On the contrary females suffered more from nonulcer dyspepsia
than males (p= 0.
Absence of benefit of eradicating Helicobacter pylori in patients with nonulcer dyspepsia
is defined by upper abdominal symptoms (nausea, bloating, and abdominal pain) in the absence of an ulcer.
However, in the United States, the National Institutes of Health does not recommend eradication therapy for persons who have nonulcer dyspepsia
or are asymptomatic, according to a 1994 consensus statement.
pylori eradication with a proton pump inhibitor and a course of antibiotics is recommended only for patients with ulcers, but eradication therapy could be more cost effective than the use of antacids for nonulcer dyspepsia
patients because the H.
pylori in the setting of nonulcer dyspepsia
, clinicians need to be comfortable that they have excluded other sinister causes of epigastric pain.
2] Therefore, this paper reviews the treatment of undifferentiated dyspepsia, gastric ulcer caused by nonsteroidal anti-inflammatory drugs (NSAIDs), peptic ulcer disease not associated with NSAID use, and nonulcer dyspepsia
(dyspepsia in a patient who has no evidence of ulcer or GERD on endoscopy).
He said to consider antibiotic therapy only when patients with nonulcer dyspepsia
also have one of the following attributes:
Untreated Helicobacter pylon infection increases the risk of gastric cancer even in patients with nonulcer dyspepsia
, reported Dr.
is the most common subtype, and controversy exists regarding the role of H pylori in this subtype.
The symptoms of nonulcer dyspepsia
do not abate with treatment of a concurrent Helicobacter pylori infection, reported Dr.
RESULTS * The endoscopic diagnoses were: nonulcer dyspepsia
, 48%; active ulcer disease, 32%; gastric or duodenal erosions, 16%; and gastric polyps, 4%.