Flashcards in Dyspepsia and Peptic Ulcer disease Deck (21):
What is dyspepsia?
Epigastric pain when full
(patients refer to indigestion)
What is function dyspepsia?
Dyspepsia for greater than 3 months
What are the causes of dyspepsia?
Functional dyspepsia/ Irritable bowl
Peptic ulcer disease
What is the universal investigation of dyspepsia?
What are symptoms of severe dyspepsia?
Chronic gastrointestinal bleeding
Weight Loss (Cachexia)
Iron deficiency anaemia
Epigastric mass or suspicious barium meal
Peritonism (Inflammation of the peritoneum)
What are medication causes of dyspepsia?
What is is the management of dyspepsia?
What bacteria could cause dyspepsia?
How is H pylori testing done?
Carbon 13 testing urea breath test
Stool antigen test
What antibiotics can be used against H Pylori?
What is the treatment for dyspepsia?
First line: Life style advice
If not responding : Proton Pump inhibitor ("prazole" )
If not responding: Prokinetics and H2 antagonist (Histamine antagonist)
What are pro kinetic treatments? Give an example of one.
Medications that control acid reflux and strengthen the lower oesophageal sphincter
e.g. metoclopramide, domperidone
What is the predominant cause of dyspepsia?
Functional dyspepsia (Irritable bowel)
If omeprazole has no effect, what should you do?
What are the foregut structures?
cricopharyngeus to ampulla of Vater
What is functional dyspepsia?
Dyspepsia with no evidence of culprit structural disease
What are the diagnostic criteria for function dyspepsia?
Postprandial Fullness (fullness with little intake of food)
Epigastric pain/ burning
What drugs are used in anti-secretory therapy?
H2 receptor antagonists
What are examples of H2 receptor antagonists?
What are examples of PPI