Dyspepsia Flashcards
1
Q
What is dyspepsia?
A
Term to describe discomfort in the upper GI tract
2
Q
What are common symptoms of dyspepsia?
A
Heartburn
Reflux
Indigestion
3
Q
What can cause dyspepsia?
A
Malignancy Non-ulcer disease Ulcers GORD Gastritis
4
Q
What are red flag symptoms?
A
>55 Anorexia Loss of weight Anaemia Recent onset of progressive symptoms Malaena / haematemesis Swallowing difficulties
5
Q
What do you do if there are any red flag symptoms?
A
2 week wait referral for endoscopy
6
Q
How do you manage new onset dyspepsia?
A
- Stop NSAIDs
- Simple antacids
- Test for H.pylori - eradicate
- PPI
7
Q
What is H.pylori?
A
Helicobacter pylori - gram negative helix shape bacteria
8
Q
What is the effect of H.pylori?
A
Produces urease – converts urea to ammonium – increases pH - damages gastric mucosa
9
Q
How do you investigate H.pylori?
A
Carbon-13 urea breath test
Stool antigen test
10
Q
How do you treat H.pylori?
A
Omeprazole
Clarithromycin
Amoxicillin
11
Q
What is the mnemonic for red flag symptoms of dyspepsia?
A
> 55
ALARMS
