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Dyspepsia

Indigestion


Presentation

  • Dyspepsia and epigastric pain are common presenting symptoms of patients with either hookworm infection or peptic ulcer disease.[ncbi.nlm.nih.gov]
  • This can also cause indigestion and pain will usually be present as well.[healthhype.com]
  • Many patients respond well to explanation and reassurance that there is no serious underlying disease present.[ddc.musc.edu]
Soft Tissue Mass
  • Computed tomography of the abdomen demonstrated a large encapsuled soft-tissue mass in the root of mesentery. Percutaneous biopsy confirmed the diagnosis of mesenteric panniculitis.[ncbi.nlm.nih.gov]
Dyspepsia
  • […] self-worded main dyspepsia complaint[ 19 ].[doi.org]
  • But are not specific to dyspepsia..[dx.doi.org]
  • Code Type 1 Excludes functional dyspepsia ( K30 ) R10.13 ) heartburn ( ICD-10-CM Diagnosis Code R12 Heartburn 2016 2017 2018 2019 Billable/Specific Code Type 1 Excludes dyspepsia NOS ( R10.13 ) functional dyspepsia ( K30 ) R12 ) nervous dyspepsia ( ICD[icd10data.com]
  • Convert to ICD-10-CM : 536.8 converts directly to: 2015/16 ICD-10-CM K30 Functional dyspepsia Approximate Synonyms Abnormal gastric acidity Achylia gastrica Chronic regurgitation Diminished gastrin secretion Drug-induced dyspepsia Dyspepsia Dyspepsia[icd9data.com]
Nausea
  • Symptoms are similar to GERD – heartburn, nausea, chest pain,excessive belching.[healthhype.com]
  • The symptoms include discomfort in the upper abdomen, heartburn, a tendency to belching, nausea or a sense of bloated fullness (flatulence).[medical-dictionary.thefreedictionary.com]
  • Indigestion can cause stomach pain or bloating, or heartburn, nausea, and vomiting.[healthline.com]
  • Characterized by abdominal distention, bloating, nausea, and flatulence. GERD Gastroesophageal reflux disease.[accessmedicine.mhmedical.com]
  • Further down in the stomach, a surface reaction results in upper-middle abdominal pain and nausea; sometimes nausea and even vomiting are triggered.[nutramed.com]
Abdominal Pain
  • However, there was a greater reduction in abdominal pain/discomfort (8.8% vs 5.0%, P CONCLUSIONS: The use of GPA in patients on regular NSAIDs does not improve their overall dyspepsia, but it reduces abdominal pain and burping.[ncbi.nlm.nih.gov]
  • Indigestion and abdominal pain are common, but that doesn’t make them any less uncomfortable. These conditions may also be the sign of a more serious gastrointestinal problem and shouldn't be ignored.[amitahealth.org]
  • Common symptoms include abdominal pain (particularly left upper quadrant or LUQ abdominal pain ), nausea, excessive belching and bloating .[healthhype.com]
  • Definition Dyspepsia or "indigestion" is very broadly defined as recurrent upper abdominal pain, with or without bloating, nausea and vomiting.[apps.nhslothian.scot]
Epigastric Mass
Liver Dysfunction
  • Serious problems include liver dysfunction, hypersensitivity reactions (including urticaria, angio-oedema, bronchospasm, anaphylaxis), depression, interstitial nephritis, blood disorders (including leukopenia, leukocytosis, pancytopenia, thrombocytopenia[patient.info]
Photosensitivity
  • Pharmacological issues [ 17 ] Adverse reactions to PPIs and H 2 RAs are usually rare and mild but severe problems can arise: Rare but not serious problems may include taste disturbance, peripheral oedema, photosensitivity, fever, arthralgia, myalgia and[patient.info]
Headache
  • Side effects of H2RAs may include headache, nausea, vomiting, constipation, diarrhea, and unusual bleeding or bruising.[gi.org]
  • Continue reading the main story Fever and Ague, Sick Headache, Sickness at the. Stomach, Constipation, Heartburn, Colic, Pains. in the Stomach or Bowels, Dysentery. Vomiting, a feeling of Faintness. and Lassitude, Want of.[nytimes.com]
  • Side effects include: nausea and vomiting constipation diarrhea cough headache backache dizziness abdominal pain Both PPIs and H2 drugs are typically used to treat peptic ulcers.[healthline.com]
  • Medications like Zantac and Pepcid are also helpful for Dyspepsia but their side effects include the following: Nausea Vomiting Diarrhea Constipation Headaches Easy bruising Depression Anxiety Involuntary spasms Excessive fatigue Medications like Prilosec[epainassist.com]
Hyperactivity
  • , hyperactivity 314.01 gastrointestinal 536.8 stomach 536.8 Hyperchlorhydria 536.8 Hyperchylia gastrica 536.8 Hypermobility stomach 536.8 Hypermotility gastrointestinal 536.8 stomach 536.8 Hypersecretion gastric 536.8 Hypersensitive, hypersensitiveness[icd9data.com]

