dyspepsia
DYSPEPSIA

Dyspepsia is having any one of the following: disturbing postprandial fullness, early satiation, epigastric pain and/or burning felt predominantly in the upper abdomen.

It is considered a symptom complex rather than a specific diagnosis.

Acid suppression is the recommended initial therapy.

Differential Diagnosis

  • Chronic peptic ulcer disease (PUD)
  • Gastroesophageal reflux disease (GERD)
  • Gastroesophageal malignancy
  • Irritable bowel syndrome (IBS)
    • Link with pain and bowel movement is indicative of IBS
  • Consider the possibility of cardiac or biliary disease
    • Biliary pain is characterized by acute and severe upper abdominal pain that is episodic and not colicky, lasting for an hour or more
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