Dyspepsia Flashcards
1
Q
What is Dyspepsia?
A
- another word for indigestion
- symptoms comes from upper stomach (stomach, oesophagus, duodenum)
2
Q
Aetiology
A
- GORD
- Peptic Ulcer Disease
- Excessive drinking/smoking
- Fatty/spicy foods
- Gallstones/gastritis/use of NSAIDs
3
Q
Pathophysiology
A
- Stomach acid and digestive enzymes balance disturbed = impaired digestion
- Symptom can get worse = inflammation/irritation to stomach lining
4
Q
Risk factors
A
- Too much stress/anxiety
- Ageing process, women
- Obesity : too much weight puts unnecessary pressure on stomach/other organs
- Smoking : weaken lower oesophageal sphincter, reduce blood flow to stomach lining
5
Q
Signs/symptoms
A
- Nausea/vomiting/acid reflux/heartburn
- Discomfort/pain in upper abdomen
- Bloating/feel full a lot after small meals
6
Q
Diagnosis
A
- Medical history/physical examination
- Urea breath test
- Stool test: rule out H pylori
- FBC: rule out anaemia
- Endoscopy/biopsy: review presence of H pylori/malignancy
7
Q
Management
A
- Lifestyle change
- Antacids/PPIs
- Treat underlying causes (H ployri infection/gastritis)
