Dyspepsia

Question 1

What is dyspepsia

Answer 1

Range of upper GI symptoms lasting more than 4 weeks

Question 2

What are symptoms of dyspepsia

Answer 2

Upper abdominal pain, reflux, bloating etc

Question 3

What can cause dyspepsia

Answer 3

Pregnancy, malignancy, side effects of drugs

Question 4

What can be used short term to treat dyspepsia

Answer 4

Antacids and alginates

Question 5

What drugs can cause dyspepsia

Answer 5

Alpha blockers

Antimuscarinics

BB

CCB

Nitrates

Nsaids

Question 6

What is initial management for dyspepsia

Answer 6

Lifestyle management

Question 7

What is initial management for dyspepsia

Answer 7

Uninvestigsted - PPI for 4 weeks. Test for H pylori and treat

Functional - Test for H pylori and treat. If negative, PPI or H2 receptor antagonist for 4 weeks

Question 8

What should you make sure before testing for H pylori

Answer 8

2 week washout period has been given

Question 9

Should NSAIDs be used in dyspepsia

Answer 9

No

Question 10

What to do if patient is already on aspirin

Answer 10

Choose another antiplatelet drug as aspirin is NSAID