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
- Helicobacter pylori serology, to rule out infection
- Urea breath test
- Stool antigen test
- Helicobacter pylori serology, to rule out infection
- Other
- EGD
- First-line if they are older or have alarm symptoms
- EGD
Management
- Hold NSAIDs, if they are on it