Dyspepsia Flashcards
Define dyspepsia
A common symptom due to difficulty digesting
What is the incidence of dyspepsia?
15-20%
What is the aetiology of dyspepsia?
25% organic
75% functional
Name secondary causes of dyspepsia
PUD GER Medication Biliary UGI tumours
How is functional dyspepsia diagnosed?
Exclusion of other pathology
What are the 3 characteristics of functional dyspepsia?
- Postprandial fullness
- Early satiety
- Epigastric pain/burning that interferes with QOL
How is functional dyspepsia diagnosed?
Rome IV diagnostic criteria
Give the Rome IV diagnostic criteria for functional dyspepsia
Symptoms of dyspepsia >2 days/week >3 months with onset < 6 months
No evidence of structural/organic pathology
Name the types of functional dyspepsia
- Ulcer-like
- Dysmotility-like
- Unspecified
Discuss the pathophysiology of functional dyspepsia
- Gastric motility and compliance
- Visceral hypersensitivity
- Drug-induced
- Psychological
When is endoscopy indicated for dyspepsia?
Warning signs
Patient >60yo
Name warning signs in dyspepsia
Weight loss Anemia Dysphagia Recurrent vomiting Family history of cancer Previous ulcer Previous malignancy Abdominal mass
Discuss the management of functional dyspepsia
Pharmacological - PPI - test and treat H.pylori - TCAs if peristent Psychotherapy - cognitive therapy - hypnotherapy Lifestyle - avoid triggers - low fat, small meals
