الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Dyspepsia implies a collection of symptoms and signs arise mostly as a result of disturbances in the proximal part of the alimentary tract. It is of worldwide distribution afflicting all ages, both sexes as well as all class levels with varying intensity, severity and outcome. However no conclusive definition for it has been established uptill now. Numerous abdominal and extraabdominal diseases have been reported to elicit dyspeptic symptoms. Among these are peptic ulcer diseases (POD), gastro-oesophageal reflux (OOR) diseases, hiatal hernia, malignancies, irritable bowel syndrome, biliary and pancreatic troubles, renal diseases, parasitic infestations, diabetes mellitus, meningitis, pneumonitis and others. Recently H. pylori infection has emerged as a prominent cause of ulcer and non ulcer dyspepsia. In addition a wide range of different factors have been reported to contribute in the production of dyspepsia as well. These include smoking, diet, alcohol, coffee tea, drugs etc. The present study was designed to: a, Discuss the implication of some parasites (giardia, ascaris, fasciola and strongyloids) in the development of dyspepsia. b. Spotlight the contribution of other factors in the evolution of dyspepsia. 240 patients with dyspepsia attending Abdel-Nasser Hospital Endoscopy Unit-Alexandria for the first time were recruited for the study. They were interv