Dyspepsia

Dyspepsia is a group of symptoms pertaining to upper abdomen, such as
  • Post prandial fullness
  • Early satiety
  • Epigastric pain
  • Epigatsric burning
  • Bloating in upper abdomen
  • Nausea and vomiting
  • Belching
  • Most of the times, after investigations no organic cause is found in these cases and dyspepsia is labeled as functional dyspepsia.

    Organic causes of dyspepsia are
  • Gastroesophageal reflux disease
  • Peptic ulcer disease
  • Gastric malignancy
  • Tuberculosis/sarcoidosis
  • Menetrier’s diseases
  • Parasitic infections
  • Diabetes mellitus
  • Scleroderma
  • Medications
  • Chronic pancreatitis and pancreatic malignancy
  • Hypothyroidism
  • Hyperparathyroidism
  • Myocardial ischemia
  • Functional dyspepsia
    Functional dyspepsia is defined as post prandial fullness, early satiety, epigastric pain or burning in the absence of gastrointestinal, systemic or metabolic causes likely to cause these symptoms

    Investigations
    Young patients with dyspepsia and without alarming symptoms such as dysphagia, weight loss, anemia, bleeding can be given a trial of medication , and should be investigated in case of persistent symptoms
    Middle aged or elderly patients with fresh onset symptoms, or patients with alarming symptoms should be investigated

    Following are investigation done in patients with dyspepsia
  • UGIE and H pylori testing
  • CBC/LFT/LFT
  • Thyroid function test
  • USG abdomen
  • Other investigation may be required depending the clinical situation
    Treatment
    Prokinetic drugs, proton pump inhibitors, simethicone, antidepressant, and SSRI are used for the treatment of dyspepsia

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