Dyspepsia history and symptoms: Difference between revisions
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* Pain and discomfort at the [[Xiphoid process|xiphoid]] region | * Pain and discomfort at the [[Xiphoid process|xiphoid]] region | ||
* Sudden [[chills]], comparable to those felt during fevers | * Sudden [[chills]], comparable to those felt during fevers | ||
==History == | |||
Obtaining the history is the most important aspect of making a [[diagnosis]] of [[peptic ulcer disease]]. It provides insight into the [[Causality|cause]], precipitating factors and associated [[comorbid]] conditions. | |||
===Past Medical History=== | |||
*A history of [[epigastric pain]], [[dyspepsia]], or prior [[peptic ulcer]] may suggest the [[Diagnosis-related group|diagnosis]] of [[peptic ulcer disease]].<ref name="LaineSolomon2016">{{cite journal|last1=Laine|first1=Loren|last2=Solomon|first2=Caren G.|title=Upper Gastrointestinal Bleeding Due to a Peptic Ulcer|journal=New England Journal of Medicine|volume=374|issue=24|year=2016|pages=2367–2376|issn=0028-4793|doi=10.1056/NEJMcp1514257}}</ref><ref name="pmid17956071">{{cite journal| author=Ramakrishnan K, Salinas RC| title=Peptic ulcer disease. | journal=Am Fam Physician | year= 2007 | volume= 76 | issue= 7 | pages= 1005-12 | pmid=17956071 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17956071 }} </ref><ref name="pmid28798512">{{cite journal| author=Drini M| title=Peptic ulcer disease and non-steroidal anti-inflammatory drugs. | journal=Aust Prescr | year= 2017 | volume= 40 | issue= 3 | pages= 91-93 | pmid=28798512 | doi=10.18773/austprescr.2017.037 | pmc=5478398 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28798512 }} </ref> | |||
===Medication History=== | |||
*Prior use of [[aspirin]] or [[Non-steroidal anti-inflammatory drug|nonsteroidal anti-inflammatory drugs]] (NSAIDs) is important because these patients have an increased risk of [[gastric ulcer]] and a fourfold risk of significant [[Gastrointestinal tract|GI]] [[bleeding]] compared with other patients<ref name="pmid5303551">{{cite journal |vauthors=Goulston K, Cooke AR |title=Alcohol, aspirin, and gastrointestinal bleeding |journal=Br Med J |volume=4 |issue=5632 |pages=664–5 |year=1968 |pmid=5303551 |pmc=1912769 |doi= |url=}}</ref> | |||
===Social History=== | |||
*[[Helicobacter pylori infection]] is more common in [[low socioeconomic status]] and increased number of siblings<ref name="pmid18783514">{{cite journal |vauthors=Bruce MG, Maaroos HI |title=Epidemiology of Helicobacter pylori infection |journal=Helicobacter |volume=13 Suppl 1 |issue= |pages=1–6 |year=2008 |pmid=18783514 |doi=10.1111/j.1523-5378.2008.00631.x |url=}}</ref> | |||
*[[Alcoholics]] also frequently have [[peptic ulcers]] or [[gastritis]]<ref name="pmid2226291">{{cite journal |vauthors=MacMath TL |title=Alcohol and gastrointestinal bleeding |journal=Emerg. Med. Clin. North Am. |volume=8 |issue=4 |pages=859–72 |year=1990 |pmid=2226291 |doi= |url=}}</ref><ref name="pmid5303551" /> | |||
*[[Cigarette smoke|Cigarette smokers]] have a significantly higher rate of the recurrent [[duodenal ulcer]] as compared with nonsmokers <ref name="pmid28839832">{{cite journal |vauthors=Jafar W, Jafar AJN, Sharma A |title=Upper gastrointestinal haemorrhage: an update |journal=Frontline Gastroenterol |volume=7 |issue=1 |pages=32–40 |year=2016 |pmid=28839832 |pmc=5369541 |doi=10.1136/flgastro-2014-100492 |url=}}</ref><ref name="pmid17942452">{{cite journal |vauthors=Palmer K |title=Acute upper gastrointestinal haemorrhage |journal=Br. Med. Bull. |volume=83 |issue= |pages=307–24 |year=2007 |pmid=17942452 |doi=10.1093/bmb/ldm023 |url=}}</ref> | |||
