Other therapies for functional dyspepsia

Patients with symptoms suggestive of functional dyspepsia should be screened for Helicobacter pylori infection, and if present, eradication should be strongly considered (see Indications for H. pylori testing and eradication therapy). In approximately 5% of patients with functional dyspepsia the symptoms may be attributable to H. pylori; in these patients H. pylori eradication therapy may reduce symptomsKoletzko, 2019.

Prokinetic drug therapy for functional dyspepsia is only marginally more effective than placebo. A trial of as-needed therapy may be worthwhile if the patient’s main symptom is a feeling of discomfort and bloating, but it should be discontinued if ineffective. Use:

Some evidence suggests that the herbal preparation Iberogast (also known as STW5) may have short-term efficacy for functional dyspepsiavon Arnim, 2007.