Workup

  • Suitable workup and treatment are summarized. Funding and Disclosures Disclosure forms provided by the authors are available with the full text of this article at NEJM.org. Dr.[doi.org]
Pseudomonas
  • ., Pseudomonas spp., Escherichia spp., Klebsiella spp. and Bacillus spp., Staphylococcus and Lactobacillus were identified significantly more commonly in dyspeptics and Streptococcus, Pseudomonas, Escherichia coli and Klebsiella pneumoniae in non-dyspeptics[ncbi.nlm.nih.gov]

Treatment

  • A brief course of treatment using metaphors and hypnosis resulted in a complete resolution of her symptoms, which did not recur during a follow-up of 12 years. This is the first published report of the treatment of dyspepsia using hypnotic methods.[ncbi.nlm.nih.gov]
  • Talley, Treatment of functional dyspepsia, Current Treatment Options in Gastroenterology, 10.1007/s11938-005-0026-8, 8, 4, (325-336), (2005).[doi.org]
  • All participants received placebo treatment for 1 week.[dx.doi.org]

Prognosis

  • If indigestion is caused by lifestyle habits, the prognosis is good. Prevention of the lifestyle cause can often resolve the symptoms and cure your indigestion.[emedicinehealth.com]
  • Prognosis Statistics show an average of 20% of patients with dyspepsia have duodenalor gastric ulcer disease, 20% have irritable bowel syndrome, fewer than 1% of patients had cancer, and the range for functional, or non-ulcer dyspepsia ( gastritis or[medical-dictionary.thefreedictionary.com]
  • Although diagnosing this condition can sometimes be challenging, due to the variable nature of symptoms, the prognosis for functional dyspepsia is good. There is no evidence that it leads to cancer or other serious disease.[badgut.org]

Etiology

  • In this study, we assessed the etiological factors, symptoms, physical signs and diadynamic methods in a case of chronic liver fluke disease with dyspepsia.[ncbi.nlm.nih.gov]
  • Compared with the general public, patients with FD have been found to have higher levels of anxiety, chronic tension, hostility, and hypochondriasis, as well as a tendency to be more pessimistic. 15 Possible causes of FD While the etiology of organic[mdedge.com]
  • Compared with the general public, patients with FD have been found to have higher levels of anxiety, chronic tension, hostility, and hypochondriasis, and a tendency to be more pessimistic. 15 Possible causes of FD While the etiology of organic dyspepsia[jfponline.com]

Epidemiology

  • The results of worldwide epidemiological studies have been unconvincing. No clear‐cut link has been documented between H. pylori and any specific symptom profile or pathophysiological mechanism in NUD.[doi.org]
  • The results of worldwide epidemiological studies have been unconvincing. No clear-cut link has been documented between H. pylori and any specific symptom profile or pathophysiological mechanism in NUD.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Knowledge on pathophysiology of dyspepsia have been developing continuously since a scientific investigation has been started in 1980's, which considers Helicobacter pylori as one of key factor in managing dyspepsia, either it is associated with ulcer[ncbi.nlm.nih.gov]
  • Frustratingly, symptoms of FD do not consistently predict underlying pathophysiology and do not reliably guide therapy.[healio.com]
  • Most studies of pathophysiology continue to focus on gastric sensory and motor functions, though some intriguing early data raise the possibility of an infective or immunological contribution.[journals.lww.com]
  • This paper will review the current definitions of non-ulcer dyspepsia (NUD), pathophysiology, and guidelines for evaluation and management.[omicsonline.org]

Prevention

  • You might need to make some lifestyle changes to help prevent indigestion. Or you may need medicine to prevent and treat symptoms. Work with your doctor to treat and manage any problems that cause indigestion.[familydoctor.org]
  • Whether these organisms have an independent role in the development or prevention of dyspepsia or act in concurrence with H. pylori needs study.[ncbi.nlm.nih.gov]
  • When the cause is lifestyle-related, prevention is the best way to find relief of symptoms.[emedicinehealth.com]

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