Test and eradicate is best for dyspepsia after six years

Question What is the best strategy for managing dyspepsia in the primary care setting?

Synopsis Although testing for Helicobacter pylori infection and treating patients who are positive has become a recommended approach to managing dyspepsia, many patients and doctors still opt for immediate endoscopy. In this Danish study, the authors identified 500 patients presenting to their primary care physician with epigastric pain with or without heartburn, regurgitation, nausea, vomiting, or bloating. Those recently treated with a proton pump inhibitor (PPI) or an H₂ receptor antagonist were excluded, as were those with any red flags (unintended …