===Family History=== | |||
*Family history of [[peptic ulcer disease]] increases the risk of [[peptic ulcer]] | |||
*History of [[peptic ulcer disease]] in mother increases the risk of [[peptic ulcer disease]] in [[children]] | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and Symptoms
- A pain or a burning feeling in the upper portion of the stomach
- Feeling sick to one's stomach; nausea
- Feeling bloated
- Sometimes uncontrollable burping
- Heartburn
- Feeling feverish
- A bitter taste in the mouth from stomach acid coming up into the esophagus
- Rumbling in the stomach
- Sense of fullness after eating
- A feeling as though something is lodged in the esophagus
- Pain and discomfort at the xiphoid region
- Sudden chills, comparable to those felt during fevers
History
Obtaining the history is the most important aspect of making a diagnosis of peptic ulcer disease. It provides insight into the cause, precipitating factors and associated comorbid conditions.
Past Medical History
- A history of epigastric pain, dyspepsia, or prior peptic ulcer may suggest the diagnosis of peptic ulcer disease.[1][2][3]
Medication History
- Prior use of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) is important because these patients have an increased risk of gastric ulcer and a fourfold risk of significant GI bleeding compared with other patients[4]
Social History
- Helicobacter pylori infection is more common in low socioeconomic status and increased number of siblings[5]
- Alcoholics also frequently have peptic ulcers or gastritis[6][4]
- Cigarette smokers have a significantly higher rate of the recurrent duodenal ulcer as compared with nonsmokers [7][8]
Family History
- Family history of peptic ulcer disease increases the risk of peptic ulcer
- History of peptic ulcer disease in mother increases the risk of peptic ulcer disease in children
References
- ↑ Laine, Loren; Solomon, Caren G. (2016). "Upper Gastrointestinal Bleeding Due to a Peptic Ulcer". New England Journal of Medicine. 374 (24): 2367–2376. doi:10.1056/NEJMcp1514257. ISSN 0028-4793.
- ↑ Ramakrishnan K, Salinas RC (2007). "Peptic ulcer disease". Am Fam Physician. 76 (7): 1005–12. PMID 17956071.
- ↑ Drini M (2017). "Peptic ulcer disease and non-steroidal anti-inflammatory drugs". Aust Prescr. 40 (3): 91–93. doi:10.18773/austprescr.2017.037. PMC 5478398. PMID 28798512.
- ↑ 4.0 4.1 Goulston K, Cooke AR (1968). "Alcohol, aspirin, and gastrointestinal bleeding". Br Med J. 4 (5632): 664–5. PMC 1912769. PMID 5303551.
- ↑ Bruce MG, Maaroos HI (2008). "Epidemiology of Helicobacter pylori infection". Helicobacter. 13 Suppl 1: 1–6. doi:10.1111/j.1523-5378.2008.00631.x. PMID 18783514.
- ↑ MacMath TL (1990). "Alcohol and gastrointestinal bleeding". Emerg. Med. Clin. North Am. 8 (4): 859–72. PMID 2226291.
- ↑ Jafar W, Jafar A, Sharma A (2016). "Upper gastrointestinal haemorrhage: an update". Frontline Gastroenterol. 7 (1): 32–40. doi:10.1136/flgastro-2014-100492. PMC 5369541. PMID 28839832. Vancouver style error: initials (help)
- ↑ Palmer K (2007). "Acute upper gastrointestinal haemorrhage". Br. Med. Bull. 83: 307–24. doi:10.1093/bmb/ldm023. PMID 17942452.