Holistic and Comprehensive Management of Dyspepsia through a Family Medicine Approach: A Case Report from Minasa Upa Primary Health Center, Makassar

Abstract

A 68-year-old woman presented with two weeks of burning epigastric pain radiating to the back, worsened after meals, accompanied by bloating and nausea. She habitually consumed spicy and acidic foods and rarely ate fruit. Physical examination revealed mild epigastric tenderness with stable vital signs and no alarm features. She lived with her son, daughter-in-law, and granddaughter in an extended family setting. The patient was treated with omeprazole, hyoscine butylbromide, antacids, and vitamin B complex. Non-pharmacological interventions included dietary modification, stress management, and family involvement. Family assessment showed APGAR score = 7 (no dysfunction), while SCREEM analysis revealed strong social, economic, and medical resources, but cultural eating habits and limited health literacy remained barriers. After two weeks, the patient reported reduced symptoms, improved dietary compliance, increased fruit intake, and more consistent family support. Prognosis was favorable (bonam). This case illustrates the importance of holistic dyspepsia management. Integrating biomedical treatment with lifestyle modification, psychosocial support, and family participation improves adherence, prevents recurrence, and enhances quality of life in primary care.