to impact on usual activities)
|
- Bothersome early satiation (ie, severe enough to prevent finishing a regular-size meal)
|
No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper endoscopy) |
Supportive remarks |
- Postprandial epigastric pain or burning, epigastric bloating, excessive belching, and nausea can also be present
|
- Vomiting warrants consideration of another disorder
|
- Heartburn is not a dyspeptic symptom but may often coexist
|
- Symptoms that are relieved by evacuation of feces or gas should generally not be considered as part of dyspepsia
|
Other individual digestive symptoms or groups of symptoms, eg, from gastroesophageal reflux disease and the irritable bowel syndrome may coexist with PDS |
B1b. Epigastric pain syndrome |
Diagnostic criteria¶ |
Must include at least one of the following symptoms at least one day a week: |
- Bothersome epigastric pain (ie, severe enough to impact on usual activities)
|
AND/OR |
- Bothersome epigastric burning (ie, severe enough to impact on usual activities)
|
No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper endoscopy) |
Supportive remarks |
- Pain may be induced by ingestion of a meal, relieved by ingestion of a meal, or may occur while fasting
|
- Postprandial epigastric bloating, belching, and nausea can also be present
|
- Persistent vomiting likely suggests another disorder
|
- Heartburn is not a dyspeptic symptom but may often coexist
|
- The pain does not fulfill biliary pain criteria
|
- Symptoms that are relieved by evacuation of feces or gas generally should not be considered as part of dyspepsia
|
Other digestive symptoms (such as from gastroesophageal reflux disease and the irritable bowel syndrome) may coexist with EPS |