Authors
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WM Simmonds
University of the Free State
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M Brand
University of Pretoria
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K Coovadia
Mediclinic Panorama
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V Lala
University of the Witwatersrand
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V Naidoo
University of KwaZulu-Natal
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N Seabi
University of the Witwatersrand
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M Setshedi
University of Cape Town
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M Sonderup
University of Cape Town
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G Watermeyer
University of Cape Town
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E Fredericks
Nelson Mandela University
Keywords:
dyspepsia, guidelines
Abstract
Dyspepsia is a common condition characterised by upper abdominal symptoms, including epigastric pain, bloating, and nausea. This guidance document provides a framework for managing dyspepsia, emphasising initial clinical assessment, risk stratification, and tailored treatment approaches. Non-invasive testing for Helicobacter pylori (H. pylori) and empiric proton pump inhibitor (PPI) therapy are recommended for low-risk patients. High-risk patients, or those with persistent symptoms, require upper endoscopy to evaluate for underlying pathology. Lifestyle and dietary modifications, acid suppression therapy, and H. pylori eradication therapy are the key treatment components. The guidance also outlines algorithms for managing dyspepsia, promoting informed decision-making and improving patient outcomes. By implementing these, healthcare practitioners can enhance patient care, alleviate symptoms, and improve the quality of life and health outcomes for patients with dyspepsia.
Author Biographies
WM Simmonds, University of the Free State
Division of Gastroenterology, Department of Internal Medicine, University of the Free State, South Africa
M Brand, University of Pretoria
Department of General Surgery, School of Medicine, University of Pretoria, South Africa
K Coovadia, Mediclinic Panorama
Private Practice, Mediclinic Panorama, South Africa
V Lala, University of the Witwatersrand
Division of Gastroenterology, University of the Witwatersrand, South Africa
V Naidoo, University of KwaZulu-Natal
Department of Gastroenterology, School of Clinical Medicine, University of KwaZulu-Natal, South Africa
N Seabi, University of the Witwatersrand
Division of Gastroenterology, University of the Witwatersrand, South Africa
M Setshedi, University of Cape Town
Department of Medicine, University of Cape Town, South Africa
M Sonderup, University of Cape Town
Division of Hepatology, Department of Medicine, University of Cape Town, South Africa
G Watermeyer, University of Cape Town
Division of Gastroenterology, Department of Medicine, University of Cape Town, South Africa
E Fredericks, Nelson Mandela University
Department of Physiology, Nelson Mandela University, South Africa
