Dyspepsia

From IDWiki

Etiology

  • Functional dyspepsia (75%)
  • Organic cause (25%)
    • PUD, GERD, NSAIDs, malignancy

Clinical Manifestations

  • Postprandial distress: fullness, early satiety
  • Epigastric pain dyndrome: pain or burning
  • Alarm features:
    • Family history of upper GI cancer
    • Weight loss
    • GI bleed
    • Dysphagia or odynophagia
    • Iron-deficiency anemia
    • Lymphadenopthay
    • Mass on exam
    • Jaundice

Investigations

  • Lab
  • Other
    • EGD
      • First-line if they are older or have alarm symptoms

Management

  • Hold NSAIDs, if they are on it