Dyspepsia Kamela

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Transcript of Dyspepsia Kamela

DyspepsiaKamela Ali abu-shalha 5th year medical student Hashemite university

Dyspepsia is defined as episodic or persistent symptoms that include abdominal pain or discomfort and which are referable to the upper gastrointestinal tract

The formal definition excludes patients whose only symptom is heartburn

nauseafullness early satiety

upperabdominal

bloating

Other symptoms

How common is itStomach pain, cramps, and spasms was the 11th most frequent reason for patients to present to their physicians, estimated to account for more than 13.5 million visits per year About 25% of persons in the United States or other western countries experience recurrent upper abdominal pain during a typical year

If one adds heartburn, then the prevalence is closer to 40%

Causes of dyspepsiaUpper gastrointestinal disorders 'Functional' Peptic ulcer disease Acute gastritis Gallstones Motility disorders, e.g. oesophageal spasm

Systemic disease Renal failure Hypercalcaemia

Drugs Non-steroidal anti-inflammatory drugs (NSAIDs) Iron and potassium supplements Corticosteroids Digoxin

Other gastrointestinal disorders Pancreatic disease (cancer, chronic pancreatitis) Hepatic disease (hepatitis, metastases) Colonic carcinoma

Others Alcohol Psychological, e.g. anxiety, depression

Diagnosis Functional dyspepsia Peptic ulcer disease Reflux esophagitis Gastric or esophageal cancer

Frequency 60 % 15-25 % 5-15%