1) Dyspepsia is characterized by one or more symptoms including postprandial fullness, early satiety, and epigastric pain or burning. 2) The point prevalence of dyspepsia is 25% and patients presenting with frequent heartburn or acid regurgitation should be considered to have GERD. 3) While H. pylori eradication is effective for gastric cancer prevention in younger people, its effectiveness declines with age. Guidelines for the treatment of dyspepsia may differ depending on regional H. pylori prevalence and gastric cancer risk.