Dyspepsia Flashcards
dyspepsia - This is a constellation of symptoms, what are they? 3
- epigastric pain or burning (epigastric pain syndrome)
- postprandial fullness (postprandial distress syndrome)
- early satiety (postprandial distress syndrome)
dyspepsia may have overlap with ___ /____
IBD/GORD
what increases the incidence of dyspepsia? 2
if H.pylori infected
if NSAID use
causes of dyspepsia can either be ___ (25%) or ____ (75%)
organic or functional
what are the organic causes of dyspepsia? 3
- peptic ulcer disease
- drugs
- gastric cancer
which drugs especially are linked with organic dyspepsia?
NSAIDS, COX2 inhibitors
what is functional dyspepsia?
No evidence of structural disease but have the characteristic constellation of symptoms
functional dyspepsia is associated with what?
Associated with other functional gut disorders e.g. IBS
what is an example of another functional gut disorder?
IBS
what is the differential diagnosis of dyspepsia? 6
- non-ulcer dyspepsia
- oesophagitis /GORD
- DU/GU
- gastric malignancy
- duodenitis
- gastritis
what are the ALARM Symptoms? 6
- Anaemia (iron deficiency
- Loss of weight
- Anorexia
- Recent onset/progressive symptoms
- Meleana /haematemesis
- Swallowing difficulty
if the dyspepsia is uncomplicated, what would the physical examination show?
epigastric tenderness only
if the dyspepsia is complicated, what would the physical examination show?
- cachexia
- mass
- evidence of gastric outflow obstruction
- peritonism
what are signs of gastric outflow obstruction? 2
abdominal distension
succussion splash
what are the treatment and diagnosis options?
- stool antigen test to check HP status
- eradicate if infected
- if HP negative , treat with acid inhibition as required
