Dyspepsia

Question 1

Causes dyspepsia? (6)

Answer 1

75% functional with no underlining cause
Secondary causes:
• peptic ulcer disease
. Ger
• medication
• biliary pathology
.Upper gi tumours

Question 2

Rome 4 diagnostic criteria of dyspepsia?

Answer 2

• Epigastric pain
• post prandial full
• early satiety
• epigastric burning
At least 3 days a week over 3 months

Question 3

Name 3 types functional dyspepsia

Answer 3

A ulcer like: pain upper abdomen
• dys motility like: unpleasant discomfort, fullness, bloated
• unspecified

Question 4

Name 4 theories pathophysiology functional dyspepsia

Answer 4

• Gastric motility and compliance: delayed emptying, antral hypomotility,impaired gastric accommodation
• visceral hypersensitivity to gastric dilatation
• drugs: NSAIDs, iron, CCB
• psychological

Question 5

Name 8 alarm symptoms in dyspepsia that would warrant endoscopy

Answer 5

• Weight loss
• bleeding, anemia
• dysphagia
• recurrent vomit
• family history cancer
• history ulcers
O history malignancy
• abdominal mass