Abstract
Dyspepsia is a frequent cause of medical consultation. 70% of patients evaluated for this reason are labelled as functional origin. The clinical history is the basis in making decisions regarding the need to investigate or treat empirically the symptoms. The patient's age, the presence or absence of alarm data or suggestive of malabsorption stage, and the concern that the symptoms generate to the patient, are essential for establishing the indication for endoscopy. In cases where conservative management is recommended, the test and treat strategy for Helicobacter pylory may be the most appropriate starting. The administration of antisecretory drugs can be useful for symptom control during periods of exacerbation. Refractory cases may benefit from antidepressants and psychological intervention. It must be remembered that behing “functional dyspepsia” may have a not adequately investigated malabsorption.
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