• Same symptoms as GORD but no organic disease found to explain symptoms
  • Incidence could be as high as 15%
  • Clinical
    • Chronic or recurrent pain upper abdomen
    • Bloating
    • Belching
    • Nausea
    • Heartburn
  • Ix
    • Normal gastroscopy – no H. pylori
    • No NSAIDs
  • Rx
    • Still trial Losec, prokinetics
    • Some say eradicate for H. pylori – studies have shown a benefit