Dyspepsia

Question 1

What is dyspepsia

Answer 1

Collection of epigastric pain / fullness / bloating + nausea

Question 2

What are the 2 causes of dyspepsia

Answer 2

Duodenal ulcers => relieved by food

Peptic ulcers => not relieved

Question 3

What problems / complications can arise from peptic ulcers?

Answer 3

Peptic ulcer disease => can become cancerous / malignant

Question 4

What do we need to screen for in dyspepsia (RED FLAGS)

Answer 4

ALARMS + >55

Anaemia (are you short of breath?)
Loss of weight (unintetional weight loss)
Anorexia (lost your apetite?)
Recent or chronic?
Malaena (blood in stools)
Swallowing difficulties

Question 5

If there are red flags present in dyspepsia, what do we do?

Answer 5

Urgent Endoscopy

Question 6

1st Line management of dyspepsia

Answer 6

PPI + lifestyle changes

=> Reduction in NSAIDS / EAting healthy / Smoking alcohol reduction

Question 7

No improvement after 1st line management

Answer 7

Breathe Test to test for a bacteria that can be causing ulcerations

(+) => PPI + Amoxicillin + Clarithyromycin
(-) => PPI change

Question 8

If breathe test still positive after Abx treatment

Answer 8

=> Endoscopy