Which of the following is a feature that arise alarm in dyspepsia?
An alarm feature was defined as any of the following: recent onset dyspepsia in a patient over 45 years, gastrointestinal bleeding, early satiety, unexplained weight loss, progressive dysphagia, odynophagia, persistent vomiting, personal or family history of gastrointestinal malignancy and previous documented peptic …
What are the complications of dyspepsia?
Complications
- Esophageal stricture. Persistent exposure to stomach acid can cause scarring in the upper gastrointestinal tract.
- Pyloric stenosis. In some cases, stomach acid can cause long-term irritation of the pylorus, the passage between the stomach and the small intestine.
- Peritonitis.
What medications cause dyspepsia?
These medications can cause symptoms by causing direct gastric mucosal injury (eg, NSAIDs), a change in gastrointestinal sensorimotor function, worsening GERD, or idiopathic mechanisms. Management of drug-induced dyspepsia includes drug discontinuation, assessment of underlying pathology, and symptom control.
What is the best medicine for functional dyspepsia?
Medications that block acid ‘pumps. ‘ Proton pump inhibitors shut down the acid “pumps” within acid-secreting stomach cells. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24HR), omeprazole (Prilosec OTC) and esopremazole (Nexium 24HR). Proton pump inhibitors are also available by prescription.
How do you deal with a dyspepsia patient?
Empirical therapy with antacids, antisecretory, and prokinetic agents has long been the traditional approach for most primary care physicians in the initial management of patients with uninvestigated dyspepsia. To date, antisecretory therapy has largely been with H2 receptor antagonists.
Can dyspepsia cause chest pain?
Stomach ulcers or acid reflux can cause dyspepsia. If you have reflux, stomach acid backs up into your esophagus (the tube leading from your mouth to your stomach). This causes pain in your chest.
Can antibiotics cause dyspepsia?
The mechanisms by which a drug causes dyspepsia are often unknown even though some drugs are known to cause direct mucosal injury. Non-steroidal anti-inflammatory drugs and antibiotics are common causes of drug-related dyspepsia.
What is the best medicine for gas and indigestion?
Over-the-counter gas remedies include:
- Pepto-Bismol.
- Activated charcoal.
- Simethicone.
- Lactase enzyme (Lactaid or Dairy Ease)
- Beano.
How long does dyspepsia take to heal?
How long does indigestion (dyspepsia) last? Indigestion is a chronic disease that usually lasts years, if not a lifetime. It does, however, display periodicity, which means that the symptoms may be more frequent or severe for days, weeks, or months and then less frequent or severe for days, weeks, or months.
Is Kremil s good for dyspepsia?
For the symptomatic relief of hyperacidity associated with peptic ulcer, gastritis, esophagitis and dyspepsia. As an antiflatulent to alleviate the symptoms of gassiness, including postoperative gas pain, associated with hyperacidity.
Can dyspepsia be cured?
Functional dyspepsia cannot be fully cured, but its symptoms can be successfully managed through lifestyle changes, medication, or a combination of the two. Lifestyle changes may include: Reducing, managing or removing any causes of ongoing stress and anxiety.
What are the symptoms of dyspepsia in general practitioners?
Background: Ten percent of patients consulting a general practitioner (GP) because of dyspepsia report one or more alarm symptom (s): anemia, black stools, blood in stools, dysphagia, jaundice, weight loss. We observed the consequence of such symptoms prospectively over 3 years.
What medications can cause dyspepsia?
Some medications that commonly cause dyspepsia NSAIDS Cox-2 inhibitors Bisphosphonates Erythromycin Tetracyclines Iron Potassium supplements Acarbose Digitalis Theophylline Orlistat
What are the treatment options for dyspepsia?
A doctor will usually recommend an antacid medication as one of the first treatments for dyspepsia. These reduce stomach acid levels and are more effective than antacids. Examples include Tagamet and Pepcid.
How are antidepressants used to treat functional dyspepsia?
Antidepressants are frequently used to treat refractory functional dyspepsia, with tricyclic antidepressants often utilized as first-line agents. This practice is based in part on studies of functional abdominal pain consisting of predominantly IBS [Jackson et al.2000].