Dyspepsia Flashcards
1
Q
What is dyspepsia?
A
Collection of symptoms related to upper GI problems
2
Q
What symptoms come under dyspepsia?
A
Epigastric pain Acid reflux Nausea Bloating Early satiety Belching
3
Q
What are the red flags for dyspepsia?
A
Vomiting Bleeding - haematemesis/melaena Anaemia Abdominal mass Unintentional weight loss Dysphagia
4
Q
Who get referred for an endoscopy with dyspepsia?
A
> /=60
OR
<60 + REDFLAGS
5
Q
What is the first line management for someone with dyspepsia?
A
H.pylori test
- urea breath test
- stool antigen test
6
Q
What is the next step if the H.pylori test is negative?
A
PPI trial (4-8 weeks)
7
Q
What is the next step if the PPI trial has no effect?
A
Tricyclic antidepressant
OR
Prokinetic
8
Q
What conditions present with dyspepsia?
A
Functional dyspepsia GORD H.pylori infection Oesophagitis IBS Peptic Ulcer disease Malignancy
