Dyspepsia, GERD, PUD, IBS

Question 1

dyspepsia

Answer 1

early satiety, post prandial fullness, epigastric pain or burning

Question 2

GERD

Answer 2

symptoms or complications resulting from the reflux of gastric contents into the esophagus or beyond (oral cavity/lung/larynx)

Question 3

peptic ulcer disease

Answer 3

circumscribed ulceration of GI mucosa in areas exposed to acid and pepsin

Question 4

risk factors for GERD

Answer 4

stress 
poor diet 
hiatal hernia 
obesity
pregnancy
large meals
meds that cause sphincter loosening  (NSAID, nitrates, CB, anticholinergics) 
etoh/chocolate/mint
smoking 
asthma

Question 5

risk factors for PUD

Answer 5

previous ulcers
smoking
ETOH
meds (corticosteroids, NSAIDS, anticoagulants, EERI, spironolactone)
stress
Medical: cirrhosis, COPD, renal failure, celiac, CD
H pylori

Question 6

why does GERD –> asthma

Answer 6

micro aspiration –> asthma

asthma –> GERD

Question 7

GERD time course

Answer 7

< 3min, 30-60 min after eating

2X/wk

Question 8

PUD time course

Answer 8

1-2 hours after eating or empty stomach

Question 9

rome criteria for IBS

Answer 9

1 day/week for 3 mo

Question 10

what is normal on the bristol?

Answer 10

3 & 4

Question 11

tx for IBS

Answer 11

peppermint
fibre (plus or minus)
SSRI’s!