Postprandial distress syndrome
was independently associated with somatisation (correlation coefficient: 0.28), depression (correlation coefficient: 0.27) and phobia (correlation coefficient: 0.24), while epigastric pain syndrome was not significantly correlated with any psychiatric abnormality.
The aims of this study were to investigate the efficacy and safety of Qi-Zhi-Wei-Tong granules in patients with postprandial distress syndrome (PDS)-predominant FD.
Comparison of severity and frequency of every dyspeptic symptom in postprandial distress syndrome between treatment and control group
The most common presentation in the SMA group was "postprandial distress syndrome (epigastric pain and discomfort, nausea, and vomiting) dyspepsia" (p = 0.02), according to Rome IV criteria, and weight loss (median weight loss before diagnosis was 6 kg), while in the control group, the most common presentation was "epigastric pain syndrome" dyspepsia (p = 0.01), according to Rome IV criteria, with a less marked weight loss (median weight loss before diagnosis was 0.5 kg).
A "resembling postprandial distress syndrome dyspepsia" presentation may be helpful to the endoscopist in suspecting a latent SMA syndrome, similar to what emerged in our study.
Epigastric pain syndrome (EPS) was present in 28.9% of the patients, postprandial distress syndrome (PDS) was present in 28.5% of the patients and 42.7% had both the symptoms.
Limited evidence suggests that patients presenting with postprandial distress syndrome have more chances of having psychological issues but in our study we found no significant difference among dyspepsia group18,19.
Out of all patients 31% of the patients belonged to postprandial distress syndrome, 29% to epigastric pain syndrome and 40% to both groups.
Two subcategories (postprandial distress syndrome and epigastric pain syndrome) were also recognized but their main value lies currently in research, however, such classification systems do not reliably correlate with underlying pathophysiologic mechanisms.7 Epidemiological studies suggest that approximately 15% of the general population in western countries suffers with FD.
Abbreviations CI: Confidential interval EPS: Epigastric pain syndrome FD: Functional dyspepsia OTE: Overall treatment efficacy PDS: Postprandial distress syndrome
PGSI: Patient's global symptomatic improvement RCT: Randomized controlled trials RR: Risk ratio tid: Three times daily.
In Sweden's general population, the subcategory of functional dyspepsia known as postprandial distress syndrome
is associated with anxiety, Dr.
The Rome III criteria further subdivide FD into postprandial distress syndrome
(PDS) and epigastric pain syndrome (EPS).