Helicobacter pylori infection history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Specific areas of focus when obtaining a history from the patient include history of [[nausea]], [[vomiting]], [[epigastric|epigastric pain]] or [[abdominal pain]], [[bloating]], [[gastrointestinal bleeding]], [[anorexia]], [[weight loss]], [[pallor]], a positive history of GI diseases or ''[[H. pylori]]'' infection, history of medication use ([[NSAIDS]]) and food and drinking water hygiene. Majority of patients infected are asymptomatic. Symptoms of ''[[H. pylori]]'' infection include [[halitosis]], [[nausea]], [[vomiting]], [[epigastric pain|epigatric]] or [[abdominal pain]], [[bloating]], [[belching]], dark or tarry like stools ([[melena]]), [[fatigue]], [[diarrhea]] and unexplained weight loss. | |||
==History== | ==History== | ||
Specific areas of focus when obtaining a history from the patient include history of: | Specific areas of focus when obtaining a history from the patient include history of: | ||
*Nausea & vomiting | *[[Nausea]] & [[vomiting]] | ||
*Epigastric or abdominal pain | *[[Epigastric pain|Epigastric]] or [[abdominal pain]] | ||
*Bloating | *[[Bloating]] | ||
*Pain aggravating or relieving with food | *Pain aggravating or relieving with food | ||
*Gastrointestinal bleeding | *[[Gastrointestinal bleeding]] | ||
*Anorexia | *[[Anorexia]] | ||
*Weight loss | *Weight loss | ||
*Pallor | *[[Pallor]] | ||
*Previous laboratory findings of anemia | *Previous laboratory findings of [[anemia]] | ||
*A positive family history of GI diseases or H.pylori infection | *A positive family history of GI diseases or ''[[H. pylori]]'' infection | ||
*History of medication use (NSAIDS) | *History of medication use ([[NSAIDS]]) | ||
*Food and drinking water hygiene | *Food and drinking water hygiene | ||
If H.pylori infection is suspected in children, the history of the patient should include: | If ''[[H. pylori]]'' infection is suspected in children, the history of the patient should include: | ||
*Pain (location, character, duration, radiation, severity, aggravating and relieving factor) | *[[Pain]] (location, character, duration, radiation, severity, aggravating and relieving factor) | ||
*Diet, appetite and weight changes | *Diet, [[appetite]] and weight changes | ||
*Nausea | *[[Nausea]] | ||
*Vomiting | *[[Vomiting]] | ||
*Bloating | *[[Bloating]] | ||
*A postive family history of Gastrointestinal diseases (eg.,Ulcers, crohn disease) or H.pylori infection | *A postive family history of Gastrointestinal diseases (eg., [[Ulcers]], [[crohn's disease]]) or ''[[H. pylori]]'' infection | ||
*History of NSAIDS use | *History of [[NSAIDS]] use | ||
*Food and drinking water hygiene | *Food and drinking water hygiene | ||
==Symptoms== | ==Symptoms== | ||
*Majority of patients infected are asymptomatic. | *Majority of patients infected are asymptomatic. | ||
*Symptoms of H.pylori infection include: | *Symptoms of ''[[H. pylori]]'' infection include: | ||
*Halitosis | *[[Halitosis]] | ||
*Nausea | *[[Nausea]] | ||
*Vomiting | *[[Vomiting]] | ||
*Epigastric or abdominal pain | *[[Epigastric pain|Epigastric]] or [[abdominal pain]] | ||
*Bloating | *[[Bloating]] | ||
*Belching | *[[Belching]] | ||
*Dark or tarry like stools | *Dark or tarry like stools ([[melena]]) | ||
*Fatigue | *[[Fatigue]] | ||
*Diarrhea | *[[Diarrhea]] | ||
*Unexplained weight loss | *Unexplained weight loss | ||
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1: One or more of the following: | 1: One or more of the following: | ||
:*Bothersome postprandial fullness | :*Bothersome postprandial fullness | ||
:*Early | :*Early [[satiety]] | ||
:*Epigastric pain | :*[[Epigastric pain]] | ||
:*Epigastric burning | :*[[Epigastric burning]] | ||
And | And | ||
2: No evidence of structural disease (including at upper endoscopy) that is likely | 2: No evidence of structural disease (including at upper [[endoscopy]]) that is likely | ||
to explain the symptoms | to explain the symptoms | ||
Revision as of 19:22, 23 January 2017
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Helicobacter pylori infection Microchapters |
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Differentiating Helicobacter pylori infection from other Diseases |
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Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Specific areas of focus when obtaining a history from the patient include history of nausea, vomiting, epigastric pain or abdominal pain, bloating, gastrointestinal bleeding, anorexia, weight loss, pallor, a positive history of GI diseases or H. pylori infection, history of medication use (NSAIDS) and food and drinking water hygiene. Majority of patients infected are asymptomatic. Symptoms of H. pylori infection include halitosis, nausea, vomiting, epigatric or abdominal pain, bloating, belching, dark or tarry like stools (melena), fatigue, diarrhea and unexplained weight loss.
History
Specific areas of focus when obtaining a history from the patient include history of:
- Nausea & vomiting
- Epigastric or abdominal pain
- Bloating
- Pain aggravating or relieving with food
- Gastrointestinal bleeding
- Anorexia
- Weight loss
- Pallor
- Previous laboratory findings of anemia
- A positive family history of GI diseases or H. pylori infection
- History of medication use (NSAIDS)
- Food and drinking water hygiene
If H. pylori infection is suspected in children, the history of the patient should include:
- Pain (location, character, duration, radiation, severity, aggravating and relieving factor)
- Diet, appetite and weight changes
- Nausea
- Vomiting
- Bloating
- A postive family history of Gastrointestinal diseases (eg., Ulcers, crohn's disease) or H. pylori infection
- History of NSAIDS use
- Food and drinking water hygiene
Symptoms
- Majority of patients infected are asymptomatic.
- Symptoms of H. pylori infection include:
- Halitosis
- Nausea
- Vomiting
- Epigastric or abdominal pain
- Bloating
- Belching
- Dark or tarry like stools (melena)
- Fatigue
- Diarrhea
- Unexplained weight loss
Functional dyspepsia
Functional dyspepsia: Rome III diagnostic criteria for gastrointestinal disorders
B1. FUNCTIONAL DYSPEPSIA
Diagnostic criteria Must include:[1]
1: One or more of the following:
- Bothersome postprandial fullness
- Early satiety
- Epigastric pain
- Epigastric burning
And
2: No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms
- Criteria fulfilled for the last 3 months with symptom onset
at least 6 months prior to diagnosis
References
- ↑ Rome III diagnostic criteria http://www.romecriteria.org/assets/pdf/19_RomeIII_apA_885-898.pdf Accessed on January 9, 2017