"Not so easy to diagnose" dyspepsia

The diagnosis of the cause of a dyspepsia should not rest on indiscriminate "routine" investigation. It should be based on historical and physical evidence supported by a therapeutic trial that confirms the clinical diagnosis. If necessary, it should be followed by selected investigations to confirm or exclude serious diseases that are likely to be the cause of the symptoms. If an organic explanation cannot be provided, it should not be assumed that one does not exist, only that the more serious and treatable causes have been excluded. "Sophisticated" high-technology investigations should not become part of the "routine" investigation of dyspepsia.