Dyspepsia refers to pain or discomfort centered in the upper abdomen. The symptom characteristics of dyspepsia in children are pain and discomfort in the upper middle region of the abdomen. Individuals often describe the pain as occurring around eating, after eating, or at night. The discomfort can be a sensation of fullness after meals, an early feeling of having had enough to eat (satiety), bloating, belching, nausea, retching, vomiting, regurgitation, anorexia, or food refusal. Diagnosis and treatment discussed. Revised and updated 2009.