Please note: this guideline has exceeded its review date and is currently under review by specialists. Exercise caution in the use of the clinical guideline.

Management of Dyspepsia

General management

Lifestyle changes will include:

  • Weight reduction
  • Alcohol reduction
  • Smoking cessation
  • Avoid stooping
  • Raising the head of the bed at night if nocturnal symptoms
  • Avoid foods that lower LOS (lower oesophageal sphincter) pressure (e.g. caffeine, chocolate and onions).

Review concurrent drug therapy:

  • Avoid NSAIDs (non-steroidal anti-inflammatory drugs) and consider alternatives if possible for drugs likely to lower LOS pressure (e.g. any drugs with anticholinergic side effects, selective serotonin re-uptake inhibitor antidepressants, calcium-channel blockers, nitrates) and review GI irritants (e.g. bisphosphonates, corticosteroids, theophylline).

 

Guideline reviewed August 2020
Page updated October 2023



;