Interní Med. 2007; 9(10): 420-423
Functional bowel dyspepsia in primary care
- Gastroenterologické centrum VFN, IV. interní klinika VFN a 1. LF UK Praha
Dyspepsia is a complex of various complains that a patient localizes in the region of gastrointestinal tract. Functional dyspepsia is a disorder not explained by structural and biochemical abnormalities. The etiology of lower dyspeptic syndrome has not been completely explained. The lower dyspepsia is usually divided to irritable bowel with subtypes (morning fractioned defecation, postprandial defecation and debacle), spastic constipation, functional diarrhoea, and incomplete and atypical forms. A thorough history targeted on characteristic signs and symptoms (a positive component) leads to the diagnosis and rules out an organic disorder (a negative component). The treatment consists of life style and dietary changes and medical treatment.
Keywords: dyspepsia, lower dyspeptic syndrome, functional bowel dyspepsia, irritable bowel, constipation, diarrhea
Published: January 1, 2008 Show citation
References
- Dolní dyspeptický syndrom. Doporučený diagnostický a léčebný postup pro všeobecné praktické lékaře, 2006, Čas. Lék. čes., 2007; 146 (1).
- Drossmann DA. The functional gastrointestinal disorders and the Rome III Process. Gastroenterology, 2006; 130: 1377-1390.
Go to original source... 
Go to PubMed... - Hasler WL, Owyang C. Irritable bowel syndrome. In: Textbook of gastroenterology. Yamada T, ed., Lippincott Williams & Wilkins, Philadelphia, 2003: 1817-1842.
- Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology, 2006; 130: 1480-1491. Go to original source... Go to PubMed...
- Lukáš K, a kol. Funkční poruchy trávicího traktu. Grada Publishing, Praha 2003.
- Mařatka Z. Funkční trávicí poruchy. In: Gastroenterologie. Mařatka, Z. ed., Karolinum, Praha, 1999: 407-434.
- Tack J, Talley NJ, Camilleri M, et al. Functional gastrointestinal disorders. Gastroenterology, 2006; 130: 1466-1479. Go to original source... Go to PubMed...
- Talley NJ. Irritable bowel syndrome. In: Gastrointestinal and liver disease. Feldman M, Friedman LS, Brandt LJ, Saunders Elserier, Philadelphia, 2006: 2533-2652. Go to original source...
- Whitaker MJ, Brun J, Carelli F. Controversy and consensus in the management of upper gastrointestinal disease in primary care. I.J.C.P., 51, 1997; 4: 239-243. Go to original source...