Dyspepsia: Difference between revisions

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{{Dyspepsia}}
{{Dyspepsia}}


{{CMG}}
{{CMG}} {{AE}} {{Ajay}}


{{SK}} Functional dyspepsia; dyspepsia, functional; non-ulcer dyspepsia; nonulcer dyspepsia
{{SK}} Functional dyspepsia; dyspepsia, functional; non-ulcer dyspepsia; nonulcer dyspepsia


==Investigation of dyspepsia==
==[[Dyspepsia overview|Overview]]==


People without risk factors for serious causes of dyspepsia usually do not need investigation beyond an office based clinical examination.  However, people over the age 55 years and those with alarm features are usually investigated by esophagogastroduodenoscopy (EGD or OGD in Britain). In this painless investigation the esophagus, stomach and duodenum are examined through an endoscope passed down through the mouth. This will rule out peptic ulcer disease, medication related ulceration, malignancy and other rarer causes.
==[[Dyspepsia historical perspective|Historical Perspective]]==


People under the age of 55 years with  no alarm features do not need EGD but are considered for investigation for peptic ulcer disease caused by ''[[Helicobacter pylori]]'' [[infection]]. Investigation for ''H.pylori'' infection is usually performed when there is a moderate to high prevalence of this infection in the local community or the person with dyspepsia has other risk factors for ''H. pylori'' infection, related for example to ethnicity or immigration from a high-prevalence area. If infection is confirmed it can usually be eradicated by medication.
==[[Dyspepsia classification|Classification]]==


Medication related dyspepsia is usually related to [[non-steroidal anti-inflammatory drug|Non-Steroidal Anti-inflammatory Drugs (NSAIDs)]] and can be complicated by bleeding or ulceration with perforation of the stomach wall.
==[[Dyspepsia pathophysiology|Pathophysiology]]==


== References ==
==[[Dyspepsia causes|Causes]]==
<references/>
 
==[[Dyspepsia differential diagnosis|Differentiating Dyspepsia from other Diseases]]==
 
==[[Dyspepsia epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Dyspepsia risk factors|Risk Factors]]==
 
==[[Dyspepsia screening|Screening]]==
 
==[[Dyspepsia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Dyspepsia history and symptoms|History and Symptoms]] | [[Dyspepsia physical examination|Physical Examination]] | [[Dyspepsia laboratory findings|Laboratory Findings]] | [[Dyspepsia x ray|X Ray]] | [[Dyspepsia CT|CT]] | [[Dyspepsia MRI|MRI]] | [[Dyspepsia ultrasound|Ultrasound]] | [[Dyspepsia other imaging findings|Other Imaging Findings]] | [[Dyspepsia other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
[[Dyspepsia medical therapy|Medical Therapy]] | [[Dyspepsia surgery|Surgery]] | [[Dyspepsia primary prevention|Primary Prevention]] | [[Dyspepsia secondary prevention|Secondary Prevention]] | [[Dyspepsia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] |  [[Dyspepsia future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
 
[[Dyspepsia case study one|Case #1]]


== Related Chapters ==
== Related Chapters ==
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[[Category:Signs and symptoms]]
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Latest revision as of 21:29, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD[2]]

Synonyms and keywords: Functional dyspepsia; dyspepsia, functional; non-ulcer dyspepsia; nonulcer dyspepsia

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dyspepsia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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