Dyspepsia

Question 1

Definition of dyspepsia.

Answer 1

Predominant epigastric pain lasting at least 1 month. This can be associated with epigastric fullness, n/v, or heartburn, provided the primary concern is epigastric pain.

Question 2

Management for patient > 60 with dyspepsia.

Answer 2

• Endoscopy

* Manage according to guidelines.

Question 3

Management for patient < 60 with dyspepsia.

Answer 3

• Test (and treat) for H. pylori, if positive.
• If negative, start PPI.
• If no response, start TCA or prokinetic.
• If no response, consider psychotherapy.

Question 4

Management for functional dyspepsia.

Answer 4

• Test (and treat) for H. pylori, if positive.
• If negative, start PPI.
• If no response, start TCA.
• If no response, start prokinetic.
• If no response, consider psychotherapy.

Question 5

Types of PPIs.

Answer 5

add

Question 6

Types of TCAs.

Answer 6

add

Question 7

Types of prokinetics.

Answer 7

add

Question 8

After treating H. pylori, patient still has symptoms of dyspepsia.

Answer 8

• Treat with PPI.
• If no response, start TCA.
• If no response, start prokinetic.
• If no response, consider psychotherapy.