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Dyspepsia

Also known as difficult digestion or group of symptoms in the upper abdomen.

It includes pain or discomfort centered in upper abdomen but it may include epigastric pain, postprandial fullness, early satiety , anorexia, belching, nausea and vomiting

Indication of procedure

Organic causes of Dyspepsia

  • Chronic gastric volvulus
  • Chronic gastric or intestinal ischemia
  • Food intolerance
  • IBS
  • PUD
  • Medication Acarbose , Aspirin , Colchicine, Ethanol
  • Systemic condition Diabetes Mellitus, Heart failure, Adrenal insufficiency, Pregnancy

Laboratory test

  • CBC
  • Serum Electrolytes
  • Serum calcium
  • Liver biochemical test
  • Thyroid function test Acarbose , Aspirin , Colchicine, Ethanol

Treatment

  • General measures – Reassurance and education
  • Lifestyle and dietary measures
  • Medicines – Acid suppressive drugs
  • Eradication of Hp infection
  • Prokinetic agents Acarbose , Aspirin , Colchicine, Ethanol