Dyspepsia

Question 1

according to the rome III criteria, what is characteristic of dyspepsia?

Answer 1

• epigastric pain or burning
• postprandial fullness
• early satiety

Question 2

What is linked to dyspepsia?

Answer 2

h.pylori infected or NSAID infected

Question 3

What are the organic causes of dyspepsia?

Answer 3

peptic ulcer disease
drugs-NSAIDS, COX2 inhibitors
-gastric cancer

Question 4

What is the functional cause?

Answer 4

-same definition but no proof of structural disease
(need OGD)
-associated with other functional gut disorders IBS

Question 5

What is seen in complicated dyspepsia?

Answer 5

cachexia
mass
evidence gastric outflow obstruction
peritonism

Question 6

What is the mode of management for dyspepsia?

Answer 6

-if no ALARM symptoms
-non-invasive test and treat strategy
=check h.pylori status and remove if infection

-if HP -ve then give acid inhibition as needed

Question 7

What are the six factors involved in functional dysplasia?

Answer 7

visceral hypersensitivity
altered brain interaction
genetic factors
psychosocial factors
abnormal upper GI motor reflex functions 
disrupted gut immune interactions