Upper-abdominal discomfort or pain without an identifiable structural cause on endoscopy.

Treatment

  • Dietary: Small frequent meals, avoid high-fat foods, caffeine.
  • Medications:
    • PPIs or H2 blockers
    • Prokinetics (domperidone)
    • Low-dose tricyclic antidepressants
  • Psychological: Stress management, CBT.

What Can I Expect Afterwards?

  • Symptom relief in 4–8 weeks.

Follow-Up

  • Endoscopy if alarm features develop (weight loss, bleeding, persistent vomiting).