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About MIMS Treatment Guidelines
Anxiety Overview
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Asthma Overview
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Patient Education
Attention-Deficit/Hyperactivity Disorder (ADHD) Overview
Symptoms
Treatment
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Bipolar Disorder Overview
Symptoms
Treatment
Breast Cancer Overview
Symptoms
Treatment
Bronchitis - Chronic in Acute Exacerbation Overview
Symptoms
Treatment
Patient Education
Bronchitis - Uncomplicated Acute Overview
Symptoms
Treatment
Patient Education
Chlamydia Overview
Symptoms
Treatment
Patient Education
Chronic Obstructive Pulmonary Disease Overview
Symptoms
Treatment
Patient Education
Dengue Overview
Symptoms
Treatment
Patient Education
Depression Overview
Symptoms
Treatment
Patient Education
Diabetes Mellitus Overview
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Treatment
Patient Education
Dyslipidemia Overview
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Treatment
Patient Education
Dyspepsia Overview
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Treatment
Patient Education
Endometriosis Overview
Symptoms
Treatment
Gastroesophageal Reflux Disease (GERD) Overview
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Treatment
Patient Education
Gout Overview
Symptoms
Treatment
Patient Education
Hepatitis Overview
Symptoms
Treatment
Patient Education
HIV Overview
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Hypertension Overview
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Treatment
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Infective Endocarditis Overview
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Treatment
Insomnia Overview
Symptoms
Treatment
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Lung Cancer Overview
Symptoms
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Measles Overview
Symptoms
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Melanoma Overview
Symptoms
Treatment
Patient Education
Neuropathic Pain Overview
Symptoms
Treatment
Parkinson's Disease Overview
Symptoms
Treatment
Rheumatoid Arthritis Overview
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Treatment
Patient Education
Scabies Overview
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Patient Education
Schizophrenia Overview
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Vertigo Overview
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Patient Education
There is no clear evidence of specific association between lifestyle factors & dyspepsia, but some individuals may be helped by these measures
To reduce anxiety, in cases where there are no indications of organic disease, reassurance is an important part of initial therapy
Provide patients w/ access to educational materials to support the care they receive
Lifestyle Modifications
Advise patients to avoid known precipitants that they associate w/ dyspeptic symptoms eg alcohol, coffee, chocolate & fatty foods
Alcohol, coffee, & chocolate have pharmacological effects that may reduce the tone of the lower esophageal sphincter (LES)
Fatty foods delay gastric emptying time which may also predispose to GERD
Encourage patient to stop smoking
Smoking has pharmacological effects that may reduce the tone of the LES
Wt reduction for overweight & obese patients
Obesity may disrupt the LES due to mechanical pressure on the diaphragm
May suggest having a main meal well before going to bed (preferably 3 hr before)
Some patients may benefit from raising the head when sleeping
Lying flat may increase reflux episodes since gravity does not prevent acid regurgitation
Other Considerations
If there is concurrent use of NSAIDs, evaluate for risk of GI complications & consider alternative strategies if risk is a concern
See PUD Management Chart for details
Patients w/ refractory functional dyspepsia have a high rate of accompanying depression & psychiatric illness
May consider psychological therapies, eg cognitive behavioral therapy (CBT) & psychotherapy, or antidepressants to reduce dyspeptic symptoms esp in non-ulcer dyspepsia
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◀Dyspepsia Treatment