Dyspepsia is defined as bloating, discomfort and nauseous feeling that is postulated to be due to upper gastrointestinal tract problems. There are several causes of this symptom but most of them can be directed towards gastritis and peptic ulcer disease among many others. The algorithm provided in the image provides a summary of how to investigate this symptom and what approach to take if associated with relevant alarm symptoms. Reference: Davidson’s Principles and Practice of Medicine, 23rd Edition, Page No. 779, 780.