Dyspepsia

Question 1

What is dyspepsia

Answer 1

Umbrella term for GI symptoms going on for more than 4 weeks

Question 2

What is functional dyspepsia

Answer 2

No ulcer, normal endoscopy findings

Question 3

What is uninvestigated dyspepsia

Answer 3

Pts who have not yet been investigated yet

Question 4

What drugs can cause dyspepsia

Answer 4

Alpha blockers
Antimuscarinics
Aspirin
Benzos
Beta blockers
Bisphosphonates
CCB
Corticosteroids
Nitrates
NSAIDs
TCAs
Theophylline

Question 5

Management for uninvestigated

Answer 5

PPI 4 weeks

Test for H Pylori

Offer H2 receptor antagonist if PPI didnt work

Question 6

Management for functional

Answer 6

Life style

Test for H pylori and treat (before testing for H pylori, wait for 2 weeks to allow washout period for PPI

If no H pylori, treat with PPI or H2 receptor antagonist

Question 7

What is the treatment follow up for uninvestigated and functional?

Answer 7

If symptoms persist following initial management then offer PPI/H2 receptor antagonist - use lowest dose PRN

Question 8

What shall we do if NSAIDs cannot be stopped

Answer 8

• use lowest dose
• in uninvestigated dyspepsia taking aspirin, consider alternative antiplatelet drug as aspirin is an NSAID - choose another antiplatelet drug