How do you deal with a dyspepsia patient?

How do you deal with a dyspepsia patient?

Initial management of undifferentiated dyspepsia without heartburn

1. An antacid (or alginate) can be used for immediate relief of symptoms.
2. Prescribe a full dose PPI, e.g. omeprazole 20 mg, for one month.
3. If there is no response to the PPI, test and treat for H.
4. If there is no response to a PPI or H.

How do you investigate dyspepsia?

The initial evaluation of dyspepsia should include a complete blood count to rule out anemia. If the history and physical examination suggest the presence of gallstones or another hepatobiliary condition, liver function tests and sonographic evaluation should be ordered.

How do you rule out functional dyspepsia?

A physician arrives at a diagnosis of functional dyspepsia when there is no evidence of structural disease and there have been at least three months of one or more of the following (with onset at least six months earlier): bothersome post-meal (postprandial) fullness. early satiation. epigastric pain.

What is the difference between dyspepsia and functional dyspepsia?

Dyspepsia is the most common upper gastrointestinal (GI) symptom, and it includes epigastric pain, fullness, discomfort, burning, early satiety, nausea, vomiting and belching. Functional dyspepsia (FD) is diagnosed when upper GI endoscopy reveals no organic lesions that might explain the dyspeptic symptoms.

What is the primary goal in the treatment of dyspepsia?

The main goal of the “test-and-treat” strategy is to eradicate H. pylori infection that has been associated with PUD and consequently decrease the incidence of the potential complications of PUD, such as bleeding and perforation. H.

Is dyspepsia a symptom or diagnosis?

INTRODUCTION Dyspepsia is a common symptom with an extensive differential diagnosis and a heterogeneous pathophysiology. It occurs in at least 20 percent of the population, but most affected people do not seek medical care [1].

How is GERD different from dyspepsia?

Dyspepsia is distinct from GERD and is defined as chronic or frequently recurring epigastric pain or discomfort, which is believed to originate in the gastroduodenal region. Dyspepsia may be associated with other upper gastrointestinal (GI) symptoms, such as postprandial fullness and early satiety.

What is the best treatment for dyspepsia?

Medication options include:

• Antacids. These counter the effects of stomach acid.
• H-2-receptor antagonists. These reduce stomach acid levels and are more effective than antacids.
• Proton pump inhibitors (PPIs) PPIs reduce stomach acid and are stronger than H-2-receptor antagonists.
• Prokinetics.
• Antibiotics.
• Antidepressants.

Can anxiety cause dyspepsia?

Depression, anxiety and stress (DAS) have been shown to be co-morbid with dyspepsia.

What is the best medication for dyspepsia?

Examples include Alka-Seltzer, Maalox, Rolaids, Riopan, and Mylanta. These are over-the-counter (OTC) medicines that do not need a prescription. A doctor will usually recommend an antacid medication as one of the first treatments for dyspepsia.